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DocuSign Envelope ID: 16AB4DFA-7125-42E6-B3E7-C6B53151 B77C <br /> ADDITIONAL COVERAGES <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Improper Sexual Conduct ISC <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> 1,000,000 3,000,000 $1,148.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Add'I for policy minimum premium APMP <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $581.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Social Service Prof Liab SSP <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> 1,000,000 3,000,000 $840.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Liquor Liability LIQUR <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> 1,000,000 1,000,000 <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 /> OFADTLCV Copyright 2001,AMS Services,Inc. <br />