# Commercial General Liability Declarations

**CHUBB**
ACE American Insurance Company
436 Walnut Street
Philadelphia PA

**POLICY NUMBER:** HDO G72490587

## Coverages and Limits of Insurance

| EACH OCCURRENCE LIMIT | $15,000,000 |
|-----------------------|-------------|
| DAMAGE TO PREMISES     | $10,000,000 | Any one premises |
| RENTED TO YOU LIMIT    |             |
| MEDICAL EXPENSE LIMIT  | $25,000     | Any one person   |
| PERSONAL & ADVERTISING INJURY LIMIT | $15,000,000 | Any one person or organization |

| GENERAL AGGREGATE LIMIT | $20,000,000 |
|-------------------------|-------------|
| PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT | Included in General Aggregate |

## Retroactive Date (Claims Made Policies Only)

THIS INSURANCE DOES NOT APPLY TO "BODILY INJURY", "PROPERTY DAMAGE" OR "PERSONAL AND ADVERTISING INJURY" WHICH OCCURS BEFORE THE RETROACTIVE DATE, IF ANY, SHOWN BELOW.

RETROACTIVE DATE: (ENTER DATE OR "NONE" IF NO RETROACTIVE DATE APPLIES)

## Schedule of Locations

| LOCATION NUMBER | ADDRESS OF ALL PREMISES YOU OWN, RENT OR OCCUPY |
|-----------------|--------------------------------------------------|

| LOCATION NUMBER | COVERAGE | CLASS CODE/DESCRIPTION |
|-----------------|----------|------------------------|
| All             | All      | 20050/ Manufacturing   |

LD-25211 (10/08) Copyright, Insurance Services Office, Inc. 2000 Page 2 of 10