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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 />General Liability <br />Form # <br />Edition Title <br />UABLD10OBCW <br />0119 <br />Commercial General Liability Coverage Part Declarations <br />UGU619ACW <br />1002 <br />Schedule of Forms and Endorsements <br />UABI110ACW <br />1020 <br />Schedule of Events <br />CG0001 <br />0413 <br />Commercial General Liability Coverage Form <br />CG2011 <br />1219 <br />Additional Insured - Managers of Lessors of Premises <br />CG2012 <br />1219 <br />Additional Insured - State or Governmental Agency or Subdivision or Political <br />Subdivision - Permits or Authorizations <br />CG2026 <br />1219 <br />Additional Insured - Designated Person or Organization <br />CG2028 <br />1219 <br />Additional Insured - Lessor of leased equipment <br />CG2404 <br />1219 <br />Waiver of Transfer of Rights of Recovery Against Others to Us <br />U-GL-1327-BCW <br />0413 <br />Other Insurance Amendment - Primary And Non- Contributory <br />UABL128ACW <br />0117 <br />Additional Insured - Owners Or Lessees Scheduled Person Or Organization <br />Primary and Noncontributory Coverage <br />UABL121 ACW <br />0117 <br />Limited Stationary Aircraft Coverage <br />CG2106 <br />0514 <br />Exclusion - Access or Disclosure of Confidential or Personal Information and <br />Data -Related Liability - With Limited Bodily Injury Exception <br />U-GL-1 171 -B-CW <br />0719 <br />Fungi Bacteria Exclusion <br />U-GL-1178-A-CW <br />0703 <br />Asbestos Exclusion <br />CG2147 <br />1207 <br />Employment Related Practices Exclusion <br />U-GL-1517-BCW <br />0413 <br />Collection or Distribution of Material or Information in Violation of Law Exclusion <br />UABL131ACW <br />0117 <br />Non -Performing Animal Exclusion <br />UABL102ACW <br />0117 <br />Property Damage To Rented Premises Exclusion <br />UABL129ACW <br />0117 <br />Assault And Battery Exclusion <br />UGL1250ACW <br />0905 <br />Abusive Act Liability Exclusion <br />UABL122ACW <br />0117 <br />Newly Acquired Or Formed Entity Exclusion <br />UABL107ACW <br />0117 <br />Exclusion - Insureds Conducting Media, Entertainment, Or Internet Type <br />Operations <br />UABL130ACW <br />0117 <br />Informational Content Exclusion <br />UABL135ACW <br />0117 <br />Media Content Exclusion <br />UABL137ACW <br />0117 <br />Cross Suits Exclusion <br />UABL138ACW <br />0117 <br />Personal And Advertising Injury - Exclusion Of False Arrest, Detention, <br />Imprisonment, Libel, Slander, Right Of Privacy, Advertising Idea, And Copyright, <br />Trademark Or Trade Secret <br />UABL106ACW <br />0117 <br />Unscheduled Production, Presentation Or Event Exclusion <br />UABL103ACW <br />0117 <br />Stunt, Pyrotechnic And Animal Exposure Exclusion <br />UABL148ACW <br />1019 <br />Liquor Liability Exclusion <br />UABL144ACW <br />1019 <br />Event Conditional Exclusion <br />CG2132 <br />0509 <br />Communicable Disease Exclusion <br />UABL146ACW <br />1019 <br />Unscheduled Products Exclusion <br />UABL145ACW <br />1019 <br />Hazardous Activities, Pyrotechnic Activities and Animal Exposure Exclusion <br />UABL147ACW <br />1019 <br />Loss Arising Out of Participation in a Sports or Athletic Event, Competition, <br />Contest or Exhibition Exclusion <br />UABL143ACW <br />1019 <br />Moshing Exclusion <br />UABL150ACW <br />1019 <br />Camping Conditional Exclusion <br />UABL119AMI <br />0117 <br />Minimum Earned Premium Endorsement - Michigan <br />CGO168 <br />1120 <br />Michigan Changes <br />IL0021 <br />0908 <br />Nuclear Energy Liability Exclusion Endorsement (Broad Form) <br />UABL105ACW <br />0117 <br />Commercial General Liability Changes <br />U-GU-767-BCW <br />0115 <br />Cap on Losses From Certified Acts of Terrorism <br />RAMuaigmadDlMsian <br />E <br />REVIEWED & APPROVED BY: <br />e Aeevaa <br />'�--'Rfsk Management Specialist <br />