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Palomar <br />FORMS AND ENDORSEMENTS <br />Named Insured: Ron Shashua - BNS Construction <br />Policy Number: CPBRP-25-1249522-00 <br />Effective Date:06/01/2025 <br />The following policy forms and endorsements have been attached to and made a part of the policy. <br />FORM NAME FORM NUMBER <br />COMMERCIAL INLAND MARINE AND BUILDERS RISK DECLARATIONS <br />PLMR DEC -BR 04 20 <br />COMMERCIAL INLAND MARINE CONDITIONS <br />CM 00 01 09 04 <br />COMMON POLICY CONDITIONS <br />IL 00 0101 07 <br />BUILDERS RISK COVERAGE FORM <br />PLMR BR 000103 20 <br />NON -RENEWAL ENDORSEMENT <br />PLMR BR 0010 04 20 <br />CALIFORNIA CHANGES <br />IL 01 04 09 07 <br />CALIFORNIA CHANGES - ACTUAL CASH VALUE <br />IL 01 02 02 20 <br />CALIFORNIA CHANGES - CANCELLATION AND NONRENEWAL <br />IL 02 70 12 19 <br />EXCLUSION OF CERTAIN COMPUTER -RELATED LOSSES <br />IL 09 35 07 02 <br />DISCLOSURE PURSUANT TO TERRORISM INSURANCE ACT <br />IL 09 85 12 20 <br />CAP ON LOSSES FROM TERRORISM <br />IL 09 52 01 15 <br />IM SIGNATURE PAGE <br />SIG 04 20 <br />IM OFAC <br />OFAC 04 20 <br />IM CLAIMS <br />IM-CLAIMS 08 22 <br />PLMR DEC -BR V20_4 <br />Page 13 <br />