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POLICY NUMBER: 680-SX765120-24-42 <br />EFFECTIVE DATE: 03/19/2024 <br />ISSUE DATE: 02/16/2024 <br />LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br />THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS <br />BY LINE OF BUSINESS <br />IL <br />TO <br />19 <br />02 <br />05 <br />COMMON POLICY DECLARATIONS <br />MP <br />TO <br />01 <br />02 <br />05 <br />BUSINESSOWNERS COVERAGE PART DECLARATIONS <br />IL <br />TB <br />01 <br />01 <br />01 <br />FORMS ENDORSEMENTS AND SCHEDULE NUMBERS <br />� L <br />T3 <br />15 <br />09 <br />W <br />COMMON POLICY CONDITIONS <br />BUSINESSOWNERS <br />MP T1 <br />30 <br />02 <br />05 <br />TABLE OF CONTENTS - BUSINESSOWNERS COVERAGE PART - <br />DELUXE PLAN <br />MP <br />T1 <br />02 <br />02 <br />05 <br />BUSINESSOWNERS PROPERTY COVERAGE SPECIAL FORM <br />MP <br />T1 <br />05 <br />02 <br />05 <br />AMENDATORY PROVISIONS - OFFICES <br />MP <br />T3 <br />67 <br />08 <br />15 <br />PROFESSIONAL SERVICES PREMIER ENDORSEMENT <br />MP <br />TS <br />22 <br />OB <br />07 <br />CALIFORNIA AMENDATORY PROVISIONS <br />MP <br />T3 <br />25 <br />01 <br />21 <br />FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE <br />MP <br />T3 <br />50 <br />11 <br />06 <br />EQUIPMENT BREAKDOWN - SERVICE INTERRUPTION LIMITATION <br />MP <br />T3 <br />56 <br />02 <br />08 <br />AMENDATORY PROVISIONS - GREEN BUILDING AND BUSINESS <br />PERSONAL PROP COV ENHANCEMENTS <br />MP <br />T4 <br />90 <br />05 <br />10 <br />LIMIT OF INS/OCCURRENCE ENDT - CALIFORNIA <br />MP <br />T5 <br />08 <br />02 <br />20 <br />CALIFORNIA CHANGES <br />COMMERCIAL GENERAL LIABILITY <br />CG TO 34 02 19 <br />CG Tl 00 02 19 <br />CG D3 09 02 19 <br />CG D9 10 09 21 <br />CG D1 05 04 94 <br />CG D2 03 12 97 <br />CG US 42 02 19,; <br />CG D4 21 07 08 <br />CG DS 59 02 19 <br />CG D6 1S 10 11 <br />CG D6 39 05 12 <br />CG D9 44 01 23 <br />CG D1 42 02 19 <br />TABLE OF CONTENTS - COMMERCIAL GENSRAL LIABILITY <br />COVERAGE FORM CG T1 00 02 19 <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />AMENDATORY ENDORSEMENT - PRODUCTS -COMPLETED OPERATIONS <br />HAZARD <br />AMENDMENT OF INTELLECTUAL PROPERTY EXCLUSION <br />BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS <br />AMRND - NON CUMULATION OF EACH OCC <br />XTEND ENDORSEMENT FOR SMALL BUSINESSES <br />AMEND CONTRAL LIAR EXCL - EXC TO NAMED INS <br />EXCLUSION - PORTFOLIO COMPANY <br />EXCLUSION - VIOLATION OF CONSUMER FINANCIAL PROTECTION <br />LAWS <br />EXCLUSION - PROFESSIONAL FINANCIAL SERVICES <br />EXCLUSION - VIOLATION OF BIOMETRIC INFORMATION PRIVACY <br />LAWS <br />EXCLUSION - DISCRIMINATION <br />MULTIPLE SUBLINE ENDORSEMENTS <br />CG T3 33 11 03 <br />LIMITATION WHEN TWO OR MORE POLICIES A^^T" <br />IL T8 01 01 01 PAGE: 1 <br />Rink MmwgementDMslpn <br />firmEwED & APPRowD BY: <br />A+{�, Aaw44 <br />® <br />Risk Management Specialist <br />