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PAESL PAESL <br />1,000 $172.00 <br />Employment Practices Liability Insurance EPLI <br />10,000 <br />Uninsured motorist combined single limit UMCSL <br />1,000,000 <br />Umbrella(C)CUMBR <br />2,000,000 2,000,000 10,000 <br />ADDITIONAL COVERAGES <br />Ref #Description Edition DateForm No.Coverage Code <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Ref #Description Coverage Code Form No.Edition Date <br />Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br />Copyright 2001, AMS Services, Inc.OFADTLCV <br />Docusign Envelope ID: F709D17A-8DCE-46EE-8D56-94BE21810E02