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ay CapSpecialty <br />Mr Espy now <br />CAPITOL SPECIALTY INSURANCE CORPORATION I A Stock Company <br />Commercial General Liability Coverage Part Form Schedule <br />Policy No.: BR20221803-01 <br />Form Number <br />CGL 1000 05 20 <br />CG 00 0104 13 <br />CG 03 00 0196 <br />CGL 492 02 16 <br />CG 20 10 12 19 <br />CG 20 1112 19 <br />CG 20 1112 19 <br />CG 20 141185 <br />CG 20 26 12 19 <br />CG 20 26 12 19 <br />CG 20 26 12 19 <br />CG 20 26 12 19 <br />CG 20 43 12 19 <br />CG 210112 19 <br />CG 210112 19 <br />CG 2106 05 14 <br />CG 2109 06 15 <br />CG 2136 03 05 <br />CG 2147 12 07 <br />CG 2149 09 99 <br />CG 2153 0196 <br />CG 2153 0196 <br />CG 2167 12 04 <br />CG 24 26 04 13 <br />CGL 004 0113 <br />CGL 030 04 13 <br />CGL 03105 13 <br />CGL 11108 18 <br />CGL 135 0113 <br />CGL 137 0113 <br />CGL 146 0113 <br />CGL 309 05 18 <br />CGL 367 01 13 <br />CGL 432 01 13 <br />CGL 441 09 15 <br />CGL 453 08 18 <br />CGL 467 12 14 <br />CGL 486 02 16 <br />CGL 507 04 17 <br />CGL 523 08 18 <br />CGL 524 08 18 <br />CGL 540 0121 <br />CGL 542 05 20 <br />Title <br />Commercial General Liability Declarations <br />Commercial General Liability Coverage Form <br />Deductible Liability Insurance <br />Amendment of Conditions - Premium Basis Endorsement <br />Additional Insured - Owners, Lessees or Contractors -Scheduled Person or Organization <br />Additional Insured - Managers or Lessors of Premises <br />Additional Insured - Managers or Lessors of Premises <br />Additional Insured - Users of Teams Draft or Saddle Animals <br />Additional Insured - Designated Person or Organization <br />Additional Insured - Designated Person or Organization <br />Additional Insured - Designated Person or Organization <br />Additional Insured - Designated Person or Organization <br />Additional Insured - AutomaticStatus When Required In Written Contractor Agreement <br />Exclusion -Athletic or Sports Participants <br />Exclusion -Athletic or Sports Participants <br />Exclusion -Access or Disclosure of Confidential or Personal Information and Data -Related Liability - with <br />Limited Bodily Injury Exception <br />Exclusion - Unmanned Aircraft <br />Exclusion - New Entities <br />Employment -Related Practices Exclusion <br />Total Pollution Exclusion Endorsement <br />Exclusion - Designated Ongoing Operations <br />Exclusion - Designated Ongoing Operations <br />Fungi or Bacteria Exclusion <br />Amendment of Insured Contract Definition <br />Exclusion - Punitive or Statutory Damages <br />Total Liquor Liability Exclusion <br />Excess Provision <br />Exclusion - Discrimination <br />Exclusion - Lead Liability <br />Exclusion - Dogs <br />Exclusion - Water Activities <br />Exclusion - Assault and Battery - General Liability <br />Exclusion - Inflatable Amusement Device <br />Exclusion Off -Road Vehicles <br />Limitation of Coverage to Designated Classification <br />Exclusion - Asbestos or Asbestos -Related Dust <br />Exclusion - Saddle Animal <br />Exclusion - Injury to Workers Endorsement <br />Exclusion - Fire Damage to Timber <br />Exclusion - Misappropriation of Image <br />Exclusion - Personal and Advertising Injury to Empl <br />Exclusion - Abuse or Molestation <br />Extension of Coverage - Designated Event <br />Communicable Disease or Virus Exclusion <br />Others <br />Risk MOM8M mtMisim <br />REYIE & APPR^o^veo By: <br />11®i//.� A�fIGCV� <br />® Risk Management Spec,Aht <br />CGL 1001 (05-20) © 2020 CapSpecialty, Inc. All rights reserved. Page 1 of 1 <br />