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SPECTRUM POLICY DECLARATIONS (Continued) <br />POLICY NUMBER: 46 SBM BF4520 <br />Form Numbers of Forms and Endorsements that apply: <br />SS 00 01 03 14 SS 00 05 10 08 SS 00 08 04 05 SS 00 38 04 04 <br />SS 00 45 12 06 SS 00 60 09 15 SS 00 64 09 16 SS 41 70 06 11 <br />SS 01 21 02 20 SS 42 06 03 17 SS 04 38 09 09 SS 40 59 03 16 <br />SS 41 63 06 11 SS 05 18 07 92 SS 05 47 09 15 SS 50 50 12 01 <br />IH 12 05 02 21 SS 12 15 03 00 SS 50 19 01 15 IH 99 40 04 09 <br />IH 99 41 04 09 SS 83 76 01 15 SS 89 93 07 16 SS 12 23 06 11 <br />IH 12 00 11 85 ADDITIONAL INSURED - PERSON -ORGANIZATION <br />IH 12 00 11 85 ADDITIONAL INSURED - STATE/POLITICAL SU13DIVISION <br />IH 12 00 11 85 ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR <br />IH 12 00 11 85 WAIVER OF SUBROGATION <br />IH 12 00 11 85 ADDITIONAL INSURED - PERSON -ORGANIZATION <br />IH 12 00 11 85 ADDITIONAL INSURED - VENDOR <br />IH 12 00 11 85 60 DAY NOTICE OF CANCELLATION <br />IH 12 00 11 85 ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR <br />IH 12 00 11 85 ADDITIONAL INSURED -PERSON OR ORGANIZATION <br />IH 12 00 11 85 ENDORSEMENT #004 EFFECTIVE DATE 07/13/2021 <br />Form SS 00 02 12 06 Page 006 <br />Process Date: 12/29/21 Policy Expirati <br />Rick M�egement➢ivuiml <br />Rene D & APPRwm By. <br />�. <br />® Rkk Management Malys[ <br />