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CNA CNA PARAMOUNT <br />Policy Declarations <br />Policy Number: 6017210152 <br />Renewal of: 6017210152 <br />Policy <br />Name: VALLEY FORGE INSURANCE COMPANY <br />Issued by: <br />Address: 151 N Franklin <br />CHICAGO, IL 60606 <br />Producer Code: 028489 <br />Name: ARTHUR J GALLAGHER RISK MGMT SRV INC <br />Producer's <br />Address: 1050 CROWN POINTE PKWY STE 600 <br />Information: <br />ATLANTA, GA 30338 <br />1. Named Insured <br />Name: LYRASIS INC <br />and mailing <br />address: <br />Address: 1438 W PEACHTREE ST NW STE 150 <br />ATLANTA, GA 30309-2955 <br />2. Coverage <br />The coverage parts attached to and <br />Parts: <br />forming part of this Policy <br />Business Property <br />General Liability <br />Employee Benefits Liability <br />Stop Gap Liability <br />3. Policy Period: <br />Effective date <br />from: to <br />At 12:01 A.M. Standard Time at your <br />04/16/2021 04/16/2022 <br />mailing address shown above <br />4. Limits of <br />Insurance and <br />Deductibles: <br />See Coverage Part Declarations <br />5. Premium, <br />See Coverage Part Declarations for Coverage Part <br />Surcharges, <br />Premium, surcharges, taxes and fees <br />Taxes and <br />Fees at <br />Total Premium and applicable taxes, surcharges and fees $5, 142 . 00 <br />Issuance: <br />CNA62639XX 09-12 <br />Copyright CNA All Rights Reserved. <br />HortaN <br />3 z <br />a <br />Risk MmWmerdDi sign <br />REVIEWED & APPROVED BY: <br />p PZ. V <br />Risk Management Analyst <br />