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CNA <br />CNA Paramount Excess and Umbrella Liability <br />oiiCy Declarations <br />Underlying Insurer <br />Policy Number <br />Policy Period <br />Note: Underlying Insurance Coverages Limits of Insurance <br />IN ANY JURISDICTION, STATE, OR PROVINCE WHERE THE AMOUNT OF EMPLOYERS LIABILITY <br />INSURANCE PROVIDED BY THE UNDERLYING INSURER(S) IS BY LAW "UNLIMITED", THE UNDERLYING <br />EMPLOYERS LIABILITY LIMIT(S) SHOWN IN THE ABOVE SCHEDULE DO NOT APPLY AND NO COVERAGE <br />SHALL BE PROVIDED FOR EMPLOYERS LIABILITY UNDER THIS POLICY. <br />National Fire Insurance Employers Liability Bodily Injury by Accident- Each <br />Company of Hartford Accident Limit $1,000,000 <br />6078951418 <br />09/15/2021 to <br />09/1512022 <br />Bodily Injury by Disease - Policy <br />Limit <br />Bodily Injury by Disease - Each <br />Employee Limit <br />$1,000,000 <br />$1,000,000 <br />IN ANY JURISDICTION, STATE, OR PROVINCE WHERE THE AMOUNT OF EMPLOYERS LIABILITY <br />INSURANCE PROVIDED BY THE UNDERLYING INSURER(S) IS BY LAW "UNLIMITED", THE UNDERLYING <br />EMPLOYERS LIABILITY LIMIT(S) SHOWN IN THE ABOVE SCHEDULE DO NOT APPLY AND NO COVERAGE <br />SHALL BE PROVIDED FOR EMPLOYERS LIABILITY UNDER THIS POLICY. <br />Valley Forge Insurance Employee Benefits Each Employee Limit $1,000,000 <br />Company Liability <br />Aggregate Limit $1,000,000 <br />6078951385 <br />09/15/2021 to <br />09/15/2022 <br />orms and Endorsements — <br />See SCHEDULE OF FORMS AND ENDORSEMENTS <br />— <br />Minimum Earned Premium 0% of the Total Premium <br />Total Premium <br />Premium includes the following amount for Certified Acts of <br />$0 <br />Terrorism Coverage <br />Form No: CNA75501XX (03-2015) <br />Policy Declarations Page: 3 of 4 <br />Underwriting Company: The Continental Insurance Company, 151 N Franklin St, Chicago, IL 60606 <br />PC Rbl, Mwgened MAP. <br />PC g <br />�.�Jr)•., Ik+nFLIDLAPPaDIFDav: <br />PC %u >aics.o« <br />am,m,,.,ge„a„am�a)aar <br />® Copyright CNA All Rights Reserved. <br />66237687 1 MARKT-1 121-22 Maeter COI I Prabhjot Raur 11/12/2022 B:54:25 AM (PST) I Page 10 of 11 <br />