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CNA CNA PARAMOUNT <br />Technology <br />Employee Benefits Liability Coverage Part Declarations <br />Technology Initiative <br />Policy Number: 6017210152 <br />1. <br />Named <br />Name: LYRASIS INC <br />Insured <br />and <br />mailing <br />address <br />Address: 1438 W PEACHTREE ST NW STE 150 <br />ATLANTA, GA 30309-2955 <br />2. <br />Type of <br />Organization <br />Corporation <br />3. <br />Limits of <br />Insurance, <br />Each Employee Limit <br />$1 000 000 <br />Deductible <br />Employee Benefits Liability — all claims in the aggregate limit <br />$2, 000, 000 <br />Deductible — Each Employee <br />$1, 0 0 0 <br />4. <br />Premium, <br />Surcharges <br />Taxes and <br />Fees at <br />Issuance <br />Total Premium for this Coverage Part <br />$429. 00 <br />Total Premium, Surcharges Taxes and Fees for this Coverage Part <br />$429 . 00 <br />Your Premium includes the following amount for <br />Certified Acts of Terrorism <br />$4 . 0 0 <br />5. <br />Audit Period: <br />Annual <br />CNA74693XX 01-15 <br />Copyright CNA All Rights Reserved. <br />HortaN <br />3 z <br />Risk MmWmerdDi sign <br />REVIEWED & APPROVED BY: <br />Risk Management Analyst <br />