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Policy Number: 6017210152 <br />Page 2 <br />Location Subtotal <br />$1,185.00 <br />General Liability Premium <br />$1,574.00 <br />Additional to Meet Minimum Premium <br />$.00 <br />Total General Liability Premium <br />$1,574.00 <br />Certified Acts of Terrorism Premium <br />$19.00 <br />EMPLOYEE BENEFITS PREMIUM SUMMARY <br />LIMITS OF LIABILITY <br />EACH EMPLOYEE: $ 1,000,000 <br />AGGREGATE: $ 2,000,000 <br />DEDUCTIBLES: REFER TO COVERAGE PART <br />Location 0001 <br />1438 W PEACHTREE ST NW <br />SUITE 200 <br />ATLANTA GA 30309 <br />CLASS: C00007 Employee Benefits Liability <br />COVERAGE EXPOSURE FINAL <br />TERM TRANSACTION <br />DESCRIPTION (BASIS) RATE <br />PREMIUM PREMIUM <br />Employee Benefits <br />62 Incl <br />$425 $425 <br />(EM) <br />Location Subtotal <br />Employee Benefits Liability Premium <br />Additional to Meet Minimum Premium <br />Total Employee Benefits Liability Premium <br />Certified Acts of Terrorism Premium <br />STOP GAP LIABILITY PREMIUM SUMMARY <br />LIMITS OF LIABILITY <br />EACH ACCIDENT: $ 1,000,000 <br />AGGREGATE: $ 1,000,000 <br />EACH EMPLOYEE: $ 1,000,000 <br />Location 0002 <br />NO SPECIFIC LOCATION <br />CHEYENNE WY 82001 <br />AGENT <br />$425.00 <br />$429.00 <br />$.00 <br />$429.00 <br />$4.00 <br />�oRaN <br />RiskMwaganedDMsian <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />