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SCHEDULE OF FORMS AND ENDORSEMENTS <br /> Forms and Endorsements attached to this Policy: <br /> ENDORSEMENT <br /> FORM NAME FORM NUMBER NUMBER <br /> Cap on Losses from Certified Acts of Terrorism Endorsement(General Liability) 1536-PGX-00-0520 13 <br /> Blanket Hired and Non-Owned Auto Liability Limited Coverage with Sublimits 1545-PGX-00-0121 14 <br /> Endorsement(General Liability) <br /> Blanket Per Location Limits of Liability Endorsement(General Liability) 1557-PGX-00-0121 15 <br /> Evacuation, Disinfection and Public Relations Expenses Endorsement(General 1563-PGX-00-0121 16 <br /> Liability) <br /> 0002-PXX-00-1215 Page 2 of 2 © 2015 MedPro Group. All rights reserved. <br />