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Policy # 72SBABC9000 <br />EXTENSION SCHEDULE OF UNDERLYING <br />INSURANCE (Continued) <br />POLICY NUMBER: 72 SBA BC9000 <br />E. () Foreign Liability <br />Carrier, Policy Number and Policy Period: <br />Type of Coverage <br />() Foreign Commercial General Liability <br />() Liability and Medical Expenses <br />() Personal And Advertising Injury <br />() Products/Completed Operations Aggregate <br />() General Aggregate <br />() Damages To Premises Rented To You <br />() Foreign Contingent Auto Liability <br />() Foreign Employers Liability <br />THE <br />HARTF©RD <br />Applicable Limits <br />Per Occurrence <br />Per Person/Organization <br />Aggregate <br />Aggregate <br />Any One Premises <br />Each Accident <br />Each Accident* <br />Each Employee by Disease* <br />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 PROVragement iDBY. <br />REVIEWED & APPROVED BY: <br />insurance with respect to Employers Liability in such jurisdiction. <br />i®� <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 />