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SPECTRUM POLICY DECLARATIONS (Continued) <br />POLICY NUMBER: 57 SSA BE3452 <br />Form Numbers of Forms and Endorsements that apply: � <br />SS <br />00 <br />01 <br />03 <br />14 <br />SS 00 OS <br />10 08 <br />SS 00 <br />07 <br />07 <br />OS <br />SS <br />00 <br />08 <br />04 <br />OS <br />SS <br />00 <br />45 <br />12 <br />06 <br />SS 00 60 <br />09 15 <br />SS 00 <br />61 <br />09 <br />15 <br />S <br />64 <br />SS <br />84 <br />01 <br />09 <br />07 <br />SS 01 21 <br />03 17 <br />SS 42 <br />06 <br />03 <br />17 <br />SS <br />04 <br />08 <br />09 <br />07 <br />SS <br />04 <br />19 <br />04 <br />09 <br />SS 04 22 <br />07 05 <br />SS 04 <br />30 <br />07 <br />05 <br />SS <br />04 <br />39 <br />07 <br />05 <br />SS <br />04 <br />41 <br />03 <br />18 <br />SS 04 42 <br />03 17 <br />SS 04 <br />44 <br />07 <br />05 <br />SS <br />04 <br />45 <br />07 <br />05 <br />SS <br />04 <br />46 <br />09 <br />14 <br />SS 04 47 <br />04 09 <br />SS 04 <br />80 <br />03 <br />00 <br />SS <br />04 <br />86 <br />03 <br />00 <br />SS <br />40 <br />18 <br />07 <br />05 <br />SS 40 26 <br />03 17 <br />SS 40 <br />56 <br />04 <br />05 <br />SS <br />40 <br />93 <br />07 <br />05 <br />SS <br />41 <br />12 <br />12 <br />17 <br />SS 41 51 <br />10 09 <br />SS 41 <br />63 <br />06 <br />11 <br />IH <br />10 <br />01 <br />09 <br />86 <br />SS <br />05 <br />21 <br />04 <br />05 <br />SS 05 47 <br />09 15 <br />SS 50 <br />57 <br />04 <br />05 <br />SS <br />51 <br />11 <br />03 <br />17 <br />SS <br />05 <br />71 <br />04, <br />05 <br />SS 12 15 <br />03 00 <br />SS 50 <br />19 <br />01 <br />15 <br />IH <br />99 <br />40 <br />04 <br />09 <br />IH <br />99 <br />41 <br />04 <br />09 <br />SS 83 76 <br />01 15 <br />SS 89 <br />93 <br />07 <br />16 <br />SS <br />12 <br />23 <br />06 <br />11 <br />IH <br />12 <br />00 <br />11 <br />85 <br />ADDITIONAL <br />INSURED <br />- VENDOR <br />IH <br />12 <br />00 <br />11 <br />85 <br />SCHEDULED <br />PROPERTY <br />SCHEDULE <br />IH <br />12 <br />00 <br />11 <br />85 <br />ADDITIONAL <br />INSURED <br />- PERSON -ORGANIZATION <br />IH <br />12 <br />00 <br />11 <br />85 <br />ENDORSEMENT #006 EFFECTIVE <br />DATE <br />IS 4/05/14 <br />IH <br />12 <br />00 <br />11 <br />85 <br />ADDITIONAL <br />INSURED <br />- STATE/POLITICAL <br />SUBDIVISION <br />IH <br />12 <br />00 <br />11 <br />85 <br />WAIVER OF <br />SUBROGATION <br />Form SS 00 02 12 06 Page 006 <br />Process Date: 10/24/18 Policy Expiration Date: 01/09/20 <br />