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Prepared on December 29, 2020 Page 1 of 4 <br />t) Nationwide® <br />is on your side <br />Policyholder (Named Insured): <br />Michael V Gamburg & <br />Celia L Gamburg <br />750 17th Ave <br />San Francisco, CA 94121-3621 <br />General Policy Information <br />Your Policy Declarations <br />Personal Umbrella Liability Policy <br />Policy Period: Jan 31, 2021 - Jan 31, 2022 <br />Policy Number: 72041UO43950 <br />Keep these Declarations for your records. <br />Issued: December 29, 2020 <br />Policy Period: January 31, 2021 to January 31, 2022 The policy period begins at 12:01 a.m. standard <br />time, at the address of the named insured stated herein, and the policy is renewed for succeeding <br />periods of one year provided the required premium is paid on or before expiration of the current <br />term. We will provide the insurance described in this policy in return for the premium and <br />compliance with all applicable policy provisions. <br />Changes Made to Your Policy <br />Please Note: Changes or additions made to your Auto and Homeowner policies may not be reflected <br />on this Declarations, Please discuss coverage issues and recent changes with your agent to reduce <br />the risk of a gap in coverage, <br />Coverages and Limits <br />Coverages Limits of Liability <br />.2111, Excess Personal Liability $1,000,000 Each Occurrence No Deductible <br />HOW <br />P 5910 07 16 <br />�ortaN <br />o� x <br />'. <br />Risk n medDMsiun <br />ccREVIEWED & APPROVED BY: <br />T <br />Risk Management Analyst <br />