**COMPREHENSIVE GENERAL LIABILITY INSURANCE**

**For attachment to Policy No.: 0826230**

**ADDITIONAL DECLARATIONS**

Location of all premises owned, rented or controlled by the named insured:

- Owner: ☐
- General Lessee: ☐
- Tenant: ☐
- Other: ☐

Part occupied by named insured:

The following discloses all hazards insured hereunder known to exist at the effective date of this policy, unless otherwise stated herein.

**SCHEDULE**

The insurance afforded is only with respect to such of the following coverages as are indicated by specific premium charge or charges. The limit of the Company's liability against each such coverage shall be as stated herein subject to all the terms of this policy having full force and effect.

| Coverages | Limits of Liability | Advance Premiums |
|-----------|---------------------|------------------|
| Each occurrence | Aggregate | |
| B - Bodily Injury Liability | $ | $ | $ |
| B - Property Damage Liability | $ | $ | $ |

Form numbers of endorsements attached at issue:

**General Liability Hazards**

| Description of Hazards | Code No. | Premium Rates | B.I. | P.D. | Bodily Injury | Property Damage |
|------------------------|----------|---------------|------|------|--------------|----------------|
| Premises - Operations | | | | | | |
| AS PER SCHEDULES IN COMPANY FILES | | | | | | |
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