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UMBRELLA <br />POLICY NUMBER: ZUP-15T82203-21-NF ISSUE DATE: 05/20/21 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 17 CAREFULLY. <br />SCHEDULE OF UNDERLYING INSURANCE <br />This endorsement modifies insurance provided under the following: <br />EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE <br />Commercial General Liability Limits Of Liability <br />Carrier: EXECUTIVE RISK INDEMNITY General Aggregate <br />INCORPORATED <br />Policy 54303105-04 <br />Number: <br />Policy Period <br />From: 05/01/2021 <br />tc: 05/01/2022 <br />Products -Completed <br />Operations Aggregate <br />Personal and <br />Advertising Injury <br />Each Occurrence <br />$2,000,000 <br />$2,000,000 <br />$1,000,000 <br />$1,000,000 <br />Automobile Liability Limits Of Liability <br />Carrier: FEDERAL INSURANCE COMPANY <br />Bodily Injury And Property Damage <br />Combined Single Limit $1,000,000 <br />Policy (20) 5430-31-04 Bodily Injury Each <br />Number: Person $ <br />Bodily Injury Each $ <br />Policy Period Accident <br />From: 05/01/2021 <br />to: O5/01/2022 Property Damage Each <br />Accident <br />Employers Liability <br />Carrier FEDERAL INSURANCE COMPANY <br />Policy 005 4303106 <br />Number: <br />Policy Period <br />From: 05/01/2021 <br />tO:05/01/2022 <br />Limits Of Liability <br />Bodily Injury By Accident <br />Each Accident $1,000,000** <br />Bodily Injury By Disease <br />Policy Limit $1,000,000** <br />Each Employee $110001000** <br />*$2,000,000 PER PROJECT <br />"UNLIMITED IN THE STATE OF NEW YORK FOR SUBJECT EMPLOYEES <br />PRCJDUCEFt BROKERAGE COMMERCIAL INS OFFICE IRVINE, <br />REVIEWED & APPROVED Br <br />EU 00 03 08 18 2018 The Travelers Indemnity Company. All rights reserved. Risk Management Supervisor <br />