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DocuSign Envewpe|o e77Fe724-0o6e4F35-Bs42-7e6A38e45e6e <br /> PREMIER BUSINESSOWNERS POLICY <br /> PREMIER OFFICE <br /> LIABILITY DECLARATIONS Policy Period: <br /> Policy Number: ACP BPOK2273711151 From 11-04-15 To 11-04-16 <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 /> TenantnPnope�� DamageLegal LiabU|tySub Limit Per Covered Loss $380'000 <br /> ' Per Person OrDrganization $2,000,000 <br /> Pernona}andAdverdsing |n]ury <br /> Produutu—Comp|eVadOperaUonoAggnagate All Occurrences $4,000,000 <br /> General A|| O Occurrences $4,000,000 <br /> enena| AoQrego�� ocu <br /> (Other than Products—Completed OperaUonsl <br /> AUTOMATIC ADDITIONAL INSUREDS STATUS <br /> The following persons or organizations are auto insureds when you and they have agreed in a written <br /> contract or agreement that such person or organization be added as an additional insured on your policy. <br /> Co-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 /> NONE <br /> OPTIONAL COVERAGES <br /> NONE PROVIDED <br /> �>y <br /> - <br /> PB 81 03 (06-12) NATIONWIDE PROPERTY & CASUALTY INS CO Page 1 of 2 <br /> DIRECT BILL MACH MAC INSURED COPY UID 63 22 33008 <br />