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I d " Ub/Ub/ZUZI ' I Ut-4UbZ6t6-UU-UI UKtA I AMtKI(,AN INSUKANUt UU <br />410783 <br />Carrier, Policy Number <br />and Period <br />c) ( <br />Type of Coverage <br />Comprehensive <br />General Liability <br />including <br />Products - Complet- $ <br />ad Operation <br />L i a b i l i t y $ <br />Broad Form <br />Endorsement <br />OR I OR <br />( X ) Commercial <br />MIDDLESEX INSURANCE General Liability <br />COMPANY <br />POLICY: A0152818004 ( X ) Occurrence Form <br />811121 TO 811/22 <br />( ) Claims -Made Form <br />(X) DEFENSE OUTSIDE ( X ) GENERAL AGGREGATE <br />THE LIMIT APPLIES PER <br />PROJECT <br />Retroactive Date <br />d) MIDDLESEX INSURANCE <br />COMPANY <br />POLICY: A0152818004 <br />8/1/21 TO 8/1/22 <br />EMPLOYEE BENEFIT <br />LIABILITY <br />Limits of Insurance <br />) Split Limit <br />Bodily Injury Liability <br />each occurrence <br />aggregate <br />Property Damage Liability <br />each occurrence <br />aggregate <br />Combined Single Limit <br />each occurrence <br />aggregate <br />HE <br />$3,000,000. <br />General Aggre- <br />gate Limit <br />$2,000,000. <br />Products -Com- <br />pleted Opera- <br />tion Aggre- <br />gate Limit <br />$1,000,000. <br />Personal and <br />Advertising <br />Injury Limit <br />$1,000.000. <br />Each Occurrence <br />Limit <br />$1,000,000. EACH EMPLOYEE <br />INCLUDED AGGREGATE LIMIT <br />69GA4i 1620/033GL/ALFt»d3(WC/@D&/19w7 iey Pll3ki 1 s/z/zaza 10:04:6PM QFeTi 2 P-oefe 2 8 <br />Ren2WED & APPROVED BY. <br />A,+, "d, <br />Risk Management Speaahsl <br />