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Docusign Envelope ID: B576D624-E16E-4D9F-BC67-5703DE54A6F8 <br /> One Tower Square, Hartford, Connecticut 06183 <br /> POLICY DECLARATIONS <br /> EXCESS FOLLOW-FORM AND UMBRELLA POLICY NO.: CUP-3R389058-24-I3 <br /> LIABILITY INSURANCE POLICY ISSUE DATE: 10/18/2024 <br /> INSURING COMPANY:TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br /> 1. NAMED INSURED AND MAILING ADDRESS: IEM INTERNATIONAL, INC. <br /> 2801 SLATER RD, STE 200 <br /> MORRISVILLE NC 27560-8477 <br /> 2. POLICY PERIOD: From 10/01/2024 to 10/01/2025 12:01 A.M. Standard Time at your mailing address. <br /> 3. LIMITS OF INSURANCE: <br /> COVERAGES LIMITS OF LIABILITY <br /> AGGREGATE LIMITS OF LIABILITY $10,000,000 General Aggregate <br /> $10,000,000 Products-Completed Operations Aggregate <br /> EXCESS FOLLOW-FORM AND $10,000,000 Occurrence Limit <br /> UMBRELLA LIABILITY <br /> CRISIS MANAGEMENT SERVICE $50,000 all Crisis Management Events <br /> EXPENSES <br /> 4. SELF-INSURED RETENTION: $10,000 any one occurrence or event <br /> 5. PREMIUM: $ x Flat Charge Adjustable (See Premium Schedule) <br /> 6. TAXES AND SURCHARGES: <br /> 7. On the effective date shown in Item 2., the Excess Follow-Form And Umbrella Liability Insurance Policy <br /> numbered above includes this Declarations Page and any forms and endorsements shown on the Listing Of <br /> Forms, Endorsements And Schedule Numbers. <br /> 8. If the Schedule Of Underlying Insurance includes any coverage provided on a claims-made basis, then the <br /> following disclaimer applies. <br /> COVERAGE WILL APPLY ON A CLAIMS-MADE BASIS WHEN <br /> FOLLOWING CLAIMS-MADE UNDERLYING INSURANCE. <br /> 9. If the Schedule Of Underlying Insurance includes any coverage which includes defense expenses within the <br /> limits of liability, then the following disclaimer applies: <br /> DEFENSE EXPENSES ARE PAYABLE WITHIN, AND ARE NOT IN <br /> ADDITION TO, THE LIMITS OF INSURANCE WITH RESPECT TO SOME <br /> OR ALL OF THE COVERAGES PROVIDED. <br /> NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY: <br /> ALERA GROUP INC - HE682 <br /> 4131 PARKLAKE AVE STE 225 <br /> RALEIGH NC 276122390 Authorized Representative <br /> DATE: <br /> OFFICE: CHANTILLY <br /> EU 00 02 09 20 ©2019 The Travelers Indemnity Company.All rights reserved. Page 1 of 1 <br />