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ADDITIONAL COVERAGES <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 7imit 3 1 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 />