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POLICY NUMBER INSURED NAME AND ADDRESS <br />B 4025961553 CARD METER SYSTEMS, INC. <br />S 3 2 S EAST ELENA AVENUE <br />MESA, AZ BS206 <br />FORMS AND ENDORSEMENTS SCHEDULE <br />COMMERCIAL PROPERTY <br />FORM NUMBER FORM TITLE <br />SB147084B 07/2009 Fungi, Wet Rot, Dry Rot and Microbe Exclusion <br />S13300129B 01/2006 Targeted Hacker Attack <br />SB300139B 01/2008 Protective Safeguards <br />SB300146C 01/2008 Cap on Losses from Certified Acts of Terrorism <br />SB300179D 07/2009 Choice Endorsement <br />S13300456A 07/2007 Concurrent Causation, Earth Movmnt, Water Excl Chg <br />S13300596A 01/2008 =dentity Theft/Recovery Services Endorsement <br />COMMERCIAL GENERAL LIABILITY <br />FORM NUMBER <br />FORM TITLE <br />SS146932D <br />07/2009 <br />Blanket Additional Snsured - Liability Extension <br />SB147079A <br />01/2006 <br />War Liability Exclusion <br />S13147080A <br />01/2006 <br />Exclusion - Silica <br />SB147081A <br />01/2006 <br />Exclusion - Respirable Dust <br />SB147083B <br />07/2009 <br />Fungi/Mold/Mildew/Yeast/Microbe Exclusion <br />SB147089A <br />01/2006 <br />Employment - Related Practices Exclusion <br />S13300000C <br />04/2010 <br />Businessowners Liability Coverage Form <br />S1330011313 <br />01/2007 <br />Additional Insured - Designated Person <br />SB300441A <br />01/2007 <br />Fiduciary Liability Coverage Form <br />SB300449A <br />01/2007 <br />Single Limit of Insurance Endorsement <br />SB300450A <br />01/2007 <br />Employment Practices Liability Coverage Form <br />SB300849A <br />07/2009 <br />Recd and Distribution of Material or information <br />— PLEASE READ THE ENCLOSED IMPORTANT NOTICES CONCERNING YOUR POLICY — <br />FORM NUMBER FORM TITLE <br />SB146959G 02/2010 Policyholders Jurisdictional Inspection <br />SS300144C 01/2008 Offer of Terrorism Coverage Notice <br />S13300999A 04/2010 Businessowners GL Cov Form Policyholder Notice <br />Countersignature <br />1 `�d�y�d � Cl seereta��_ <br />Chairman of the Board <br />SIB-146895-A (Ed. 01/06) AGENT Page 8 of <br />