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Policy NumberFLM1084498-00 <br />SCHEDULE OF FORMS AND ENDORSEMENTS <br />Named Insured: SHOFAR LLC f.s.o. Slum Village Effective Date: 06/18/2022 12:01 A.M., Standard Time <br />Agent Name. Abacus Insurance Brokers, LLC Agent No.49605333 <br />Common Forms <br />Form # <br />Edition Title <br />UGU727ACW <br />0806 <br />Commercial Insurance Policy <br />UGUD310A <br />0193 <br />Common Policy Declarations <br />UGU619ACW <br />1002 <br />Schedule of Forms and Endorsements <br />UGU621ACW <br />1002 <br />Schedule Of Named Insured(s) <br />UGU618ACW <br />1002 <br />Schedule Of Locations <br />IL0017 <br />1198 <br />Common Policy Conditions <br />UABI100ACW <br />0117 <br />Schedule Of Productions <br />UABI101 ACW <br />0117 <br />Definition Of Employee <br />IL0003 <br />0908 <br />Calculation of Premium <br />IL0286 <br />0417 <br />Michigan Changes - Cancellation and Nonrenewal <br />U-GU-630-ECW <br />0120 <br />Disclosure of Important Information Relating to Terrorism Risk Insurance Act <br />RAMuaigmadDlMsian <br />E <br />REVIEWED & APPROVED BY: <br />e Aeevaa <br />'�--'Rfsk Management Specialist <br />