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DocuSign Envelope ID:273B24CC-D965-44D0-A589-37C63CDFC6B6 <br /> PREMIER BUSINESSOWNERS POLICY <br /> PREMIER OFFICE <br /> LIABILITY DECLARATIONS Policy Period: <br /> Policy Number: ACP BPOK2273711151 From 11-04-1 To 11-04-1 <br /> LIMITS OF INSURANCE <br /> Each Occurrence Limit of Insurance Per Occurrence $2,000,000 <br /> Medical Payments Coverage Sub Limit Per Person $5,000 <br /> Tenants Property Damage Legal Liability Sub Limit Per Covered Loss $300,000 <br /> Personal and Advertising Injury Per Person Or Organization $2,000,000 <br /> Products—Completed Operations Aggregate All Occurrences $4,000,000 <br /> General Aggregate All Occurrences $4,000,000 <br /> (Other than Products—Completed Operations) <br /> AUTOMATIC ADDITIONAL INSUREDS STATUS <br /> The following persons or organizations are automat caily insureds when you and they have agreed in a written <br /> contract or agreement that such person or organizatior4 be added as an additional insured on your policy. <br /> Go-Owners of Insured Premises <br /> Controlling Interest <br /> Grantor of Franchise or License <br /> Lessors of Leased Equipment <br /> Managers or Lessors of Leased Premises <br /> Mortgagee,Assignee or Receiver <br /> Owners or Other Interest from Whom Land has been Leased <br /> State or Political Subdivisions- Permits Relating to Premises <br /> PROPERTY DAMAGE DEDUCTIBLE <br /> TONE <br /> OPTIONAL COVERAGES <br /> NONE PROVIDED <br /> PR 81 03(06-12) NATIONWIDE PROPERTY & CASUALTY ISIS CO Page 1 of <br /> DIRECT BILL MACH MAC INSURED COPY UID 63 22 33008 <br />