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Master Policy Number 103 GL 0212472 01 <br /> Member Endorsement Number 24012363 <br /> Date 10/15/2024 <br /> Authorized 941744 F_ <br /> Type of Insurance Commercial General Liability Occurrence Form <br /> Forms and Endorsements: <br /> Number Title <br /> CAPRNOTICE-0911 California Notice-Premium Refunds <br /> D2-0120 Important Notice(CA) <br /> ILP001-0104 US Treasury Departments Office of Foreign Assets Control("OFAC")Advisory Notice <br /> PRIVACYNOTICE-0820 Notice of Insurance Information Practices <br /> U094-0415 Service of Suit <br /> SIGCIC-0817 Signature Page <br /> DCJ6550-0117 Common Policy Declarations <br /> 0001-1004 Schedule of Forms and Endorsements <br /> DCJ6553-0702 Commercial General Liability Coverage Part Declarations <br /> U411-0615 Liquor Liability Coverage Supplemental Declarations <br /> CG0001-0413 Commercial General Liability Coverage Form <br /> CG0033-0413 Liquor Liability Coverage Form <br /> CG2412-1185 Boats <br /> UCG2175-0115 Certified Acts of Terrorism and Other Acts of Terrorism Exclusion <br /> CG2001-0413 Primary and Noncontributory-Other insurance Condition <br /> CG2010-0413 Additional Insured-Owners,Lessees or Contractors-Scheduled Person or Organization <br /> CG2037-0413 Additional Insured-Owners, Lessees or Contractors-Completed Operations <br /> CG2109-0615 Exclusion-Unmanned Aircraft <br /> CG2116-0413 Exclusion-Designated Professional Services <br /> CG2149-0999 Total Pollution Exclusion Endorsement <br /> CG2153-0196 Exclusion-Designated Ongoing Operations <br /> CG2167-1204 Fungi or Bacteria Exclusion <br /> CG2196-0305 Silica or Silica-Related Dust Exclusion <br /> CG2244-0413 Exclusion-Services Furnished by Health Care Providers <br /> CG2404-0509 Waiver of Transfer of Rights of Recovery Against Others to Us <br /> IL0021-0908 Nuclear Energy Liability Exclusion Endorsement(Broad Form) <br /> T1007-0507 Exclusion-Concert Liability <br /> T1065-0408 Common Policy Conditions <br /> T1523-0111 Separation of Insureds-Insured Members and Reporting Endorsement <br /> T1944-0112 Additional Insured-Volunteers <br /> T4326-0113 Conditional Liquor Liability Endorsement <br /> T5152-0117 Exclusion-Designated Operations <br /> T5153-0117 Exclusion-Rides <br /> T5380-0817 Additional Insured-State or Governmental Agency or Subdivision or Political Subdivision-Permits or <br /> Authorizations <br /> T5407-0118 Limits of Insurance-Designated Project or Premises <br /> T5408-0118 Cross Suits Exclusion <br /> T5409-0118 Additional Insured-Designated Person or Organization <br /> (LIST CONTINUED ON FOLLOWING PAGE) <br /> APPROVED <br /> By Cynthia Mora at 12:00 pm, Oct 30, 2024 <br />