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Philadelphia Indemnity Insurance Company <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS <br />Policy Number: PHPK2635616 <br />Agent# 127479 <br />M See Supplemental Schedule <br />LIMITS OF INSURANCE <br />$ <br />2, 000, 000 <br />General Aggregate Limit (Other Than Products — Completed Operations) <br />$ <br />2, 000, 000 <br />Products/Completed Operations Aggregate Limit <br />$ <br />1, 000, 000 <br />Personal and Advertising Injury Limit (Any One Person or Organization) <br />$ <br />1, 000, 000 <br />Each Occurrence Limit <br />$ <br />100, 000 <br />Rented To You Limit (Any One Premises) <br />$ <br />5, 000 <br />Medical Expense Limit (Any One Person) <br />FORM OF BUSINESS: LLC <br />Business Description: Guides and Outfitters <br />Location of All Premises You Own, Rent or Occupy: SEE SCHEDULE ATTACHED <br />AUDIT PERIOD, ANNUAL, UNLESS OTHERWISE STATED: This policy is not subject to premium audit. <br />Classifications Code No. <br />Premium <br />Basis <br />Rates <br />Prem.l Prod./ <br />Ops. Comp. Ops <br />Advance Premiums <br />Prem./ Prod./ <br />Ops. Comp. Ops. <br />SEE SCHEDULE ATTACHED <br />TOTAL PREMIUM FOR THIS COVERAGE PART: <br />1 $ 11,897.00 <br />$ <br />RETROACTIVE DATE (CG 00 02 ONLY) <br />This insurance does not apply to "Bodily Injury", 'Property Damage", or "Personal and Advertising Injury" which <br />occurs before the retroactive date, if any, shown below. <br />Retroactive Date: NONE <br />FORM (S) AND ENDORSEMENT (S) APPLICABLE TO THIS COVERAGE PART: Refer To Forms Schedule <br />Countersignature Date <br />Authorized Representative <br />Risk ManagementDiviaian <br />a� REVIEWED & APPROVED BY. <br />t� �ceve�Co <br />— J Risk Management Specialist <br />