Laserfiche WebLink
A, SCOTTSDALE INSURANCE COMPANY= <br />SCHEDULE OF FORMSAND ENDORSEMENTS <br />Policy No. CPS2561230 Effective Date: 11/26/2016 <br />12:01 A.M., Standard Time <br />Named Insured HIBA SHUBLAK DBA: ACTIVE LEARNING Agent No. 04068 <br />COMMON FORMS <br />UTS-COVPG <br />1-16 <br />Cover Page <br />OPS-D-1 <br />8-10 <br />Common Policy Declarations <br />UTS-SP-2 <br />12-95 <br />Schedule Of Forms and Endorsements <br />UTS-SP-3 <br />8-96 <br />Locations Schedule <br />GENERAL LIABILITY <br />FORMS <br />CLS-SD-IL <br />8-01 <br />GL Supplemental Dec <br />CLS-SP-IL <br />10-93 <br />GL Ext Supplemental Dec <br />CG 00 01 <br />4-13 <br />General Liab Coverage <br />CG 20 02 <br />11-85 <br />Al -Club Members <br />CG 21 73 <br />1-15 <br />Exclusion -Certified Acts Of Terrorism <br />CG 24 26 <br />4-13 <br />Amend Of Insured Contract Definition <br />GLS-44s <br />9-10 <br />Sexual -Physical Abuse Liab Cov <br />GLS-150s <br />7-06 <br />Blanket Additional Insured Endt ✓ <br />GLS-1728 <br />6-14 <br />Errors And Omissions Coverage Part <br />GLS-289s <br />11-07 <br />Known Injury/Dm5 Excl-Personal/Advertise <br />GLS-455s <br />8-14 <br />Marijuana -Cannabis Products Excl <br />UTS-128s <br />8-15 <br />Optional Provisions Endorsement <br />UTS-1909 <br />10-08 <br />Communicable Disease Excl <br />UTS-246s <br />2-15 <br />Amendatory Endorsements -Without Med Pay <br />7JTS-303g <br />1-09 <br />Fungi Or Bacteria Exclusion <br />UTS-365s <br />2-09 <br />Amend Of Nonpayment Cancel Condition <br />STATE FORMS <br />CG 32 34 <br />1-05 <br />CA -Changes <br />UTS-253-CA 1-97 <br />CA -Amendatory Endorsement <br />POLICYHOLDER NOTICES <br />NOTX0178CW <br />2-06 <br />Claim Reporting Information <br />day°. <br />?Qel �� . . <br />s <br />S°\v°� <br />P�OS� <br />ADDITIONAL FORMS <br />Injury <br />Excl <br />UTS-SP-2 (12-95) INSURED ut55p2h. fap <br />