WEST YOST ASSOCIATES (2) - Laserfiche WebLink

ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. PPU 110 04 23 Page 1 of 1 Policy Number: PSE0004755 RLI Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RLIPack® SCHEDULE OF UNDERLYING INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL EXCESS LIABILITY COVERAGE FORM Item 4. of the declarations is amended to include: Type of Coverage Carrier Eff. Date Exp. Date Limits General Liability Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. RLI Insurance Company 09/01/2024 09/01/2025 Occurrence $ 1,000,000 Aggregate $ 2,000,000 Employee Benefits Liability Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. RLI Insurance Company 09/01/2024 09/01/2025 Each Employee $1,000,000 Aggregate $1,000,000 Employers’ Liability Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy number and applicable Limits are to be included. RLI Insurance Company 09/01/2024 09/01/2025 Each Accident: Statutory Limits or $1,000,000 ,whichever is greater Disease Each Employee: Statutory Limits or $1,000,000 ,whichever is greater Disease Policy Limit: Statutory Limits or $1,000,000 ,whichever is greater Business Auto Liability Only the Type of Coverage identified in this Schedule of Underlying Insurance by Carrier, policy RLI Insurance Company 09/01/2024 09/01/2025 Each Accident $1,000,000 Docusign Envelope ID: A449BB28-7A6A-4FA5-96EA-B9D2D5B83889