**POLICY NO.:**

**NEW BUSINESS/RENEWAL OF:**

b. such extension of the Policy Period will not increase or reinstate any aggregate Limit of Liability as set forth in Item 4. of the Declarations of this Policy.

The Named Insured and the Company may, by mutual agreement, retroactively void such thirty (30) calendar day extension of the Policy Period.

**IN WITNESS WHEREOF**, we have caused this policy to be executed and attested, but this policy will not be valid unless countersigned by one of our duly authorized representatives, where required by law.

By signing below, our President and Secretary agree on our behalf to all the terms of this policy.

**Secretary**  
**President**

This policy shall not be valid unless signed at the time of issuance by our authorized representative, either below or on the Declarations page of the policy.

**Authorized Representative**

**Date of Issuance:**  
125042 (07/18)

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