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POLICY NUMBER - INSURED NAME AND ADDRESS - -- <br />B 4025961553 CARD METER SYSTEMS, INC. <br />5325 EAST ELENA AVENUE <br />MESA, AZ 85206 <br />FORMS AND ENDORSEMENTS SCHEDULE <br />COMMERCIAL PROPERTY <br />FORM NUMBER FORM TITLE <br />SB1470843 07/2009 Fungi, Wet Rot, Dry Rot and Microbe Exclusion <br />SB300129B 01/2008 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 />SB300456A 07/2007 Concurrent Causation, Earth Movmnt, Water Excl Chg <br />SB300596A 01/2008 Identity Theft/Recovery Services Endorsement <br />COMMERCIAL GENERAL LIABILITY <br />FORM NUMBER <br />FORM TITLE <br />SE146932D <br />07/2009 <br />Blanket Additional Insured - Liability Extension <br />SB147079A <br />01/2006 <br />War Liability Exclusion <br />SB147080A <br />01/2006 <br />Exclusion - Silica <br />SB147081A <br />O1/2006 <br />Exclusion - Respirable Dust <br />SB147083B <br />07/2009 <br />Fungi/Mold/Mildew/Yeast/Microbe Exclusion <br />SB147089A <br />O1/2006 <br />Employment - Related Practices Exclusion <br />SB300000C <br />04/2010 <br />Businessowners Liability Coverage Form <br />SB300113B <br />O1/2007 <br />Additional Insured - Designated Person <br />SB300441A <br />O1/2007 <br />Fiduciary Liability Coverage Form <br />SB300449A <br />O1/2007 <br />Single Limit of Insurance Endorsement <br />SB3004SOA <br />O1/2007 <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 />S3300144C O1./2008 Offer of Terrorism Coverage Notice <br />SB300999A 04/2010 Businessowners GI, Cov Form Policyholder Notice <br />Chairman of Poo Board <br />SB-146895-A (Ed. 01/06) <br />Countersignature <br />�q <br />v77, <br />� p9 Secrnlery <br />A <br />AGENT OSAn <br />S 014CK ge 8 of <br />gssistarit cm pttor <br />9-/1- <br />