Laserfiche WebLink
FOLLOW FORM EXCESS LIABILITY COVERAGE FORM <br />SCHEDULE OF CONTROLLING UNDERLYING INSURANCE <br />Policy Number:FFX2041243-12 <br />UNDERLYING <br />POLICY TYPE LIMITS OF INSURANCE POLICY <br />PERIOD <br />CARRIER & <br />POLICY NUMBER <br />Commercial Automobile $ 1,000,000 Liability - Combined Single <br />Limit <br />09/01/2025 <br />to <br />09/01/2026 <br />Key Risk Insurance <br />Company <br />BAP2041402-12 <br />Employer’s Liability – <br />Coverage B <br />$ 1,000,000 BI by Accident - Each Accident <br />Limit <br />$ 1,000,000 BI by Disease - Policy <br />Aggregate Limit <br />$ 1,000,000 BI by Disease - Each <br />Employee Limit <br />09/01/2025 <br />to <br />09/01/2026 <br />Great Divide Insurance <br />Company <br />WCA2041241-12 <br />General Liability $ 1,000,000 Each Occurrence Limit <br />$ 1,000,000 Personal & Advertising Injury <br />Limit <br />$ 2,000,000 General Aggregate Limit (Other <br />than Products/Completed <br />Operations) <br />$ 2,000,000 Products/Completed <br />Operations Aggregate Limit <br />09/01/2025 <br />to <br />09/01/2026 <br />Nautilus Insurance <br />Company <br />ECP2041242-12 <br />Pollution/Professional $ 1,000,000 Contractors Pollution Liability <br />Limit <br />$ 1,000,000 Professional Liability Limit <br />09/01/2025 <br />to <br />09/01/2026 <br />Nautilus Insurance <br />Company <br />ECP2041242-12 <br />The coverages and limits shown above are provided by the policy(ies) of controlling underlying insurance. <br />Page 1 of 1FFX 8002 07 18 <br />Docusign Envelope ID: 454B37BC-E736-8121-8335-9195AC5F2386