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jjk SCOTTSDALE INSURANCE COMPANY' <br /> COMMERCIAL EXCESS LIABILITY <br /> SUPPLEMENTARY SCHEDULE OF CONTROLLING UNDERLYING INSURANCE <br /> Policy No.: CXS4007716 Effective Date: 08/21/2023 <br /> 12:01 A.M. Standard Time <br /> Name Insured: J K MIKLIN INC. DBA YAMADA ENTERP Agent No.: 040BB <br /> Type of Coverage: Applicable Limits: <br /> Employee Benefits Liability $1,000,000 Each Employee <br /> Insurer:Scottsdale Insurance Company $1,000,000 Aggregate <br /> Policy Number:CPS7850949 <br /> Policy Period: 08/21/2023 to 08/21/2029 <br /> x Occurrence Claims-Made <br /> Type of Coverage: Applicable Limits: <br /> Insurer: <br /> Policy Number: <br /> Policy Period: to <br /> Occurrence Claims-Made <br /> Type of Coverage: Applicable Limits: <br /> Insurer: <br /> Policy Number: <br /> Policy Period: to <br /> Occurrence Claims-Made <br /> Type of Coverage: Applicable Limits: <br /> Insurer: <br /> Policy Number: <br /> Risk on <br /> Policy Period: to D UtvisTY: <br /> '�� C APPROVED BY: <br /> A Ado <br /> Amatza Risk Management Specialist <br /> OCC <br /> XLS-SP-2(11-08) <br />