# DECLARATIONS – GENERAL LIABILITY POLICY Page 2 HDO G24931407

## COVERAGES AND LIMITS OF INSURANCE

In return for the payment of premium indicated above, we agree with you to provide the following coverage(s) at the limits shown, subject to all of the terms and conditions of this policy.

**Coverage Form:**

- **Limits of Insurance**
  - Each Occurrence Limit: $15,000,000
  - Damage to Premises Rented to You Limit: $15,000,000
  - Medical Expense Limit (any one person or organization): $25,000
  - Personal & Advertising Injury Limit: $15,000,000
  - General Aggregate Limit (other than Products/Completed Operations): $30,000,000
  - Products/Completed Operations Aggregate Limit: $30,000,000

## SCHEDULE OF LOCATIONS

**LOCATION NUMBER AND ADDRESS**

LD–2F52b (Ed. 10/01) Printed in U.S.A.
AA067274a