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I <br />Attachment number I <br />P— X)nFVq <br />PROPOSED EMPLOYEE BENEFITS LIABILITY COVERAGE <br />Insurer: <br />Preferred Governmental Insurance Trust <br />Not Rated by A.M. Best <br />Coverage Form: <br />Occurrence <br />Limits of Liability: <br />$ 5,000,000 Per Person <br />N/A Aggregate <br />Deductible., <br />N/A <br />In the event that your Employee Benefits Liability coverage was previously written on a <br />Claims Made form, you should explore the possibility of purchasing an "extended <br />reporting period " from your prior carrier. <br />Employee Benefits Liability: <br />To pay on your behalf all sums which you shall become legally obligated to <br />pay on account of any claim made against you by an employee, former <br />employee, or the beneficiaries or legal representatives thereof and caused by <br />any negligent act, error or omission of yours, or any person for whose acts you <br />are legally liable in the administration of your Employee Benefits Program. <br />Agenda Item No IOA <br />'.v- 19 126 <br />