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S9 * 04/11/2022 * GLP 3961460 01 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />CG 21 01 Exclusion —Athletic Or Sports Participants......................................................................................14 <br />CG 22 71 Colleges Or Schools (Limited Form).............................................................................................14 <br />CG22 72 Colleges Or Schools............................................................................................................... <br />_ A 4 <br />CG 2137 Exclusion — Employees And Volunteer Workers As Insureds ...... ......................................................... <br />15 <br />CG 2166 Exclusion —Volunteer Workers.....................................................................................................15 <br />CG2141 Exclusion — Intercompany Products Suits ..................... .................................................................15 <br />CG 22 65 Optical And Hearing Aid Establishments..................................................................... <br />_..................15 <br />CG 2404 Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation)........................15 <br />CG 24 53 Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) — <br />Automatic.............................................................................................................................................15 <br />CG9909 Premium Audit Noncompliance Charge...........................................................................................15 <br />RiIm s...dD t <br />RBntwm6/V ffr. <br />�0S <br />© Includes copyrighted material of Insurance Services Office, Inc., wi <br />ON <br />-aw- <br />SDM-1040 (Ed. 12119) (Page 4 of 15) <br />Rsk 9e t0muMA t <br />