AGENT (Name & Place of business) ASSUREDPARTNERS NL - LOUISVILLE INSURED (Name & Residence or business) KENTUCKY STATE UNIVERSITY ATTN: Sherri Bridgewaters

2305 RIVER RD 400 E. MAIN STREET ASB ROOM 201

LOUISVILLE,KY 40206 (502)894-2100 FAX: (502)259-9221 FRANKFORT, KY 40601 (502)597-5827 accounts.payable@kysu.edu KENTSTA-01

Account #:SCHEDULE OF POLICIES (continued)Quote Number: 20203109
POLICY PREFIX AND NUMBEREFFECTIVE DATE OF POLICYINSURANCE COMPANY AND GENERAL AGENTCOVERAGEMINIMUM EARNED PERCENTPOL TERMPREMIUM
A5722J07/01/2022UNITED EDUCATORS INS RECIPROCAL RRGGENERAL LIABILITY0.000%1267,030.00
A5722J07/01/2022UNITED EDUCATORS INS RECIPROCAL RRGEXCESS LIABILITY0.000%1260,514.00
ELU1839402207/01/2022XL SPECIALTY INSURANCE CODIRECTORS & OFFICERS0.000%1222,500.00
NPP70036007/01/2022RSUI INDEMNITY CO CRC GroupMANAGEMENT LIABILITY0.000%1292,460.00
PLM-CB-SIKOLIYCP07/01/2022BENCHMARK INSURANCE CO CRC INSURANCE SERVICESCYBER LIABILITY0.000%1240,886.00 Fee: 250.00 Tax: 4,442.69
SR2014KY-P-051085-4208/01/2022MUTUAL OF OMAHA INSURANCE COACCIDENT & HEALTH0.000%12174,578.00
Broker Fee: TOTAL:0.00n529,385.69