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UMBRELLA <br /> POLICY NUMBER: CUP-1T167474-24-NF ISSUE DATE: 03/19/2024 <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 /> Employee Benefits Liability Limits Of Liability <br /> Carrier VALLEY FORGE INSURANCE COMPANY Each Employee $1,000,000 <br /> Aggregate $1,000,000 <br /> Policy Number 6046226841 <br /> Policy Period <br /> From: 03/15/2024 <br /> to: 03/15/2025 <br /> Employers Liability Limits Of Liability <br /> CarrierACE AMERICAN INSURANCE CO. Bodily Injury By Accident $2,000,000* <br /> Each Accident <br /> Policy Numberc51322010 Bodily Injury By Disease $2,000,000* <br /> Policy Limit <br /> Policy Period <br /> From: 05/01/2023 Bodily Injury By Disease $2,000,000* <br /> to: 05/01/2024 Each Employee <br /> *UNLIMITED IN THE STATE OF NEW YORK FOR <br /> SUBJECT EMPLOYEES <br /> Automobile Liability Limits Of Liability <br /> Carrier AMERICAN CASUALTY COMPANY OF Bodily Injury And Property $1,000,000 <br /> READING, PA Damage Combined Single <br /> Limit <br /> Policy Number 6045999519 <br /> Policy Period <br /> From: 03/15/2024 <br /> to: 03/15/2025 <br /> Risk ManagetnentDivision <br /> REVIEWED&APPROVED BY: <br /> . A+. a AL€444 <br /> PRODUCER:SNAPP AND ASSOCS INS SERVS OFFICE:SP-LOS ANGELES 0 '`�— - Risk Management Specialist <br /> EU 00 03 08 18 ©2018 The Travelers Indemnity Company.All rights reserved. <br />