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SPECTRUM POLICY DECLARATIONS (Continued) <br /> POLICY NUMBER: 20 SBM BA6984 <br /> Form Numbers of Forms and Endorsements that apply: <br /> SS 00 01 03 14 SS 00 05 10 08 SS 00 08 04 05 SS 00 45 12 06 <br /> SS 00 60 09 15 SS 00 64 09 16 SS 01 21 02 20 SS 42 06 03 17 <br /> SS 04 38 09 09 SS 41 63 06 11 SS 05 09 07 00 SS 05 47 09 15 <br /> G-4190-0 IH 12 05 ❑2 21 SS 12 15 03 00 SS 50 19 01 15 <br /> IH 99 40 04 09 IH 99 41 04 09 SS 83 76 01 15 SS 89 93 07 16 <br /> SS 12 23 06 11 <br /> IH 12 00 11 85 ADDITIONAL INSURED - PERSON-ORGANIZATION <br /> IH 12 00 11 85 ADDITIONAL INSURED - STATE/POLITICAL SUBDIVISION <br /> IH 12 00 11 85 WAIVER OF SUBROGATION <br /> IH 12 00 11 85 SS122000810 NOTICE OF CANCELLATION OR NON-RENEWAL <br /> TO DESIGNA'T'ED PERSON(S) OR ORGANIZATIONS) OTHER <br /> THAN THE NAMED INSURED <br /> IH 12 00 11 85 30 DAY NOTICE OF CANCELLATION <br /> IH 12 00 11 B5 ADDITIONAL INSURED - OWNER., LESSEES OR CONTRACTOR <br /> ONGOING OPERATIONS SS4170 <br /> IH 12 00 11 85 ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR <br /> COMPLETED OPERATIONS SS4171 <br /> i <br /> I <br /> i <br /> Form SS 00 02 12 06 Page 006 <br /> Process Date: 05/16/24 Policy Expiration Date: 08/02/25 <br />