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CNA CNA PARAMOUNT <br />Schedule of Forms and Endorsements <br />Policy Number: 6017210152 <br />Endm't <br />Number <br />Form Title <br />Form Number <br />Form <br />Edition <br />Additional Declarations - General Liability <br />Schedule of Locations and Coverages <br />CNA75126XX <br />01-15 <br />Commercial General Liability Coverage Part <br />CG0001 <br />04-13 <br />3 <br />Technology General Liability Extension Endorsement <br />CNA74872XX <br />01-15 <br />4 <br />General Aggregate Limit - Designated Locations <br />Endorsement <br />CNA74827XX <br />01-15 <br />5 <br />Pollution Exclusion Amendatory Endorsement <br />CNA74843XX <br />01-15 <br />6 <br />Personal and Advertising Injury Specified Offenses <br />Endorsement <br />CNA74907XX <br />01-15 <br />7 <br />Silica Exclusion Endorsement <br />CNA74687XX <br />01-15 <br />8 <br />Fungi / Mold / Mildew / Yeast / Microbe Exclusion <br />Endorsement - Georgia <br />CNA74708GA <br />01-15 <br />9 <br />Employment -Related Practices Exclusion Endorsement <br />CNA74761XX <br />01-15 <br />10 <br />Exclusion - Access or Disclosure of Confidential <br />or Personal Information and Data -Related Liability <br />- with Limited Bodily Injury Exception Endorsement <br />CNA75089XX <br />01-15 <br />G. Employee Benefits Liability <br />Employee Benefits Liability Coverage Part <br />CNA74693XX <br />01-15 <br />Declarations <br />Additional Declarations - Employee Benefits <br />CNA75133XX <br />01-15 <br />Liability Schedule of Locations and Coverages <br />Employee Benefits Liability Coverage Part - <br />CNA74721XX <br />01-15 <br />Occurrence <br />11 <br />Employee Benefits Liability - Amended Definition <br />CNA86269XX <br />10-16 <br />of Executive Officer Endorsement <br />12 <br />State Amendatory Endorsement (Employee Benefits <br />CNA75177GA <br />01-15 <br />Liability- Occurrence) - Georgia <br />I. Stop Gap Liability <br />CNA62640XX 09-12 <br />Copyright CNA All Rights Reserved. <br />�oRaN <br />Risk MmWmerdDi sign <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />