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y� Palomar <br /> FORMS AND ENDORSEMENTS <br /> Named lnsured: 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 PLMR DEC-BR 04 20 <br /> COMMERCIAL INLAND MARINE CONDITIONS CM 00 01 09 04 <br /> COMMON POLICY CONDITIONS IL 00 01 01 07 <br /> BUILDERS RISK COVERAGE FORM PLMR BR 0001 03 20 <br /> NON-RENEWAL ENDORSEMENT PLMR BR 0010 04 20 <br /> CALIFORNIA CHANGES IL 01 04 09 07 <br /> CALIFORNIA CHANGES-ACTUAL CASH VALUE IL 01 02 02 20 <br /> CALIFORNIA CHANGES -CANCELLATION AND NONRENEWAL IL 02 70 12 19 <br /> EXCLUSION OF CERTAIN COMPUTER-RELATED LOSSES IL 09 35 07 02 <br /> DISCLOSURE PURSUANT TO TERRORISM INSURANCE ACT IL 09 85 12 20 <br /> CAP ON LOSSES FROM TERRORISM IL 09 52 01 15 <br /> IM SIGNATURE PAGE SIG 04 20 <br /> IM OFAC OFAC 04 20 <br /> IM CLAIMS IM-CLAIMS 08 22 <br /> PLMR DEC-BR V20_4 <br /> Page 3 <br />