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Policy # 72SBABC9000 <br />Declarations: Umbrella Liability <br />L Supplemental Policy <br />CONTINUED <br />POLICY PERIOD EFFECTIVE DATE: 08/03/2024 EXPIRATION DATE: 08/03/2025 <br />12:01 A.M., Standard time at the address of the named insured as stated herein. <br />LIMITS OF INSURANCE <br />The Limits of Insurance subject to all the terms of this Supplemental Policy that apply are: <br />EACH OCCURRENCE LIMIT: $4,000,000 <br />GENERAL AGGREGATE LIMIT: $4,000,000 <br />(Other than Products - Completed Operations, Bodily Injury By Disease and Automobile) <br />PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT: $4,000,000 <br />BODILY INJURY BY DISEASE AGGREGATE LIMIT: $4,000,000 <br />SELF INSURED RETENTION: $10,000 Each Occurrence <br />Schedule of Underlying Insurance <br />See Attached Extension Schedule of Underlying Insurance <br />Form Numbers of Forms and Endorsements that apply: <br />FORM NUMBER <br />FORM NAME <br />EXCLUSION - CARE, CUSTODY OR CONTROL OF PERSONAL <br />SU 20 09 10 18 <br />PROPERTY <br />UMBRELLA LIABILITY SUPPLEMENTAL POLICY DECLARATIONS <br />SU 00 05 10 18 <br />PAGE <br />SU 00 00 12 19 <br />UMBRELLA LIABILITY SUPPLEMENTAL POLICY <br />SU 20 10 10 18 <br />EXCLUSION - CARE, CUSTODY OR CONTROL OF REAL PROPERTY <br />SU 00 02 10 18 <br />BLANKET ADDITIONAL INSURED BY CONTRACT - UMBRELLA <br />SU 20 00 10 18 <br />ABSOLUTE LEAD EXCLUSION <br />SU 00 03 10 18 <br />EXTENSION SCHEDULE OF UNDERLYING INSURANCE <br />SU 20 01 10 18 <br />EXCLUSION - SILICA <br />SU 00 04 10 18 <br />EMPLOYEE BENEFITS LIABILITY ENDORSEMENT - OCCURRENCE <br />FOLLOWING FORM - PROGRAMMING AND RELATED COMPUTER <br />SU 30 14 10 18 <br />SERVICES <br />SU 01 04 10 18 <br />AMENDMENT OF UMBRELLA CONDITIONS - CALIFORNIA <br />SU 20 21 10 18 <br />EXCLUSION - AIRCRAFT PRODUCTS <br />SU 30 08 10 18 <br />FOLLOWING FORM ENDORSEMENT - AUTOMOBILE LIABILITY <br />SU 20 85 10 18 <br />LIMITATION OF COVERAGE - TECHNOLOGY SERVICES <br />Form: SU 00 05 10 18 <br />Process Date: 05/09/2024 <br />Policy Expiration Date: 08/03/2025 <br />orz,N�F RiskMougementDMslcrn <br />REVIEWED & APPROVED BY: <br />'�_�i11:1_I_IF'�L• t� �ceve�Co <br />® <br />Risk Management Specialist <br />THE <br />HARTFORD <br />