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UMBRELLA <br /> POLICY NUMBER: ZUP-15R73917-21-NF ISSUE DATE: 05/11/21 <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 /> Commercial General Liability Limits Of Liability <br /> Carrier: ZURICH AMERICAN INSURANCE General Aggregate $2,000,000 <br /> COMPANY <br /> Policy AS PER SCHEDULE ON FILE WITH Products-Completed $2,000,000 <br /> Number: THE COMPANY Operations Aggregate <br /> Personal and <br /> Advertising Injury $1,000,000 <br /> Policy Period <br /> From: 05/01/2021 Each Occurrence $1,000,000 <br /> to: 05/01/2022 <br /> Automobile Liability Limits Of Liability <br /> Carrier: ZURICH AMERICAN INSURANCE <br /> COMPANY Bodily Injury And Property Damage <br /> Combined Single Limit $1,000,000 <br /> Policy AS PER SCHEDULE ON FILE WITH Bodily Injury Each <br /> Number: THE COMPANY Person <br /> Bodily Injury Each $ <br /> Policy Period Accident <br /> From: 05/01/2021 <br /> to: 05/01/2022 Property Damage Each $ <br /> Accident <br /> Employers Liability Limits Of Liability <br /> Carrier ZURICH AMERICAN INSURANCE Bodily Injury By Accident <br /> COMPANY <br /> Each Accident $1,000,000* <br /> Policy AS PER SCHEDULE ON FILE WITH <br /> Number: THE COMPANY Bodily Injury By Disease <br /> Policy Limit $1,000,000* <br /> Policy Period Each Employee $1,000,000* <br /> From: 05/01/2021 <br /> to: 05/01/2022 <br /> *UNLIMITED IN THE STATE OF NEW YORK FOR SUBJECT EMPLOYEES <br /> e s Risk MRnagelrtatEDiviafon <br /> fi%� \�� REVIEWED&APPROVED BY: <br /> / y <br /> PRODUCER: LOVITT & TOUCHE-MMA OFFICE PHOENI2 ®' Risk Management Specialist <br /> EU 00 03 08 18 © 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 <br />