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EXTENSION SCHEDULE OF UNDERLYING <br />INSURANCE POLICIES (Continued) <br />POLICY NUMBER: 59 SBA RV9040 <br />Carrier, Policy Number and Policy Period: <br />E. <br />Type of Coverage Applicable Limits <br />( ) Foreign Commercial General Liability- including: each occurrence <br />Personal and Advertising Injury Personal and Advertising <br />Injury aggregate <br />Products/Completed Operations Products/Completed <br />Operations aggregate <br />( ) Foreign Contingent Auto Liability each accident <br />( ) Foreign Employer's Liability each accident * <br />each employee by disease* <br />total policy by disease* <br />An "V marked in the box indicates the coverage is provided in the Underlying Policies. <br />(Note Maintenance of Underlying Insurance Condition SX 80 02 or SX 80 03) <br />*Except that in any jurisdiction where the amount of Employers Liability Coverage afforded by the underlying <br />insurer is by law unlimited, the limit stated does not apply and the policy of which this extension schedule <br />forms a part shall afford no insurance with respect to Employers Liability in such jurisdiction. <br />Form SX 80 04 10 08 <br />Process Date: 0 8 / 18 / 2 0 <br />ew cF RAMwagementDMsian <br />Jy/\'x REVIEWED & APPROVED BY: <br />v <br />Policy Expiration Date: R.Wjanagementftalpt <br />