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~~ SCOTTSDALE INSURANCE COMPANY`" <br />SCHEDULE OF FORMS AND ENDORSEMENTS <br />Policy No. ____ cLS1365346 Effective Date: 12/28/2007 <br />12:01 A.M., Standard Time <br />-- Named Insured MATTIE D WHITE Agent NO. 040AG <br />J <br />J <br />.) <br />J <br />J <br />J <br />1 <br />COMMON FORMS <br />UTS-COVPG 9-07 Cover Page <br />OPS-D-1 12-00 Common Policy Declarations <br />UTS-SP-2 12-95 Schedule Of Forms and Endorsements <br />UTS-3g 3 -92 Change Endt <br />GENERAL L IABILITY FORMS <br />CLS-SD-1L 8-01 GL Supplemental Dec <br />CLS-SP-1L 10-93 GL Ext Supplemental Dec <br />CG 00 O1 12-07 General Liab Cov <br />CG 00 67 3-OS Excl-Violation Of Statutes Governing Information I <br />CG 21 75 12-02 Excl Cert Acts-Other Terrorism <br />CG 24 26 7-04 Amend Of Insured Contract Definition <br />GLS-44s 12-04 Sexual-Physical Abuse Liab Cov <br />GLS-45s 8-04 Sexual-Physical Abuse Excl <br />GLS-172s 2-07 Errors & Omissions Cov Part <br />GLS-232s 6-01 Limited Animal Exclusion <br />UTS-128s 2-02 Optional Provisions Endt <br />UTS-2.46s 9-OS Amend Endts No Med Pay Excl <br />UTS-301q 11-OS Earth Or Land Movement Excl <br />UTS-3038 11-02 Funggi Or Bacteria Exclusion <br />UTS-307g 1-03 Excl-Cert/Other Act Of Terrorism <br />STATE FOR MS <br />CG 32 34 1-OS CA-Changes <br />UTS-253-CA 1-97 CA-Amendatory Endorsement <br />ADDITIONAL FORMS <br />-- UTS-SP-2 (12-95) <br />INSURED <br />utssp2n.fap <br />