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<br />First Specialty Insurance Corporation <br />521)() Metcalf. P. a. Box 2938 . Dvetland Park- KS 86201-1338 <br />(913) 676-505(). Facsimile (813) 676-5815 <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />DECLARATIONS <br /> <br />POLlCY NO: <br /> <br />IRG99536 <br /> <br />NAMED INSURED: <br /> <br />Siltek Group, Inc. <br /> <br />LIMITS OF INSURANCE: <br /> <br />GENERAL AGGREGATE LIMIT <br />(Other Than Products/Completed Operations) <br />PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMlT <br />PERSONAL & ADVERTISING INJURY LIMIT <br />EACH OCCURRENCE LIMIT <br />FIRE DAMAGE LIMIT - Any One Fire <br />MEDICAL EXPENSE LIMIT - Any One Person <br /> <br />$2,000,000 <br /> <br />$2,000,000 <br />$1,000,000 <br />$1,000,000 <br />$50,000 <br />Excluded <br /> <br />DEDUCTIDLEI2S/ SELF INSURED RETENTIOND applicable to:~Defense and Loss (DL) OLoss Only (FD) <br />$10,000 per claim ~ per occurrence 0 N/A annual aggregate None maintenance <br /> <br />RETROACTIVE DATE <br />COVERAGE A and B of this insurance do not apply to "bodily injury" or "property damage,'; "personal injury" or <br />"advertising injury" which occurred before the Retroactive Date, if any, shown below. <br /> <br />Retroactive Date,~ <br /> <br />N/A <br />(Enter Date or "Not Applicable" ifno Retroactive Date applies) <br /> <br />Extended Reporting Period Charge: <br /> <br />N/A <br /> <br />For N/A year period <br /> <br />BUSINESS DESCRIPTION OF ALL PREMISES YOU OWN, RENT, OR OCCUPY: <br />Location I - Address: AU Locations - Per Schedule on file with Company <br /> <br />Classification Code Premirun Basis Estimated Rate Advance Premium <br /> No. Exposure <br />Contractors/Subcontractors 91583 Gross Sales $10,000,000 $1000 per $1,000 $100,000 <br />in connection with Single <br />or Two Family Homes <br />Premiwn Subject to Audit? rgj Yes o No Based on a Rate of: $10.00 per $1,000 of Gross Sales <br />Fr.equency of Audit: rgj Annual o Quarterly o Monthly <br /> <br />Minimum Premium $100,000 <br /> <br />Minimum Earned Premium 25% <br /> <br />FORMS AND ENDORSEMENTS APPLICABLE: Per Schedule of Policy Forms and Endorsements <br /> <br />THESE DECLARATIONS ARE PART OF THE COJ\.1MON POLICY DECLARA TrONS CONTAINING THE <br />NAMED INSURED AND THE POLICY PERIOD <br /> <br />FSIC-330i Declarations (08/01) <br />