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FORMS SCHEDULE <br />Named Insured: FGP-02X HOLDING LLC <br />Policy Number: 1070632 <br />Effective 12:01 AM: September 19, 2024 <br />End't. No. Form Name <br />Form Number/ <br />Edition Date <br />Declarations -Healthcare PL & GL <br />113391 <br />Healthcare GL-CM Coverage Part <br />113393 <br />Addendum to Declarations Signature Page <br />109395 <br />Healthcare PL & GL - Policy Provisions & Condition <br />113397 <br />Healthcare PL-CM Coverage Part <br />113395 <br />1 <br />Conditional Total Terrorism Exclusion <br />117398 <br />2 <br />Violation of Communication or Information Law Excl <br />123161 <br />3 <br />HC PL & GL Primary LMA Access or Disclosure of Con <br />135785 <br />4 <br />Risk Management Services <br />141640 <br />5 <br />Defense Inside Limits Endorsement (Primary) <br />113915 <br />6 <br />Hired and Non -Owned Auto Liability Endorsement <br />115459 <br />7 <br />Overall PL and GL Aggregate Limit Endorsement <br />113781 <br />8 <br />Schedule of Named Insureds <br />113941 <br />9 <br />Independent Contractors as Insureds Endorsement <br />MNSCPT <br />10 <br />Employee Benefits Liability Endorsement (for HGL) <br />113776 <br />11 <br />Sexual Misconduct Endorsement (CM GL) (Perp) <br />113954 <br />12 <br />Sexual Misconduct Endorsement (CM PL) (Perp) <br />113956 <br />13 <br />Additional Insured Endt-Lessors of Premises/Equip <br />113779 <br />14 <br />Sch Physicians and/or Other Healthcare Providers <br />113943 <br />15 <br />Ltd Advice of Cancellation to Scheduled Entities <br />115713 <br />16 <br />ADDITIONAL INSURED ENDORSEMENT <br />MNSCPT <br />(01 /13) <br />(01 /13) <br />(04/16) <br />(08/13) <br />(01 /13) <br />(02/14) <br />(08/16) <br />(01/20) <br />(06/21) <br />(05/13) <br />(06/13) <br />(05/14) <br />(06/15) <br />(10/22) <br />(03/13) <br />(10/19) <br />(10/19) <br />(03/13) <br />(05/13) <br />(07/13) <br />(08/24) <br />CIFMSC <br />C10226 <br />