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A11 anz @ <br /> First Name Insured; Bureau Ueritas Holdings,Inc.,c/o Bureau Veritas Consumer Products Services <br /> Policy Number: USF00248025 <br /> Effective Dat%. January 01,2025 <br /> FORMS AND ENDORSEMENTS LIST <br /> The following p-o'acy forms and endorsements have been ottoched to and made a part ofthe policy at inception. <br /> Architects and Engineers Professional Liability and Contractors Pollution BVNA DECLNY(01 23) <br /> Liability Policy declarations(SVNA Form) 0124 Rev <br /> In Witness Clause Manuscript BVNA 0124 <br /> Forms and Endorsements List AGR-DS1002(11-03) <br /> Policyholder Notice-All States 386b3 5 03 21 01 24 Rev <br /> Imoortant Disclosure Notice of Terrorism Insurance Coverage PHN7157-MU(01/20) <br /> Arch:tectsond Engineers Professional Liability and Contractors Pollution BVNA 001(01-23) <br /> Liability Coverage Form 0124 Rev <br /> New York Amendatory Endorsement BVNA(01/23)0124 Rev i <br /> Restatement of Self-Insured Retention Ersdarsemer,t BVNA!0124 2 <br /> NEIS Amendatory Endorsement BVNA2 0124 3 <br /> Knowledge of Claim or Circumstances Ariended Endorsement BVNA3 0124 4 <br /> Additional Irsured Endorsement-Specific Entities BVNIA4 0124 5 <br /> Cancellation Clause Amended Endorsement(Pro Rota) BVNAS 01 24 6 <br /> Definition Arriended Endorsement(Professional Services) BVNA&0124 7 <br /> Definition Amended Endorsement(Covered Operations) BVNA7 01 24 8 <br /> Advice Of Carcellatan Endorsement BVNA8 01 24 9 <br /> Technology Services Coverage Extension Endorsement EVNAgr 0124 10 <br /> Acquisitions Maraers and Material.Changes Endorsement SVNA10 0124 11 <br /> Unlimited Prior Acts Coverage Erdorsement(Coverage A.2.Contractor's BVNA11 01"24 12 <br /> Pollution Liability) <br /> Amendment of Owned Property Exclusion Endorsement BVNA12 0124 13 <br /> Amendment of Property Damage Exclusion Endorsement BVNA13 0124 14 <br /> Amendment of Disposal Satz Exclusion Endorsem er't SVNA14 01 24 15 <br /> Amendment To Watercraft,Aircraft~Motor Vehicle Or Rolling Stock BVNA18 01 24 16 <br /> Exclusion EndorsemenE(Transportation Coverage) <br /> Errors and Omissions Exclus"on Endorsement BVIVA160124 17 <br /> Definition Amended Endorsement(Clean-Up Costs) SVNA170124 18 <br /> Anti-Stacking Endorsement BVNA1.8 0124 19 <br /> Maximum Limits AopLicable to You Endorsement 3VNA19 01 24 20 <br /> Terrorism Exclusion with CPL Canvehock for Cer-ified Acts of Terrorism Manuscript BVNA 01 24 Rev 21 <br /> Economic or Trade Sanctions Endorsement Manuscript BVNA 0124 Rev 22 <br /> Addit�onaLInsured-DesignatedPersonorOrganiiatan AGRL-PL 4426(01-14) 23 <br /> 0124 Rev <br /> General Chonge Endorsement(Brc-ad Form Named lnsured) AGR-ILMAN(01-2023)0124 24 <br /> Rev <br /> General Change Endorsement(Other Insurance) AGR-IL MAN NY(01-2023) 25 <br /> 0124 Rev <br /> Extended Reporting Period Endorsement BVNA 004(01-23)0124 Rev 26 <br /> AGsR-DS1002(11-03)0124 Rev Page 1 <br />