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* 081 * 06/11/2021 * UMB 3961461 00 GREAT AMERICAN ALLIANCE INS CO <br />*D/B* 072977484 262428 <br />GAI 6013 (Ed. 06 97) <br />FORMS AND ENDORSEMENTS SCHEDULE <br />I t is hereby understood and agreed the following forms and endorsements are <br />attached to and are a part of this policy: <br />Date Added* <br />or <br />Form and <br />Edition <br />ST <br />Date Deleted Form Description <br />1. <br />GAI6001 <br />06/97 <br />CA <br />COMM'L UMBRELLA COV PART DEC <br />2. <br />GAI6002 <br />04/10 <br />CA <br />THE PROTECTOR UMBRELLA COV. FORM <br />3. <br />GAI6003 <br />06/97 <br />CA <br />SCHEDULE A - UNDERLYING POLICIES <br />4. <br />GAI6047 <br />04/10 <br />CA <br />ADVERTISING INJURY -FOLLOWING FORM <br />5. <br />GAI6107 <br />02/12 <br />CA <br />AUTOMOBILE LIABILITY EXCLUSION <br />6. <br />GAI6129 <br />04/10 <br />CA <br />PERSNL INJURY LIA (FOLLOWING FORM) <br />7. <br />GAI6135 <br />06/97 <br />CA <br />PROFESSIONAL LIABILITY EXCLUSION <br />8. <br />GAI6158 <br />01/13 <br />CA <br />CA CHANGES-CANCELLATION/NONRENEWAL <br />9. <br />GAI6442 <br />04/10 <br />CA <br />FUNGI, MOLD OR SPORES EXCLUSION <br />10. <br />GAI6452 <br />04/15 <br />CA <br />CAP ON LOSSES - CERT ACTS OF TERROR <br />11. <br />GAI6458 <br />04/15 <br />CA <br />EXCL-PUNITIVE DAM REL TO CERT TERRO <br />12. <br />GAI6472 <br />04/15 <br />CA <br />DISCLOSURE TO TERRORISM RISK ACT OF <br />13. <br />GAI6475 <br />04/10 <br />CA <br />ACT OF TERRORISM RETAINED LIMIT <br />14. <br />GAI6807 <br />08/14 <br />CA <br />ORGANIC PATHOGENS EXCLUSION <br />15. <br />GAI6819 <br />10/04 <br />CA <br />SILICA OR RELATED DUST EXCLUSION <br />16. <br />GAI6869 <br />08/05 <br />CA <br />NUCLEAR, BIOLOGICAL OR CHEMICAL EXC <br />17. <br />GAI7111 <br />04/10 <br />CA <br />INFRINGEMENT OF COPYRIGHT, PATENT, <br />18. <br />GAI7251 <br />08/14 <br />CA <br />ABUSE OR MOLESTATION COVERAGE - FF <br />19. <br />GAI7269 <br />05/14 <br />CA <br />EXCL.-ACCESS/WITH LIMITED BODILY IN <br />20. <br />IL7268 <br />09/09 <br />CA <br />IN WITNESS CLAUSE <br />21 <br />22 <br />* I f not at inception <br />GAI 6013 (Ed. 06/97) PRO <br />HORaN RiskMmWmentDMsian <br />REVIEWED & APPROVED BY.- <br />r f R. Vj&wd <br />Risk Management Analyst <br />(Page 1 of 1 ) <br />T <br />