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Burns & <br />Wilcox <br />DATE: 4/7/2021 <br />101 California Street, Suite 975, San Francisco, CA 94111 <br />Phone: (415) 421-4244 OR (800) 759-4855 Fax: (415) 421-0620 <br />INSURANCE BINDER Page 2 of 4 <br />LIMITS / DEDUCTIBLES: <br />Loc Sub Coverage <br />Limit(s) <br />1 <br />General Aggregate <br />$2,000,000 <br />1 <br />Products and Completed Operations <br />$2,000,000 <br />1 <br />Each Occurrence <br />$1,000,000 <br />1 <br />Personal and Advertising Injury <br />$1,000,000 <br />1 <br />Medical Expense / Any One Person <br />$5,000 <br />1 <br />Damage to Premises Rented to You / Each Occurrence <br />$100,000 <br />1(011 V_P toilC � 1:ZC3 =-5 <br />Premium: <br />$ <br />600.00 <br />Commercial General Liability <br />Fee: <br />$ <br />200.00 <br />Brokerage Fee (Fully Earned) <br />Tax: <br />$ <br />1.50 <br />Stamping Tax <br />Tax: <br />$ <br />18.00 <br />Surplus Lines Tax - GenLiab <br />TOTAL: <br />$ <br />819.50 <br />EXCLUSIONS: <br />SEE "ENDORSEMENTS' SECTION BELOW / NEXT PAGE <br />ENDORSEMENTS: <br />Deductible(s) <br />$500 Per Claim BI/PD <br />100% MINIMUM & DEPOSIT <br />MINIMUM RETAINED PREMIUM: <br />100.00% EARNED <br />MINIMUM PREMIUM = $600.00 <br />Co Ins <br />RlekManrgemutEDiviefms <br />REMEYED & APRRGVID Bv: <br />I--i—w—MM Risk Management Analyst <br />