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Philadelphia Indemnity Insurant;e Ctatnpany <br />COMMERCIAL GEAIERAL LIABILITY COVERAGE PART oECL.ARAT10PiS <br />Policy Number: PHPK4 -45957 Agent# 6039 <br />® See Supplemental Schedule <br />LIMITS OF INSURANCE <br />STATED: <br />$3,000,000 <br />General Aggregate Limit (Other Than Products — Completed Operations) <br />$3,000,000 <br />Products /Completed Operations Aggregate Limit (Any One Parson Or Organizafion) <br />$1,000,000 <br />Personal and Advertising Injury Limit <br />$1,000,D00 <br />Each Occurrence Limit <br />$100,000 <br />Ranted To Ya0 Limit <br />$2,500 <br />Medical Ezpansa Limit (Any Qna Person)' <br />FORM OF HU3tNE8S: <br />Y <br />Huslness Description: <br />Location of AU Premises You Own, Rent or Occupy: /' SEE SCHEDULE ATTACHED <br />A D NUAL, UNLESS OTHERWISE <br />STATED: <br />Ratan I <br />Advance Premium. <br />Promlum <br />Prem.! Ops. Prod) <br />Prem./ Protr.1 <br />Claeatflcapona Cute Na_ <br />Basis <br />Comp. Ops <br />Opa. Comp_ Ope. <br />S6E SCHEDULE ATTACHED <br />TOTAL PREMIUM <br />FOR THIS <br />COVERAGE PART: S39S.DD INCLUDED <br />RETROACTIVE DATE (Ct3 OD 02 ONLY} <br />'This Insurance does not apply to "t3tadlly fnJury", "Property Damage', or "Personal and AdveRlsing Injury" which <br />oxurs before the retrcactiva date, if any, shown below. <br />Relroactiva Date: � ' <br />FORM (S) AND ENDORSEMENT (S) APPLECABLE TO THIS COVERAGE PART: <br />Counteralgnature Date Aut zed Represantaliwe <br />500 /SOO � %V3 SS %LT BOOZ /CT /OT <br />