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PI-CXL-002 (05/19) <br />POLICY NUMBER: BHU13793677 <br />ee Benefits Liability❑ <br />Occurrence <br />❑ Claims -Made <br />ny:umber:eriod:tive <br />F <br />Date: _m <br />Applicable Limits <br />$ <br />Abusive Conduct Liability <br />❑ Occurrence <br />17 Claims -Made <br />Company: <br />Policy Number: <br />Policy Period: <br />Retroactive Date: — <br />Minimum Applicable Limits <br />$ <br />Officers Liability <br />❑ Occurrence <br />❑ Claims -Made <br />er: <br />rRetroactive <br />d: <br />Date: <br />plicable Limits <br />❑ occurrence <br />❑ Claims -Made <br />Liquor Liability <br />Company: <br />Policy Number: <br />Policy Period: <br />Retroactive Date: <br />Minimum Applicable Limits <br />$ <br />WM&APPA l0D8* <br />flM+kWenGnNraa�sri <br />%Ye'%"00 <br />NNN Mana9eMnn CY tticelPldc <br />PI-CXL-002 (0 ) Page 4 of 5 <br />Includes copyrighted material of Insurance Services OFflos, Inc., with permission. <br />