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AGENCY CUSTOMER ID: 25084 <br />LOC a: See ACORD 25 <br />ADDITIONAL REMARKS SCHEDULE <br />Page of <br />AGENCY <br />NAMED rNSURED <br />Amity Insurance A Division of Brown & Brown of MA LLC <br />POLICYNUMBER <br />See ACORD 25 <br />Bn Certificate <br />CARRI£a <br />NAIL CODE <br />SC Certificate <br />EFFECTIVE DATE: 713112023 <br />rrnl, W91r►w:T#7JASN-9 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liablllly Insurance <br />INSURER(S) 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 If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy <br />limits <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />WRFI <br />WVD <br />POLICY NUMBER <br />P'OL Y <br />EFFECTIVE <br />DATE <br />(mm/ddWy) <br />POLICY <br />EXPIRATION <br />DATE <br />(mm/d&M) <br />LIMITS <br />D <br />EXCESS GENERAL <br />LIABILITY <br />XLX06109900S <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 />7/31/2024 <br />AGGREGATE <br />$26,000.000 <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 />R <br />EXCESS LIABILITY <br />XSL345214K00 <br />7/31/2023 <br />7/31/2024 <br />AGGREGATE <br />$10.000,000 <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 />$25,000,04 <br />ILI <br />I <br />I <br />--J <br />ACORD 101 (2008/01) 02008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />