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* S9 * 06/11/2021 * GLP 3961460 00 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />CODE NUMBER: 49891 LOC: 0001 BLDG: 0001 PREMIUM BASIS: PER EACH REGISTRANT <br />Classification: YOUTH RECREATION PROGRAMS - NOT -FOR -PROFIT <br />PRODUCTS -COMPLETED OPERATIONS COVERAGE IS INCLUDED BUT IS <br />SUBJECT TO THE GENERAL AGGREGATE LIMIT NOT THE PRODUCT COMPLETED <br />OPERATION AGGREGATE LIMIT, IF ANY <br />Products/Completed Operations All Other <br />EXPOSURE: EXPOSURE: 220 <br />RATE: INCLUDED RATE: 4.847 <br />PREMIUM: INCLUDED PREMIUM: $1,066.00 <br />CODE NUMBER: 99718 LOC: 0001 BLDG: 0001 PREMIUM BASIS: PER $1000 PAYROLL <br />Classification: THEATRICAL COMPANIES - TRAVELING <br />PRODUCTS -COMPLETED OPERATIONS COVERAGE IS INCLUDED BUT IS <br />SUBJECT TO THE GENERAL AGGREGATE LIMIT NOT THE PRODUCT COMPLETED <br />OPERATION AGGREGATE LIMIT, IF ANY <br />Products/Completed Operations All Other <br />EXPOSURE: EXPOSURE: 143,500 <br />RATE: INCLUDED RATE: 11.193 <br />PREMIUM: INCLUDED PREMIUM: $1,606.00 <br />FORMS AND ENDORSEMENTS applicable to this Coverage Part and made part of this Policy at time of issue: <br />SEE CG 88 01 11/85 <br />CG 74 00 (Ed. 07/01) (Page 2 of 2) <br />�oRaN <br />} z <br />a <br />RiskMmWmentDMsian <br />REVIEWED & APPROVED BY.- <br />p R. vj&wd <br />Risk Management Analyst <br />