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<br />Chubb Group Of Insurance Companies 82 Hopmeadow Street 860.408.2000 <br /> P.O. Box 2002 Fax 860.408.2002 <br /> Simsbury, CT 06070-7683 <br />Coverage is only available for the following if indicated by an “X” <br /> <br /> __x__ Directors & Officers Liability and Entity Liability <br /> __x__ Employment Practices Liability <br /> ____ Fiduciary Liability <br /> ____ Crime <br /> ____ Special Coverage <br /> <br /> <br />LIABILITY COVERAGE SECTIONS <br /> <br /> Option 1 <br /> <br /> Combined Maximum Aggregate Limit of Liability for Claims each Policy Year: X Yes ___No <br /> <br /> Combined Maximum Aggregate Limit: $1,000,000 <br /> Applicable to: <br /> X Directors & Officers Liability and Entity Liability <br /> X Employment Practices Liability <br /> ____ Fiduciary Liability <br /> <br /> Extended Reporting Period: <br /> <br /> Additional Period: 1 year <br /> Additional Premium: 100% of Annual Premium <br /> <br /> <br /> <br />DocuSign Envelope ID: 010D91E2-5C66-4610-B0AF-F96D7E61B6C5