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AGENCY CUSTOMER ID: 25084 <br />LOC 9: See ACORD 25 <br />%--- ADDITIONAL REMARKS SCHEDULE Pa a of <br />AGENCY <br />mAM ED IN S URED <br />Amity Insurance A Division of Brown & Brown of MA LLC <br />POUCYNOMaER <br />See Certificate <br />See ACORD 25 <br />CARUIDER <br />NAIL CODE <br />See Certificate <br />EFFECTIVE DATE: 7I3472 23 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />INSURERS) AFFORDING COVERAGE <br />NAIC # <br />INSURER G: American Guarantee & Liability,Insurance Company <br />26247 <br />INSURER H: Westfield Specialty Insurance Company <br />16992 <br />INSURER I: Great American Assurance Company <br />26344 <br />INSURER J: <br />ADDITIONAL POLICIES 1I a pollcy below does not include Amit information, refef to the corresponding policy on the ACORD certificate form for pDlloy <br />limits <br />INSR <br />LTR <br />—EOFINSURANCE <br />AODL <br />INSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />(mm/dd/yyy) <br />POLICY <br />EXPIRATION <br />DATE <br />(mm/ddtyyy) <br />LIMITS <br />D <br />EXCESS GENERAL <br />LIABILITY <br />XLXD6109900S <br />7/31/2023 <br />7/31/2024 <br />AGGREGATE <br />$4,000,000 <br />E <br />UMBRELLA LIABILITY <br />79863543 <br />7/31/2023 <br />7/31=24 <br />AGGREGATE <br />$25,000,000 <br />F <br />EXCESS LIABILITY <br />XC9EX00286231 <br />7/31/2023 <br />7/31/2024 <br />AGGREGATE <br />$15.000.000 <br />G <br />EXCESS LIABILITY <br />AEC011173109 <br />7/31/2023 <br />7/31/2024 <br />AGGREGATE <br />$15,000.000 <br />" <br />EXCESS LIABILITY <br />XSL345214K00 <br />7/31/2023 <br />7/31/2024 <br />AGGREGATE <br />$10,000,000 <br />I <br />EXCESS LIABILITY <br />EXC5125913 <br />7/31/2023 <br />7/31/2024 <br />AGGREGATE <br />$10,000.000 <br />E <br />EXCESS LIABILITY <br />78187246 <br />7/31/2023 <br />7/31/2024 <br />AGGREGATE <br />$25,000.000 <br />— .„' I.... —/ ® 2008 ACORD CORPORATION. All dgh[s reserved. <br />The ACORD name and logo are registered marks of ACORD <br />