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      <LTTextLineHorizontal y0="468.798" y1="474.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 468.798, 521.736, 474.798]" word_margin="0.1"><LTTextBoxHorizontal y0="468.798" y1="474.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 468.798, 521.736, 474.798]" index="25">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="456.798" y1="462.798" x0="518.394" x1="521.73" width="3.336" height="6.0" bbox="[518.394, 456.798, 521.73, 462.798]" word_margin="0.1"><LTTextBoxHorizontal y0="456.798" y1="462.798" x0="518.394" x1="521.73" width="3.336" height="6.0" bbox="[518.394, 456.798, 521.73, 462.798]" index="26">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="444.798" y1="450.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 444.798, 521.736, 450.798]" word_margin="0.1"><LTTextBoxHorizontal y0="444.798" y1="450.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 444.798, 521.736, 450.798]" index="27">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="432.798" y1="438.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 432.798, 521.736, 438.798]" word_margin="0.1"><LTTextBoxHorizontal y0="432.798" y1="438.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 432.798, 521.736, 438.798]" index="28">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="420.798" y1="426.798" x0="428.4" x1="521.742" width="93.342" height="6.0" bbox="[428.4, 420.798, 521.742, 426.798]" word_margin="0.1"><LTTextBoxHorizontal y0="420.798" y1="426.798" x0="428.4" x1="521.742" width="93.342" height="6.0" bbox="[428.4, 420.798, 521.742, 426.798]" index="29">PRODUCTS - COMP/OP AGG $ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="410.718" y1="416.718" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 410.718, 521.736, 416.718]" word_margin="0.1"><LTTextBoxHorizontal y0="410.718" y1="416.718" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 410.718, 521.736, 416.718]" index="30">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineVertical y0="362.718" y1="404.718" x0="518.4" x1="521.736" width="3.336" height="42.0" bbox="[518.4, 362.718, 521.736, 404.718]" word_margin="0.1"><LTTextBoxVertical y0="362.718" y1="404.718" x0="518.4" x1="521.736" width="3.336" height="42.0" bbox="[518.4, 362.718, 521.736, 404.718]" index="31">$$$$ </LTTextBoxVertical></LTTextLineVertical>
      <LTTextLineHorizontal y0="350.718" y1="356.718" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 350.718, 521.736, 356.718]" word_margin="0.1"><LTTextBoxHorizontal y0="350.718" y1="356.718" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 350.718, 521.736, 356.718]" index="32">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="336.798" y1="342.798" x0="518.394" x1="521.73" width="3.336" height="6.0" bbox="[518.394, 336.798, 521.73, 342.798]" word_margin="0.1"><LTTextBoxHorizontal y0="336.798" y1="342.798" x0="518.394" x1="521.73" width="3.336" height="6.0" bbox="[518.394, 336.798, 521.73, 342.798]" index="33">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="324.798" y1="330.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 324.798, 521.736, 330.798]" word_margin="0.1"><LTTextBoxHorizontal y0="324.798" y1="330.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 324.798, 521.736, 330.798]" index="34">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="312.798" y1="318.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 312.798, 521.736, 318.798]" word_margin="0.1"><LTTextBoxHorizontal y0="312.798" y1="318.798" x0="518.4" x1="521.736" width="3.336" height="6.0" bbox="[518.4, 312.798, 521.736, 318.798]" index="35">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineVertical y0="264.798" y1="294.798" x0="518.4" x1="521.736" width="3.336" height="30.0" bbox="[518.4, 264.798, 521.736, 294.798]" word_margin="0.1"><LTTextBoxVertical y0="264.798" y1="294.798" x0="518.4" x1="521.736" width="3.336" height="30.0" bbox="[518.4, 264.798, 521.736, 294.798]" index="36">$ $ $ </LTTextBoxVertical></LTTextLineVertical>
      <LTTextBoxHorizontal y0="386.718" y1="407.238" x0="428.4" x1="508.752" width="80.352" height="20.52" bbox="[428.4, 386.718, 508.752, 407.238]" index="37"><LTTextLineHorizontal y0="401.238" y1="407.238" x0="428.4" x1="501.414" width="73.014" height="6.0" bbox="[428.4, 401.238, 501.414, 407.238]" word_margin="0.1">COMBINED SINGLE LIMIT </LTTextLineHorizontal><LTTextLineHorizontal y0="395.718" y1="401.718" x0="428.4" x1="463.746" width="35.346" height="6.0" bbox="[428.4, 395.718, 463.746, 401.718]" word_margin="0.1">(Ea accident) </LTTextLineHorizontal><LTTextLineHorizontal y0="386.718" y1="392.718" x0="428.4" x1="508.752" width="80.352" height="6.0" bbox="[428.4, 386.718, 508.752, 392.718]" word_margin="0.1">BODILY INJURY (Per person) </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="374.718" y1="380.718" x0="428.4" x1="512.754" width="84.354" height="6.0" bbox="[428.4, 374.718, 512.754, 380.718]" word_margin="0.1"><LTTextBoxHorizontal y0="374.718" y1="380.718" x0="428.4" x1="512.754" width="84.354" height="6.0" bbox="[428.4, 374.718, 512.754, 380.718]" index="38">BODILY INJURY (Per accident) </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="359.718" y1="371.238" x0="428.4" x1="489.078" width="60.678" height="11.52" bbox="[428.4, 359.718, 489.078, 371.238]" index="39"><LTTextLineHorizontal y0="365.238" y1="371.238" x0="428.4" x1="489.078" width="60.678" height="6.0" bbox="[428.4, 365.238, 489.078, 371.238]" word_margin="0.1">PROPERTY DAMAGE </LTTextLineHorizontal><LTTextLineHorizontal y0="359.718" y1="365.718" x0="428.4" x1="465.744" width="37.344" height="6.0" bbox="[428.4, 359.718, 465.744, 365.718]" word_margin="0.1">(Per accident) </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="336.798" y1="342.798" x0="428.4" x1="489.732" width="61.332" height="6.0" bbox="[428.4, 336.798, 489.732, 342.798]" word_margin="0.1"><LTTextBoxHorizontal y0="336.798" y1="342.798" x0="428.4" x1="489.732" width="61.332" height="6.0" bbox="[428.4, 336.798, 489.732, 342.798]" index="40">EACH OCCURRENCE </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="324.798" y1="330.798" x0="428.4" x1="466.41" width="38.01" height="6.0" bbox="[428.4, 324.798, 466.41, 330.798]" word_margin="0.1"><LTTextBoxHorizontal y0="324.798" y1="330.798" x0="428.4" x1="466.41" width="38.01" height="6.0" bbox="[428.4, 324.798, 466.41, 330.798]" index="41">AGGREGATE </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="299.718" y1="311.238" x0="442.8" x1="470.136" width="27.336" height="11.52" bbox="[442.8, 299.718, 470.136, 311.238]" index="42"><LTTextLineHorizontal y0="305.238" y1="311.238" x0="442.8" x1="455.136" width="12.336" height="6.0" bbox="[442.8, 305.238, 455.136, 311.238]" word_margin="0.1">PER </LTTextLineHorizontal><LTTextLineHorizontal y0="299.718" y1="305.718" x0="442.8" x1="470.136" width="27.336" height="6.0" bbox="[442.8, 299.718, 470.136, 305.718]" word_margin="0.1">STATUTE </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextBoxHorizontal y0="299.718" y1="311.238" x0="492.96" x1="507.624" width="14.664" height="11.52" bbox="[492.96, 299.718, 507.624, 311.238]" index="43"><LTTextLineHorizontal y0="305.238" y1="311.238" x0="492.96" x1="507.624" width="14.664" height="6.0" bbox="[492.96, 305.238, 507.624, 311.238]" word_margin="0.1">OTH- </LTTextLineHorizontal><LTTextLineHorizontal y0="299.718" y1="305.718" x0="493.2" x1="501.534" width="8.334" height="6.0" bbox="[493.2, 299.718, 501.534, 305.718]" word_margin="0.1">ER </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="288.798" y1="294.798" x0="428.4" x1="489.744" width="61.344" height="6.0" bbox="[428.4, 288.798, 489.744, 294.798]" word_margin="0.1"><LTTextBoxHorizontal y0="288.798" y1="294.798" x0="428.4" x1="489.744" width="61.344" height="6.0" bbox="[428.4, 288.798, 489.744, 294.798]" index="44">E.L. EACH ACCIDENT </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="276.798" y1="282.798" x0="428.4" x1="514.77" width="86.37" height="6.0" bbox="[428.4, 276.798, 514.77, 282.798]" word_margin="0.1"><LTTextBoxHorizontal y0="276.798" y1="282.798" x0="428.4" x1="514.77" width="86.37" height="6.0" bbox="[428.4, 276.798, 514.77, 282.798]" index="45">E.L. DISEASE - EA EMPLOYEE </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="264.798" y1="270.798" x0="428.4" x1="511.098" width="82.698" height="6.0" bbox="[428.4, 264.798, 511.098, 270.798]" word_margin="0.1"><LTTextBoxHorizontal y0="264.798" y1="270.798" x0="428.4" x1="511.098" width="82.698" height="6.0" bbox="[428.4, 264.798, 511.098, 270.798]" index="46">E.L. DISEASE - POLICY LIMIT </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="491.999" y1="503.199" x0="20.04" x1="33.895" width="13.855" height="11.2" bbox="[20.04, 491.999, 33.895, 503.199]" index="47"><LTTextLineHorizontal y0="497.399" y1="503.199" x0="20.04" x1="33.895" width="13.855" height="5.8" bbox="[20.04, 497.399, 33.895, 503.199]" word_margin="0.1">INSR </LTTextLineHorizontal><LTTextLineHorizontal y0="491.999" y1="497.799" x0="21.36" x1="32.634" width="11.274" height="5.8" bbox="[21.36, 491.999, 32.634, 497.799]" word_margin="0.1">LTR </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="493.419" y1="499.319" x0="75.12" x1="137.08" width="61.96" height="5.9" bbox="[75.12, 493.419, 137.08, 499.319]" word_margin="0.1"><LTTextBoxHorizontal y0="493.419" y1="499.319" x0="75.12" x1="137.08" width="61.96" height="5.9" bbox="[75.12, 493.419, 137.08, 499.319]" index="48">TYPE OF INSURANCE </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="482.718" y1="488.718" x0="54.0" x1="156.666" width="102.666" height="6.0" bbox="[54.0, 482.718, 156.666, 488.718]" word_margin="0.1"><LTTextBoxHorizontal y0="482.718" y1="488.718" x0="54.0" x1="156.666" width="102.666" height="6.0" bbox="[54.0, 482.718, 156.666, 488.718]" index="49">COMMERCIAL GENERAL LIABILITY </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="468.798" y1="474.798" x0="68.4" x1="110.07" width="41.67" height="6.0" bbox="[68.4, 468.798, 110.07, 474.798]" word_margin="0.1"><LTTextBoxHorizontal y0="468.798" y1="474.798" x0="68.4" x1="110.07" width="41.67" height="6.0" bbox="[68.4, 468.798, 110.07, 474.798]" index="50">CLAIMS-MADE </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="468.798" y1="474.798" x0="133.2" x1="155.196" width="21.996" height="6.0" bbox="[133.2, 468.798, 155.196, 474.798]" word_margin="0.1"><LTTextBoxHorizontal y0="468.798" y1="474.798" x0="133.2" x1="155.196" width="21.996" height="6.0" bbox="[133.2, 468.798, 155.196, 474.798]" index="51">OCCUR </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="491.399" y1="503.679" x0="177.24" x1="193.345" width="16.105" height="12.28" bbox="[177.24, 491.399, 193.345, 503.679]" index="52"><LTTextLineHorizontal y0="497.879" y1="503.679" x0="177.24" x1="193.345" width="16.105" height="5.8" bbox="[177.24, 497.879, 193.345, 503.679]" word_margin="0.1">ADDL </LTTextLineHorizontal><LTTextLineHorizontal y0="491.399" y1="497.199" x0="178.44" x1="192.295" width="13.855" height="5.8" bbox="[178.44, 491.399, 192.295, 497.199]" word_margin="0.1">INSD </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextBoxHorizontal y0="491.399" y1="503.679" x0="195.12" x1="211.55" width="16.43" height="12.28" bbox="[195.12, 491.399, 211.55, 503.679]" index="53"><LTTextLineHorizontal y0="497.879" y1="503.679" x0="195.12" x1="211.55" width="16.43" height="5.8" bbox="[195.12, 497.879, 211.55, 503.679]" word_margin="0.1">SUBR </LTTextLineHorizontal><LTTextLineHorizontal y0="491.399" y1="497.199" x0="196.56" x1="210.09" width="13.53" height="5.8" bbox="[196.56, 491.399, 210.09, 497.199]" word_margin="0.1">WVD </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="492.339" y1="498.239" x0="246.96" x1="296.458" width="49.498" height="5.9" bbox="[246.96, 492.339, 296.458, 498.239]" word_margin="0.1"><LTTextBoxHorizontal y0="492.339" y1="498.239" x0="246.96" x1="296.458" width="49.498" height="5.9" bbox="[246.96, 492.339, 296.458, 498.239]" index="54">POLICY NUMBER </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="491.979" y1="503.279" x0="333.84" x1="375.143" width="41.303" height="11.3" bbox="[333.84, 491.979, 375.143, 503.279]" index="55"><LTTextLineHorizontal y0="497.379" y1="503.279" x0="337.2" x1="371.953" width="34.753" height="5.9" bbox="[337.2, 497.379, 371.953, 503.279]" word_margin="0.1">POLICY EFF </LTTextLineHorizontal><LTTextLineHorizontal y0="491.979" y1="497.879" x0="333.84" x1="375.143" width="41.303" height="5.9" bbox="[333.84, 491.979, 375.143, 497.879]" word_margin="0.1">(MM/DD/YYYY) </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextBoxHorizontal y0="491.979" y1="503.279" x0="380.64" x1="421.943" width="41.303" height="11.3" bbox="[380.64, 491.979, 421.943, 503.279]" index="56"><LTTextLineHorizontal y0="497.379" y1="503.279" x0="383.64" x1="419.054" width="35.414" height="5.9" bbox="[383.64, 497.379, 419.054, 503.279]" word_margin="0.1">POLICY EXP </LTTextLineHorizontal><LTTextLineHorizontal y0="491.979" y1="497.879" x0="380.64" x1="421.943" width="41.303" height="5.9" bbox="[380.64, 491.979, 421.943, 497.879]" word_margin="0.1">(MM/DD/YYYY) </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="432.798" y1="438.798" x0="39.6" x1="156.12" width="116.52" height="6.0" bbox="[39.6, 432.798, 156.12, 438.798]" word_margin="0.1"><LTTextBoxHorizontal y0="432.798" y1="438.798" x0="39.6" x1="156.12" width="116.52" height="6.0" bbox="[39.6, 432.798, 156.12, 438.798]" index="57">GEN'L AGGREGATE LIMIT APPLIES PER: </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="419.358" y1="430.758" x0="97.2" x1="112.2" width="15.0" height="11.4" bbox="[97.2, 419.358, 112.2, 430.758]" index="58"><LTTextLineHorizontal y0="424.758" y1="430.758" x0="97.2" x1="112.2" width="15.0" height="6.0" bbox="[97.2, 424.758, 112.2, 430.758]" word_margin="0.1">PRO- </LTTextLineHorizontal><LTTextLineHorizontal y0="419.358" y1="425.358" x0="97.2" x1="112.2" width="15.0" height="6.0" bbox="[97.2, 419.358, 112.2, 425.358]" word_margin="0.1">JECT </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="420.798" y1="426.798" x0="140.4" x1="152.736" width="12.336" height="6.0" bbox="[140.4, 420.798, 152.736, 426.798]" word_margin="0.1"><LTTextBoxHorizontal y0="420.798" y1="426.798" x0="140.4" x1="152.736" width="12.336" height="6.0" bbox="[140.4, 420.798, 152.736, 426.798]" index="59">LOC </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="420.798" y1="426.798" x0="54.0" x1="76.008" width="22.008" height="6.0" bbox="[54.0, 420.798, 76.008, 426.798]" word_margin="0.1"><LTTextBoxHorizontal y0="420.798" y1="426.798" x0="54.0" x1="76.008" width="22.008" height="6.0" bbox="[54.0, 420.798, 76.008, 426.798]" index="60">POLICY </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="408.318" y1="414.318" x0="54.0" x1="76.668" width="22.668" height="6.0" bbox="[54.0, 408.318, 76.668, 414.318]" word_margin="0.1"><LTTextBoxHorizontal y0="408.318" y1="414.318" x0="54.0" x1="76.668" width="22.668" height="6.0" bbox="[54.0, 408.318, 76.668, 414.318]" index="61">OTHER: </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="398.859" y1="404.759" x0="39.6" x1="109.095" width="69.495" height="5.9" bbox="[39.6, 398.859, 109.095, 404.759]" word_margin="0.1"><LTTextBoxHorizontal y0="398.859" y1="404.759" x0="39.6" x1="109.095" width="69.495" height="5.9" bbox="[39.6, 398.859, 109.095, 404.759]" index="62">AUTOMOBILE LIABILITY </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="371.238" y1="390.798" x0="54.0" x1="89.34" width="35.34" height="19.56" bbox="[54.0, 371.238, 89.34, 390.798]" index="63"><LTTextLineHorizontal y0="384.798" y1="390.798" x0="54.0" x1="84.672" width="30.672" height="6.0" bbox="[54.0, 384.798, 84.672, 390.798]" word_margin="0.1">ANY AUTO </LTTextLineHorizontal><LTTextLineHorizontal y0="377.238" y1="383.238" x0="54.0" x1="89.34" width="35.34" height="6.0" bbox="[54.0, 377.238, 89.34, 383.238]" word_margin="0.1">ALL OWNED </LTTextLineHorizontal><LTTextLineHorizontal y0="371.238" y1="377.238" x0="54.0" x1="74.67" width="20.67" height="6.0" bbox="[54.0, 371.238, 74.67, 377.238]" word_margin="0.1">AUTOS </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="360.318" y1="366.318" x0="54.0" x1="95.004" width="41.004" height="6.0" bbox="[54.0, 360.318, 95.004, 366.318]" word_margin="0.1"><LTTextBoxHorizontal y0="360.318" y1="366.318" x0="54.0" x1="95.004" width="41.004" height="6.0" bbox="[54.0, 360.318, 95.004, 366.318]" index="64">HIRED AUTOS </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="359.238" y1="383.238" x0="122.4" x1="160.728" width="38.328" height="24.0" bbox="[122.4, 359.238, 160.728, 383.238]" index="65"><LTTextLineHorizontal y0="377.238" y1="383.238" x0="122.4" x1="159.402" width="37.002" height="6.0" bbox="[122.4, 377.238, 159.402, 383.238]" word_margin="0.1">SCHEDULED </LTTextLineHorizontal><LTTextLineHorizontal y0="371.238" y1="377.238" x0="122.4" x1="143.07" width="20.67" height="6.0" bbox="[122.4, 371.238, 143.07, 377.238]" word_margin="0.1">AUTOS </LTTextLineHorizontal><LTTextLineHorizontal y0="365.358" y1="371.358" x0="122.4" x1="160.728" width="38.328" height="6.0" bbox="[122.4, 365.358, 160.728, 371.358]" word_margin="0.1">NON-OWNED </LTTextLineHorizontal><LTTextLineHorizontal y0="359.238" y1="365.238" x0="122.4" x1="143.07" width="20.67" height="6.0" bbox="[122.4, 359.238, 143.07, 365.238]" word_margin="0.1">AUTOS </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="338.859" y1="344.759" x0="54.0" x1="102.507" width="48.507" height="5.9" bbox="[54.0, 338.859, 102.507, 344.759]" word_margin="0.1"><LTTextBoxHorizontal y0="338.859" y1="344.759" x0="54.0" x1="102.507" width="48.507" height="5.9" bbox="[54.0, 338.859, 102.507, 344.759]" index="66">UMBRELLA LIAB </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="326.859" y1="332.759" x0="54.0" x1="93.344" width="39.344" height="5.9" bbox="[54.0, 326.859, 93.344, 332.759]" word_margin="0.1"><LTTextBoxHorizontal y0="326.859" y1="332.759" x0="54.0" x1="93.344" width="39.344" height="5.9" bbox="[54.0, 326.859, 93.344, 332.759]" index="67">EXCESS LIAB </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="336.318" y1="342.318" x0="133.2" x1="155.196" width="21.996" height="6.0" bbox="[133.2, 336.318, 155.196, 342.318]" word_margin="0.1"><LTTextBoxHorizontal y0="336.318" y1="342.318" x0="133.2" x1="155.196" width="21.996" height="6.0" bbox="[133.2, 336.318, 155.196, 342.318]" index="68">OCCUR </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="324.798" y1="330.798" x0="133.2" x1="174.87" width="41.67" height="6.0" bbox="[133.2, 324.798, 174.87, 330.798]" word_margin="0.1"><LTTextBoxHorizontal y0="324.798" y1="330.798" x0="133.2" x1="174.87" width="41.67" height="6.0" bbox="[133.2, 324.798, 174.87, 330.798]" index="69">CLAIMS-MADE </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="312.318" y1="318.318" x0="54.0" x1="66.666" width="12.666" height="6.0" bbox="[54.0, 312.318, 66.666, 318.318]" word_margin="0.1"><LTTextBoxHorizontal y0="312.318" y1="318.318" x0="54.0" x1="66.666" width="12.666" height="6.0" bbox="[54.0, 312.318, 66.666, 318.318]" index="70">DED </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="312.318" y1="318.318" x0="90.0" x1="124.668" width="34.668" height="6.0" bbox="[90.0, 312.318, 124.668, 318.318]" word_margin="0.1"><LTTextBoxHorizontal y0="312.318" y1="318.318" x0="90.0" x1="124.668" width="34.668" height="6.0" bbox="[90.0, 312.318, 124.668, 318.318]" index="71">RETENTION </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextLineHorizontal y0="312.318" y1="318.318" x0="126.0" x1="129.336" width="3.336" height="6.0" bbox="[126.0, 312.318, 129.336, 318.318]" word_margin="0.1"><LTTextBoxHorizontal y0="312.318" y1="318.318" x0="126.0" x1="129.336" width="3.336" height="6.0" bbox="[126.0, 312.318, 129.336, 318.318]" index="72">$ </LTTextBoxHorizontal></LTTextLineHorizontal>
      <LTTextBoxHorizontal y0="264.318" y1="309.959" x0="37.8" x1="153.49" width="115.69" height="45.641" bbox="[37.8, 264.318, 153.49, 309.959]" index="73"><LTTextLineHorizontal y0="304.059" y1="309.959" x0="37.8" x1="118.441" width="80.641" height="5.9" bbox="[37.8, 304.059, 118.441, 309.959]" word_margin="0.1">WORKERS COMPENSATION </LTTextLineHorizontal><LTTextLineHorizontal y0="297.099" y1="302.999" x0="37.8" x1="120.506" width="82.706" height="5.9" bbox="[37.8, 297.099, 120.506, 302.999]" word_margin="0.1">AND EMPLOYERS' LIABILITY </LTTextLineHorizontal><LTTextLineHorizontal y0="289.319" y1="295.119" x0="37.8" x1="153.49" width="115.69" height="5.8" bbox="[37.8, 289.319, 153.49, 295.119]" word_margin="0.1">ANY PROPRIETOR/PARTNER/EXECUTIVE </LTTextLineHorizontal><LTTextLineHorizontal y0="283.319" y1="289.119" x0="37.8" x1="126.737" width="88.937" height="5.8" bbox="[37.8, 283.319, 126.737, 289.119]" word_margin="0.1">OFFICER/MEMBER EXCLUDED? </LTTextLineHorizontal><LTTextLineHorizontal y0="277.278" y1="283.278" x0="37.8" x1="89.466" width="51.666" height="6.0" bbox="[37.8, 277.278, 89.466, 283.278]" word_margin="0.1">(Mandatory in NH) </LTTextLineHorizontal><LTTextLineHorizontal y0="270.318" y1="276.318" x0="37.8" x1="95.16" width="57.36" height="6.0" bbox="[37.8, 270.318, 95.16, 276.318]" word_margin="0.1">If yes, describe under </LTTextLineHorizontal><LTTextLineHorizontal y0="264.318" y1="270.318" x0="37.8" x1="147.156" width="109.356" height="6.0" bbox="[37.8, 264.318, 147.156, 270.318]" word_margin="0.1">DESCRIPTION OF OPERATIONS below </LTTextLineHorizontal></LTTextBoxHorizontal>
      <LTTextLineHorizontal y0="294.438" y1="300.438" x0="160.68" x1="174.018" width="13.338" height="6.0" bbox="[160.68, 294.438, 174.018, 300.438]" word_margin="0.1"><LTTextBoxHorizontal y0="294.438" y1="300.438" x0="160.68" x1="174.018" width="13.338" height="6.0" bbox="[160.68, 294.438, 174.018, 300.438]" index="74">Y / N </LTTextBoxHorizontal></LTTextLineHorizontal>
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