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Type Of Coverage: ❑ Occurrence ® Claims -made <br />Company: Arch Insurance Company <br />Other <br />Policy Number: SBCGL0283404 <br />Coverages <br />Policy Period: 07/01 /2021-07/01 /2022 <br />Limits Of Insurance: Employee Benefits Liability <br />Each Employee Limit (subject to $1,000 $ 1,000,000 <br />deductible) <br />Aggregate Limit $ 2,000,000 <br />THESE DECLARATIONS, TOGETHER WITH COMMERCIAL EXCESS LIABILITY POLICY <br />PROVISIONS, SCHEDULE OF CONTROLLYING UNDERLYING INSURANCE AND SCHEDULE OF <br />FORMS AND ENDORSEMENTS, IF ANY, ARE ISSUED AS PART OF, AND IN COMPLETION OF THE <br />ABOVE NUMBERED POLICY. <br />05 SXS0002 00 10 Includes copyrighted material from Insurance Service <br />16 Office, Inc., with its permission. <br />�oRaN <br />or <br />RAMmWmedDMsfan <br />REVIEWED & APPROVED BY.- <br />f R. W&Wd <br />Risk Management Analyst <br />