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Policy No. Named Insured <br />6017210152 LYRASIS INC <br />1438 W PEACHTREE ST NW STE 150 <br />ATLANTA GA 30309 <br />Company: VF - Valley Forge Insurance Company <br />Product: CNA PARAMOUNT <br />TOTAL LIABILITY PREMIUM SUMMARY <br />PRODUCTS/ <br />PREMISES/ COMPLETED <br />OPERATIONS OPERATIONS <br />Actual Premium $1,555 $0 <br />Add to = Minimum $0 $0 <br />Total Premium $1,555 $0 <br />Taxes & Surcharges $0 $0 <br />TOTAL LIABILITY CHARGES <br />Certified Acts of Terrorism Premium <br />AGENT <br />Rating Date: 05/03/2021 <br />Print Date: 05/03/2021 <br />Effective Date: 04/16/2021 <br />Expiration Date: 04/16/2022 <br />Written -date: 2021-01-16 <br />ADDITIONAL <br />OTHER <br />INSURED <br />COVERAGES/COV PARTS <br />$0 <br />$460 <br />$382 <br />$0 <br />$842 <br />$0 <br />$0.00 <br />$2,420.00 <br />$23.00 <br />u�" on„NC <br />Risk Mwag'a1721t DMsiOR <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />