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Policy Number: RLI Insurance Company <br />Named Insured: <br />PPA 300 03 13 Page 1 of 5 <br /> <br /> <br />7+,6(1'256(0(17&+$1*(67+(32/,&<3/($6(5($',7&$5()8//< <br /> <br />5/,3DFNŠ%86,1(66$872(1+$1&(0(17 <br /> <br /> <br />6&+('8/(2)&29(5$*(6$''5(66('%<7+,6(1'256(0(17 <br /> <br /> <br />$ %URDG)RUP1DPHG,QVXUHG <br />% (PSOR\HHV$V,QVXUHGV <br />& %ODQNHW$GGLWLRQDO,QVXUHG <br />' %ODQNHW:DLYHU2I6XEURJDWLRQ <br />( (PSOR\HH+LUHG$XWRV <br />) )HOORZ(PSOR\HH&RYHUDJH <br />* $XWR/RDQ/HDVH*DS&RYHUDJH <br />+ *ODVV5HSDLU–:DLYHU2I'HGXFWLEOH <br />, 3HUVRQDO(IIHFWV&RYHUDJH <br />- +LUHG$XWR3K\VLFDO'DPDJH&RYHUDJH <br />. +LUHG$XWR3K\VLFDO'DPDJH–/RVV2I8VH <br />/ +LUHG&DU–:RUOGZLGH&RYHUDJH <br />0 7HPSRUDU\7UDQVSRUWDWLRQ([SHQVHV <br />1 $PHQGHG%RGLO\,QMXU\'HILQLWLRQ–0HQWDO$QJXLVK <br />2 $LUEDJ&RYHUDJH <br />3 $PHQGHG,QVXUHG&RQWUDFW'HILQLWLRQ–5DLOURDG(DVHPHQW <br />4 &RYHUDJH([WHQVLRQV–$XGLR9LVXDO$QG'DWD(OHFWURQLF(TXLSPHQW1RW'HVLJQHG6ROHO\)RU7KH <br />3URGXFWLRQ2I6RXQG <br />5 1RWLFH2I$QG.QRZOHGJH2I2FFXUUHQFH <br />6 8QLQWHQWLRQDO(UURUV2U2PLVVLRQV <br />7 7RZLQJ&RYHUDJH <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />36$ <br />6PLWK6LQQHWW$UFKLWHFWXUH3$ <br />Docusign Envelope ID: BB02C4E5-BFD5-435B-82D4-23BE74818CC5