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POLICY NUMBER: CUP-OJ605520-24-47 <br />UMBRELLA <br />ISSUE DATE: 03/12/2024 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />SCHEDULE OF UNDERLYING INSURANCE <br />This endorsement modifies insurance provided under the following: <br />EXCESS FOLLOW -FORM AND UMBRELLA LIABILITY INSURANCE <br />Employers Liability Limits Of Liability <br />Carrier TRAVELERS PROPERTY CASUALTY Bodily Injury By Accident $110001000* <br />COMPANY OF AMERICA Each Accident <br />Policy NumberUB-001T826877-24 Bodily Injury By Disease $1,000,000* <br />Policy Period Policy Limit <br />From: 03/14/2024 Bodily Injury By Disease $110001000* <br />to: 03/14/2025 Each Employee <br />*UNLIMITED IN THE STATE OF NEW YORK FOR <br />SUBJECT EMPLOYEES <br />Employee Benefits Liability Limits Of Liability <br />Carrier TRAVELERS PROPERTY CASUALTY Each Employee $1,000,000 <br />COMPANY OF AMERICA <br />Aggregate $1,000,000 <br />Policy Number 680-004H777478-24 <br />Policy Period <br />From: 03/14/2024 <br />to: 03/14/2025 <br />Commercial General Liability Limits Of Liability <br />Carrier TRAVELERS PROPERTY CASUALTY General Aggregate $2,000,000 <br />COMPANY OF AMERICA <br />Products -Completed $2,000,000 <br />Policy Number 680-004H777478-24 Operations Aggregate <br />Policy Period Personal and <br />From: 03/14/2024 Advertising Injury $1,000,000 <br />to:03/14/2025 Each Occurrence $1,000,000 <br />Risk°uDivision <br />Rimer & APPRO Sr. <br />PRODUCER:AP DfiSIGN PROF INS OFFICE: SPECIALIST A&E 21 ci a +v ., co Amlg z Acw+�a <br />�. <br />EU 00 03 08 18 02018 The Travelers Indemnity Company. All rights reservetl, Risk Management Spetlalist <br />