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POLICY NUMBER: 680-7R87314A-21-42 <br />EFFECTIVE DATE: 01/31/2021 <br />ISSUE DATE: 09/22/2021 <br />LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br />THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS <br />BY LINE OF BUSINESS <br />* IL <br />TO <br />07 <br />09 <br />87 <br />CHANGE ENDORSEMENT <br />IL <br />TO <br />19 <br />02 <br />05 <br />COMMON POLICY DECLARATIONS <br />MP <br />TO <br />O1 <br />02 <br />05 <br />BUSINESSOWNERS COVERAGE PART DECLARATIONS <br />* IL <br />T8 <br />01 <br />01 <br />01 <br />FORMS ENDORSEMENTS AND SCHEDULE NUMBERS <br />IL <br />T3 <br />15 <br />09 <br />07 <br />COMMON POLICY CONDITIONS <br />BUSINESSOWNERS <br />MP <br />T1 <br />30 <br />02 <br />05 <br />TABLE OF CONTENTS - BUSINESSOWNERS COVERAGE PART - <br />DELUXE PLAN <br />MP <br />T1 <br />02 <br />02 <br />05 <br />BUSINESSOWNERS PROPERTY COVERAGE SPECIAL FORM <br />MP <br />T1 <br />05 <br />02 <br />05 <br />AMENDATORY PROVISIONS - OFFICES <br />MP <br />T5 <br />22 <br />08 <br />07 <br />CALIFORNIA AMENDATORY PROVISIONS <br />MP <br />T3 <br />25 <br />01 <br />21 <br />FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE <br />MP <br />T3 <br />34 <br />02 <br />05 <br />ELECTRONIC DATA PROCESSING - INCREASED LIMIT <br />MP <br />T3 <br />50 <br />11 <br />06 <br />EQUIPMENT BREAKDOWN - SERVICE INTERRUPTION LIMITATION <br />MP <br />T3 <br />56 <br />02 <br />08 <br />AMENDATORY PROVISIONS - GREEN BUILDING AND BUSINESS <br />PERSONAL PROP COV ENHANCEMENTS <br />MP <br />T4 <br />90 <br />05 <br />10 <br />LIMIT OF INS/OCCURRENCE ENDT - CALIFORNIA <br />MP <br />T5 <br />08 <br />02 <br />20 <br />CALIFORNIA CHANGES <br />COMMERCIAL <br />GENERAL LIABILITY <br />CG <br />TO <br />34 <br />02 <br />19 <br />TABLE OF CONTENTS - COMMERCIAL GENERAL LIABILITY <br />COVERAGE FORM CG T1 00 02 19 <br />CG <br />T1 <br />00 <br />02 <br />19 <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />CG <br />24 <br />04 <br />05 <br />09 <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST <br />OTHERS TO US <br />CG <br />D3 <br />09 <br />02 <br />19 <br />AMENDATORY ENDORSEMENT - PRODUCTS -COMPLETED OPERATIONS <br />HAZARD <br />CG <br />D2 <br />03 <br />12 <br />97 <br />AMEND - NON CUMULATION OF EACH OCC <br />* CG <br />D2 <br />47 <br />04 <br />19 <br />SCHED AI W/COMP OPS IF REQ BY CONTRACT <br />MP <br />T1 <br />25 <br />11 <br />03 <br />HIRED AUTO AND NON -OWNED AUTO LIABILITY <br />CG <br />D4 <br />21 <br />07 <br />08 <br />AMEND CONTRAL LIAB EXCL - EXC TO NAMED INS <br />CG <br />D6 <br />18 <br />10 <br />11 <br />EXCLUSION - VIOLATION OF CONSUMER FINANCIAL PROTECTION <br />LAWS <br />CG <br />D1 <br />42 <br />02 <br />19 <br />EXCLUSION - DISCRIMINATION <br />CG <br />T4 <br />88 <br />11 <br />88 <br />EXCLUSION - TESTING OR CONSULTING ERRORS AND OMISSIONS <br />CG <br />T5 <br />37 <br />09 <br />89 <br />EXCLUSION - COMPUTER SOFTWARE ERRORS AND OMISSIONS <br />MULTIPLE SUBLINE ENDORSEMENTS <br />* TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY <br />IL T8 01 01 01 PAGE: 1 <br />Risk Managtme dDi%isimt <br />RWE DS APPRO MBY: <br />Fnaw,6.r.e �'. VttP�l <br />Risk Management Analyst <br />