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ADDITIONAL COVERAGES 19 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Empl Practices Liab Ins EPL-1 <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> 25,000 25,000 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Hired Non Owned Auto HDNON <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> 1,000,000 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> WC&Employer's liability WCEL <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> 1,000,000 1,000,000 1,000,000 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Experience Mod Factor 1 EXP01 <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 /> 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 />