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POLICY NUMBER: BA-4X180280-24-42-G <br />EFFECTIVE DATE: 08/12/2024 <br />ISSUE DATE: 12/18/2024 <br />LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br />THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND <br />BY LINE OF BUSINESS <br />IL <br />TO <br />02 <br />11 <br />89 <br />COMMON POLICY DECLARATIONS <br />IL <br />TO <br />07 <br />09 <br />87 <br />CHANGE ENDORSEMENT <br />IL <br />T8 <br />01 <br />01 <br />01 <br />FORMS ENDORSEMENTS AND SCHEDULE NUMBERS <br />IL <br />TO <br />01 <br />01 <br />07 <br />COMMON POLICY CONDITIONS <br />COMMERCIAL AUTO <br />CA <br />TO <br />01 <br />02 <br />15 <br />BA- COVERAGE PART DECS (ITEMS 1 & 2) <br />CA <br />TO <br />02 <br />02 <br />15 <br />BUSINESS AUTO COVERAGE PART DECLARATIONS (ITEM 3) <br />CA <br />TO <br />03 <br />02 <br />15 <br />BUS AUTO COV PART DECLARATIONS-4&5 <br />CA <br />TO <br />30 <br />02 <br />16 <br />BUSINESS AUTO/MC COV PART -UM SUPPL SCHD <br />CA <br />TO <br />31 <br />02 <br />15 <br />TABLE OF CONTENTS -BUSINESS AUTO COV FORM <br />CA <br />00 <br />01 <br />10 <br />13 <br />BUSINESS AUTO COVERAGE FORM <br />CA <br />01 <br />43 <br />05 <br />17 <br />CALIFORNIA CHANGES <br />CA <br />03 <br />05 <br />10 <br />13 <br />CALIFORNIA CHANGES - WAIVER OF COLLISION DEDUCTIBLE <br />CA <br />04 <br />24 <br />10 <br />13 <br />California Auto Medical Payments Coverage <br />CA <br />04 <br />44 <br />10 <br />13 <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST <br />OTHERS TO US (WAIVER OF SUBROGATION) <br />CA <br />20 <br />54 <br />10 <br />13 <br />EMPLOYEE HIRED AUTOS <br />CA <br />21 <br />54 <br />11 <br />16 <br />CA UM MOTORISTS COVERAGE - BODILY INJURY <br />CA <br />F1 <br />26 <br />02 <br />15 <br />CALIFORNIA AUTO ENDORSEMENT <br />CA <br />T4 <br />42 <br />02 <br />16 <br />ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH <br />OTHER INSURANCE <br />CA <br />T4 <br />52 <br />02 <br />16 <br />SHORT TERM HIRED AUTO - ADDITIONAL INSURED AND LOSS <br />PAYEE <br />CA <br />T4 <br />59 <br />02 <br />15 <br />AMENDMENT OF EMPLOYEE DEFINITION <br />CA <br />T6 <br />25 <br />07 <br />18 <br />ROADSIDE ASSISTANCE COVERAGE <br />CA <br />04 <br />25 <br />10 <br />13 <br />CALIFORNIA INDIVIDUAL NAMED INSURED <br />INTERLINE <br />IL <br />02 <br />70 <br />07 <br />20 <br />CALIFORNIA CHANGES - CANCELLATION AND NONRENEWAL <br />IL <br />T4 <br />00 <br />05 <br />19 <br />DESIG PERSON, ORG-NOTICE PROVIDED BY US <br />IL <br />T4 <br />12 <br />03 <br />15 <br />AMNDT COMMON POLICY COND-PROHIBITED COVG <br />IL <br />00 <br />21 <br />09 <br />08 <br />NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD <br />FORM) <br />IL T8 01 01 01 PAGE s 1 OF 1 <br />