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Policy # 72SBABC9000 <br />EXTENSION SCHEDULE OF UNDERLYING <br />INSURANCE (Continued) <br />POLICY NUMBER: 72 SBA BC9000 <br />D. (X) Employer's Liability <br />Carrier, Policy Number and Policy Period <br />Type of Coverage <br />Employers Liability <br />Hartford Insurance Group <br />72WECAM7FEE <br />08/03/2024 To 08/03/2025 <br />Applicable Limits <br />THE <br />HARTF©RD <br />$1,000,000 Each Accident* <br />$1,000,000 Each Employee by Disease* <br />$1,000,000 Total Policy by Disease* <br />*In any jurisdiction where the amount of Employers Liability Coverage afforded by the <br />an <br />unlimited, the limit stated does not apply and the policy of which this extension schedule "°rz'"`F RisleMa&A APPROVragement ED BY. <br />REVIEWED & PaPPROVm BY: <br />insurance with respect to Employers Liability in such jurisdiction. <br />Form SU 00 03 10 18 Risk Management Specialist <br />Process Date: 05/09/2024 © 2018, The Hartford Policy <br />(May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />