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C �I LIABILITY <br />EXCESS <br />POLICY DECLARATIONS <br />945 E. Paces Ferry Rd. <br />Suite 1800 <br />Atlanta, GA 30326 <br />THIS POLICY IS ISSUED BY THE COMPANY DESIGNATED BELOW: <br />COMPANY NAME Landmark American Insurance Company <br />(A New Hampshire Stock Co.) <br />POLICY NUMBER: LHA252201 <br />NEW: <br />❑ <br />RENEWAL OF: LHA249939 <br />ITEM 1 <br />BAKER RESCUE SERVICES INC <br />NAMED <br />19744 BEACH BLVD., SUITE 366 <br />INSURED <br />HUNTINGTON BEACH, CA 92648 <br />AND <br />MAILING <br />ADDRESS <br />I <br />PRODUCER <br />CODE NO: <br />F— PRODUCER'S NAME AND ADDRESS <br />ITEM 2 <br />COVERAGE: EXCESS <br />POLICY PERIOD <br />ITEM 3 <br />FROM 8/3/2021 TO 8/3/2022 <br />12:01 A.M. STANDARD TIME AT THE ADDRESS OF THE NAMED INSURED <br />LIMITS OF INSURANCE <br />ITEM <br />4 <br />EACH OCCURRENCE <br />AGGREGATE WHERE APPLICABLE <br />LIMITS <br />$ 5,000,000 <br />$ 5,000,000 <br />AND <br />PREMIUM <br />REMIUM <br />$25,000.00 <br />® FLAT <br />❑ AUDITABLE — SEE PREMIUM COMPUTATION ENDORSEMENT <br />ITEM 5 ENDORSEMENTS ATTACHED: Policy Jacket: RSG 31001 0507, Schedule of Underlying Insurance-RSG 30002 0803 <br />SEE SCHEDULE OF POLICY ATTACHMENTS AND FORMS <br />RSG 30001 1117 <br />Date Issued August 04 2021 <br />Countersigned By Authorized Representative <br />JH <br />m ask Me gee Daa <br />y `r F 4A8v: <br />'tla�alajakwrs v Prpw®76,i P ,ow <br />V ftokManagennndmalhtle <br />