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Personal Umbrella Policy Declarations Policy number: 181138 Page 3 of 3WAllstate. <br /> 9 971 g <br /> Policy effective date: December 29,2022 <br /> Coverage Required Underlying Limit <br /> Employers' Liability-if Workers'Compensation or $300,000 each occurrence <br /> similar coverage for Domestic Workers is required $300,000 each employee <br /> or purchased voluntarily $500,000 policy aggregate <br /> Your policy documents <br /> Your Personal Umbrella policy consists of the Policy Declarations and the following documents. Please keep them together. <br /> • Personal Umbrella Policy-AS400 • Minnesota Personal Umbrella Policy Amendatory <br /> Endorsement-A5429-1 <br /> Important payment and coverage information <br /> Here is some additional,helpful information related to your coverage and paying your bill: <br /> ► Please note:This is not a request for payment. Any adjustments to your premium will be reflected on your next scheduled <br /> bill which will be mailed separately. <br /> Allstate Indemnity Company's Secretary and President have signed this policy with legal authority at Northbrook,Illinois. <br /> (J-� - 5� ��C."; <br /> William Hill Susan L. Lees <br /> President Secretary <br /> N <br /> N <br /> N <br /> O <br /> 0 <br /> m <br /> Z <br /> W <br /> m <br /> O <br /> Z <br />