| COLUMN III. | TOTAL LIMITS |
| --- | --- |
|  | THE SUM OF THE APPLICABLE LIMIT IN |
|  | COLUMN I AND OF THE APPLICABLE LIMIT IN |
|  | COLUMN II. |
| $50,000,000 | EACH OCCURRENCE |
| $50,000,000 | ANNUAL AGGREGATE |

**ITEM 6. PREMIUM:** $70,000  
**MINIMUM PREMIUM:** $5,000  
*(NOT SUBJECT TO ADJUSTMENT IF POLICY IS CANCELLED)*

**PREMIUM IS PAYABLE:**

| ADVANCE | $70,000 |
| --- | --- |
| FIRST ANNIVERSARY | $N/A |
| SECOND ANNIVERSARY | $N/A |

**ITEM 7. RATE:** FLAT

**POLICY NO.:** CU 32-52-096-02  
**REN. OP:** CU 32-52-096-01  

**AGENCY:** JOHNSON & HIGGINS  
50-515-000

COUNTERSIGNED ON BEHALF OF THE ZURICH INSURANCE COMPANY BY

**DULY AUTHORIZED AGENT**

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