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INSURER F :
X
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $ 1,000,000
$ 10,000
A 21 SBM BD8LKR 02/15/2024 02/15/2025
MED EXP (Any one person)
B X ALL OWNED
AUTOS X SCHEDULED
AUTOS 50004815801
03/24/2024 03/24/2025 BODILY INJURY (Per accident) $
PROPERTY DAMAGE
NON-OWNED
X HIRED AUTOS AUTOS (Per accident) $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000.000
A EXCESS LIAB CLAIMS-MADE 21 SBM BD8LKR 02/15/2024 02/15/2025 AGGREGATE $ 1,000,000
DED RETENTION $ $
X
WORKERS COMPENSATION PER OTH-
STATUTE ER
AND EMPLOYERS' LIABILITY
AWC1193246
Y/N
03/28/2023 03/28/2024 $ 1,000,000
C Y X
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
AUTHORIZED REPRESENTATIVE
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)