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SPECTRUM POLICY DECLARATIONS (Continued) <br />POLICY NUMBER: 36 SBM TH3424 <br />Form Numbers of Forms and Endorsements that apply: <br />SS <br />00 <br />01 <br />03 <br />14 <br />SS <br />00 <br />05 <br />10 <br />08 <br />SS <br />00 08 04 05 <br />SS <br />00 <br />45 12 06 <br />SS <br />00 <br />60 <br />09 <br />15 <br />SS <br />00 <br />64 <br />09 <br />16 <br />SS <br />41 70 06 11 <br />SS <br />41 <br />71 12 19 <br />SS <br />01 <br />21 <br />02 <br />20 <br />SS <br />42 <br />06 <br />03 <br />17 <br />SS <br />04 38 09 09 <br />SS <br />41 <br />63 06 11 <br />SS <br />05 <br />13 <br />04 <br />01 <br />SS <br />05 <br />47 <br />09 <br />15 <br />G-4190-0 <br />IH <br />12 <br />05 02 21 <br />SS <br />12 <br />15 <br />03 <br />00 <br />SS <br />50 <br />19 <br />01 <br />15 <br />IH <br />99 40 04 09 <br />IH <br />99 <br />41 04 09 <br />SS <br />83 <br />76 <br />01 <br />15 <br />SS <br />89 <br />93 <br />07 <br />16 <br />IH <br />12 <br />00 <br />11 85 <br />WAIVER <br />OF <br />SUBROGATION <br />oR, RiskMougementDMsian <br />REVIEWED & APPROVED BY: <br />o, z <br />o tQj�e Aczv44 <br />Risk Management Specialist <br />Form SS <br />00 02 <br />12 06 <br />Page 005 <br />Process Date: <br />03/29/24 <br />Policy Expiration <br />Date: 06/28/25 <br />