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EXTENSION SCHEDULE OF UNDERLYING <br />INSURANCE (Continued) <br />POLICY NUMBER: 84 SBW BM5WFR <br />*In any jurisdiction where the amount of Employers Liability Coverage afforded by the underlying insurer is by law <br />unlimited, the limit stated does not apply and the policy of which this extension schedule forms a part shall afford no <br />insurance with respect to Employers Liability in such jurisdiction. <br />Form SU 00 03 10 18 Page 3 of 4 <br />Process Date:04/11/2025 © 2018, The Hartford Policy Expiration Date:06/30/2026 <br />(May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />D.(X) Employer’s Liability <br />Carrier, Policy Number and Policy Period: Hartford Insurance Group <br />84WEGAG7CTV <br />06/30/2025 To 06/30/2026 <br />Type of Coverage Applicable Limits <br />Employers Liability $1,000,000 Each Accident* <br />$1,000,000 Each Employee by Disease* <br />$1,000,000 Total Policy by Disease* <br />Docusign Envelope ID: DA5B5AE8-ECA5-4326-9450-28E3F61DAA1B