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POLICY NUMBER INSURED NAME AND ADDRESS <br />B 4025961553 CARD METER SYSTEMS, INC_ <br />5 3 2 S EAST ELENA AVENUE <br />MESA, AZ SS206 <br />FORMS AND ENDORSEMENTS SCHEDULE <br />COMMERCIAL PROPERTY <br />FORM NUMBER <br />FORM T ITLE <br />S13147084B <br />07/2009 <br />Fungi, Wet Rot, Dry Rot and Microbe Exclusion <br />SB300129B <br />01/2008 <br />Targeted Hacker Attack <br />SB300139B <br />01/2008 <br />Protective Safeguards <br />SB300146C <br />01/2008 <br />Cap on Losses from Certified Acts of Terrorism <br />SB300179D <br />07/2009 <br />Choice Endorsement <br />SB300456A <br />07/2007 <br />Concurrent Causation, Earth Movmnt, Water Excl Chg <br />SB300596A <br />01/2008 <br />Identity Theft/Recovery Services Endorsement <br />COMMERCIAL <br />GENERAL LIABILITY <br />FORM NUMBER <br />FORM TITLE <br />S13146932D <br />07/2009 <br />Blanket Additional Insured - Liability Extension <br />S13147079A <br />01/2006 <br />War Liability Exclusion <br />SB147080A <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 />SS147089A <br />01/2006 <br />Employment - Related Practices Exclusion <br />SB300000C <br />04/2010 <br />Susinessowners Liability Coverage Form <br />SB300113B <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 Tnsurance Endorsement <br />S13300450A <br />01/2007 <br />Employment Practices Liability Coverage Form <br />S13300849A <br />07/2009 <br />Recd and Distribution of Material or information <br />— PLEASE READ THE ENCLOSED IMPORTANT NOTICES CONCERNING YOUR POLICY • w + <br />FORM NUMBER FORM T ITLE <br />S131469S9G 02/2010 Policyholders Jurisdictional Tnspectlon <br />S13300144C 01/2008 Offer of Terrorism Coverage Notice <br />SB300999A 04/2010 Businessowners GL Cov Form Policyholder Notice <br />Countersignature <br />Chairman of the Board <br />SB-14689S-A (Ed_ 01/06) AGENT Page 8 0£ 8 <br />