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POLICY NUMBER: MEPK08664802 COMMERCIAL GENERAL LIABILITY ,.., CG DS 01 10 01 COMMERCIAL GENERAL LIABILITY DECLARATIONS Arch Insurance Company $1,000,000 McNeil & Company, Inc. Harborside 3, 210 Hudson St, Suite 300 P.O. Box 5670 Jersey City, NJ 07311-1107 $100,000 20 Church Street Phone: 866-413-5550 $5,000 Cortland, NY 13045 Coastal Health Systems of Brevard, Inc. $1,000,000 NAMED INSURED: 486 Gus Hipp Boulevard ENERAL AGGREGATE LIMIT MAILING ADDRESS: Rockledge FL 32955 $10,000,000 POLICY PERIOD: FROM 05/27/2017 TO 05/27/2018 AT 12:01 A.M. TIME AT OUR MAILING ADDRESS SHOWN ABOVE - IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF ACH OCCURRENCE LIMIT $1,000,000 DAMAGE TO PREMISES RENTED TO YOU LIMIT $100,000 Any one premises MEDICAL EXPENSE LIMIT $5,000 Any one person ERSONAL & ADVERTISING INJURY LIMIT $1,000,000 Any one person or organization ENERAL AGGREGATE LIMIT $10,000,000 RODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $10,000,000 RETROACTIVE DATE (CG 00 02 ONLY) THIS INSURANCE DOES NOT APPLY TO "BODILY INJURY", "PROPERTY DAMAGE" OR "PERSONAL AND ADVERTISING INJURY" WHICH OCCURS BEFORE THE RETROACTIVE DATE, IF ANY, SHOWN BELOW. RETROACTIVE DATE: None (ENTER DATE OR "NONE" IF NO RETROACTIVE DATE APPLIES) DESCRIPTION OF BUSINESS FORM OF BUSINESS: INDIVIDUAL ❑ PARTNERSHIP ❑ JOINT VENTURE ❑ TRUST LIMITED LIABILITY COMPANY Ox ORGANIZATION, INCLUDING A CORPORATION (BUT NOT IN- CLUDING A PARTNERSHIP, JOINT VENTURE OR LIMITED LIABILITY COMPANY) BUSINESS DESCRIPTION: Rescue EMS Squad or Ambulance Squad 87 CG DS 01 10 01 © ISO Properties, Inc., 2000 Page 1 of 2