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AGENCY CUSTOMER ID: 25084 <br />LOC #: See ACORD 25 <br />ADDITIONAL REMARKS SCHEDULE PaQe of <br />AGENCY NAMED IN S LIRE.D <br />.Amity Insurance A Division of Brown & Brown of MA LLC <br />POLICY NUMBER <br />:see Certificate See ACORD 25 <br />CARRIER INAIC CODE <br />See Certificate EFFEC T IVY DATF 7131J2023 <br />L11�31fL�li►�l�ia 41T, F_1:11.41101 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />NAIC # <br />INSURER(S) AFFORDING COVERAGE <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 she corresponding policy on the ACORD certificate farm for policy <br />limits <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />(mm/dd/yyy) <br />POLICI <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 />S4 000 000 <br />E <br />UMBRELLA LIABILITY <br />79863543 <br />7/31/2023 <br />713112024 <br />AGGREGATE <br />$25,000,600 <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 />' <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 />S25,000,000 <br />ACORD 101 (2008101) ® 2008 ACORD CORPORATION All rights reserved <br />The ACORD name and logo are registered marks of ACORD <br />