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<br />THE CONTINENTAL INSURANCE COMPANY <br />(a stock company) <br />Administrative Offices: <br />180 Maiden Lane <br />New York, NY 10038 <br /> <br />RENEW AL CERTIFICATE <br /> <br />Renewal of Policy Number: eRA 245046 <br /> <br />Named Insured: City Of Paris <br /> <br />Renewal Effective Date: February 1, 1996 <br /> <br />Renewal Expiration Date: February 1, 1997 <br /> <br />RENEWAL SCHEDULE <br />A. SPECIFIC EXCESS INSURANCE <br /> <br />1) Attachment Point: $ 50 000 <br />IX] Individual I ] Family <br /> <br />2) Limit of Liability: 100% of payments made by YOU in excess of the Specitic Attachment Point. <br /> <br />3) <br /> <br />Reimbursable Lifetime Maximum: $ <br /> <br />2.000000 <br /> <br />4) <br /> <br />Coverage Form: <br />IX] Paid in 12 Months <br />I ] Paid in 15 Months <br />I ] Incurred <br />I ] Other: <br /> <br />5) Extension of Coverage: <br />I 1 Yes I X] No <br />If yes, <br />I ] Up to 6 months <br />I ] 6 to 12 months <br /> <br />6) <br /> <br />Rates (PER MONTH): Employee $ <br /> <br />10.72 Dependent $ 1 8 20 Composite $ <br /> <br />B. AGGREGATE EXCESS INSURANCE <br /> <br />1) Monthly Factor: $ 237.25 <br /> <br />2) Minimum Annual Aggregate Attachment Point: Twelve times the Aggregate Mo"thly Factor times the <br />number of Covered Units based on the first renewal month's actual enrollment. <br /> <br />3) Limit of Liability: 100% of payments made by YOU in excess of the Annual Aggregate Attachment <br />Point to a maximum of $2,000,000. <br /> <br />4) Coverage Form: <br />IX ] Standard <br />I ] Advance Funding Option <br /> <br />EXHIBJI A <br /> <br />T T<'n 1 AMf"lTiPU 1/0') <br /> <br />Page 1 of 2 "U~I'J'.I1 <br />