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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 - CONTINUED <br /> This endorsement modifies insurance provided under the following: <br /> EXCESS FOLLOW-FORM AND UMBRELLA LIABILITY INSURANCE <br /> Type Of Coverage: EMPLOYEE BENEFITS LIABILITY Limits Of Liability <br /> $1,000,000 EACH CLAIM <br /> Carrier: <br /> ZURICH AMERICAN INSURANCE COMPANY $1,000,000 AGGREGATE <br /> Policy AS PER SCHEDULE ON FILE WITH THE <br /> Number: COMPANY <br /> Policy Period <br /> From: 05/01/2021 <br /> to: 05/01/2022 <br /> Type Of Coverage: Limits Of Liability <br /> Carrier: <br /> Policy <br /> Number: <br /> Policy Period <br /> From: <br /> to: <br /> Type Of Coverage: Limits Of Liability <br /> Carrier <br /> Policy <br /> Number: <br /> Policy Period <br /> From: <br /> to: <br /> 0 P Risk Management Division <br /> .erREVIEWED&APPROVED BY: <br /> A,,,�.x Aceva4 <br /> i.®� Risk Management Specialist <br /> PRODUCER: LOVITT & TOUCHE-MMA OFFICE: PHOEND� <br /> EU 00 04 07 16 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 <br />