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Policy Number: PSB0008919 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />APPLICABLE FORMS & ENDORSEMENTS <br />FORMS AND ENDORSEMENTS LISTED BELOW APPLY TO AND ARE MADE PART OF THIS POLICY AT TIME OF <br />ISSUE, <br />Farm Number <br />Form Title <br />PPB101 0122 <br />RLIPack BUSINESSOWNERS COVERAGE FORM <br />PPB300 06 10 <br />RLIPack ERISA ENDORSEMENT <br />PPB30101 18 <br />RLIPack FOR DESIGN PROFESSIONALS PROPERTY ENHANCEMENT <br />PPB303 06 10 <br />RLIPack ASBESTOS EXCLUSION <br />PPB304 02 12 <br />RLIPack FOR PROFESSIONALS BLANKET ADDITIONAL INSURED <br />ENDORSEMENT <br />PPB306 06 10 <br />RLIPack EXCLUSION - DESIGNATED OPERATIONS <br />PPB307 06 10 <br />RLIPack DISCRIMINATION EXCLUSION <br />PPB310 06 10 <br />RLIPack LEAD EXCLUSION <br />PPB312 09 13 <br />RLIPack FOR DESIGN PROFESSIONALS PROFESSIONAL SERVICES <br />EXCLUSION <br />PPB313 02 12 <br />RLIPack FOR PROFESSIONALS SCHEDULED ADDITIONAL INSURED <br />ENDORSEMENT <br />PPB316 1113 <br />RLIPack FOR DESIGN PROFESSIONALS LIABILITY ENHANCEMENT <br />PPB318 02 15 <br />RLIPack EQUIPMENT BREAKDOWN ENDORSEMENT <br />PPB319 1110 <br />RLIPack GREEN PROPERTY ENDORSEMENT <br />PPB36101 22 <br />RLIPacV PFAS EXCLUSION <br />PPK2107 05 11 <br />RLIPACK NOTICE OF CANCELLATION OR NONRENEWAL <br />INCLUDING NONPAYMENT OF PREMIUM DESIGNATED PERSON <br />OR ORGANIZATION <br />BP04170110 <br />EMPLOYMENT -RELATED PRACTICES EXCLUSION <br />BP0497 0106 <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST <br />OTHERS TO US <br />BP0498 07 13 <br />EMPLOYEE BENEFITS LIABILITY COVERAGE <br />BP050107 02 <br />CALCULATION OF PREMIUM <br />BP0515 12 20 <br />DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT <br />BP0517 0106 <br />EXCLUSION - SILICA OR SILICA -RELATED DUST <br />BP0523 0115 <br />CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM <br />BP0577 0106 <br />FUNGI OR BACTERIA EXCLUSION (LIABILITY) <br />BP1203 01 10 <br />LOSS PAYABLE CLAUSES <br />BP1506 05 14 <br />EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR <br />PERSONAL INFORMATION (PERSONAL AND ADVERTISING INJURY <br />ONLY) <br />BP0155 07 20 <br />CALIFORNIA CHANGES <br />ILF0001 04 22 <br />SIGNATURE PAGE <br />ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UN <br />:HAN(41-11 <br />,�r. _...:. n am mura 8emem umswn <br />REVIEWED & APPROVID BY: <br />Risk Management Specialist <br />RIL 2150 (08108) <br />80851764 1 7/24-25 GL/AuTT0/£XC£SS/WC/PL Blankat £ndts ] Pauline Bingham ] 7/9/2n24 11;19:04 AM IPOT) I Page 5 of 19 <br />Page 1 <br />