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Coverage Is Provided In: <br />Liberty Ohio Security Insurance Company <br />Policy Number: <br />BKS <br />- a stock company <br />mutUHh <br />(21) 57 04 83 55 <br />INSURANCE <br />Policy Period: <br />From 12/0912020 To 12109/2021 <br />12:01 am Standard Time <br />at Insured Mailing Location <br />Common Policy Declarations <br />Named Insured Agent <br />ECONOMICS INC DBA ECAUNOMICS (844) 547-9382 <br />832 Camino Del Mar Ste 2 WORLDWIDE FACILITIES, LLC <br />Del Mar, CA 92014 PO BOX 12279 <br />SANTA ROSA, CA 95406-2279 <br />POLICY FORMS AND ENDORSEMENTS - CONTINUED <br />This section lists all of the Forms and Endorsements for your policy. Refer to these documents as needed for <br />detailed information concerning your coverage. <br />FORM NUMBER TITLE <br />CG 21 67 12 04 <br />Fungi or Bacteria Exclusion <br />CG 21 73 Ol 15 <br />Exclusion of Certified Acts of Terrorism <br />CG 21 87 Ol 15 <br />Conditional Exclusion of Terrorism - (Relating to Disposition of Federal <br />Terrorism Risk Insurance Act) <br />CG 24 26 04 13 <br />Amendment of Insured Contract Definition <br />CG 80 61 05 11 <br />Amendment of Cancellation Provisions <br />CG 84 99 01 12 <br />Non -Cumulation Of Liability Limits Same Occurrence <br />CG 85 15 09 03 <br />Exclusion - Professional Services <br />CG 88 1004 13 <br />Commercial General Liability Extension <br />CG 88 60 1208 <br />Each Location General Aggregate Limit <br />CG 88 61 1208 <br />Property Damage - Customers' Goods <br />CG 88 66 12 08 <br />Property Damage - Borrowed Equipment <br />CG 88 77 12 08 <br />Medical Expense At Your Request Endorsement <br />CG 88 86 12 08 <br />Exclusion - Asbestos Liability <br />CG 8901 12 08 <br />Hired Auto And Non -Owned Auto Liability <br />CG 90 41 01 13 <br />Amendment Of Coverage B Personal And Advertising Injury <br />CP 00 10 04 02 <br />Building and Personal Property Coverage Form <br />CP 00 90 07 88 <br />Commercial Property Conditions <br />CP 01 400706 <br />Exclusion of Loss Due to Virus or Bacteria <br />CP 04 49 02 20 <br />California Changes - Replacement Cost <br />CP 10 30 04 02 <br />Causes of Loss - Special Form <br />CP 10 32 08 08 <br />Water Exclusion Endorsement <br />CP 72 97 04 02 <br />Equipment Breakdown Enhancement Endorsement - Special Form <br />CP 88 04 03 10 <br />Removal Permit <br />To report a claim, call your Agent or 1-844-325-2467 <br />DS 70 21 11 16 <br />10/29/20 57048355 POLSVCS 290 <br />1Uslx naanayttnrne Utrision <br />WcREVIEwED&pAP1PIR� VEDBYE: <br />• r �ffYhM2 tom, y�t,tN6aF4 <br />��---� Rrsk Management Analyst <br />NCXFPPNO INSURED COPY <br />