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IcLiability Insurance <br />ct�ues <br />Schedule of Forms <br />Policy Period OCTOBER 1, 2013 TO OCTOBER 1, 2014 <br />Effective Date OCTOBER 1, 2013 <br />Policy Number 3529 -32-50 PLE <br />Insured RICHARDS WATSON & GERSHON <br />Name of Company VIGILANT INSURANCE COMPANY <br />Date Issued OCTOBER 24, 2013 <br />T y�y .:�,u\\\ \ \V•: AW(J . i \ \� ✓i. � . :. / / / / / /FMY //Ai:A:. �:R \ \\ i... /.V/.�MO" ✓ / / /J.tt�Yi n \s�W.:!. /.h\\U:4\ <br />The following is a schedule of forms issued as of the date shown above: <br />Form Number <br />Edition <br />Date <br />Form Name <br />Effective <br />Date <br />Date <br />Issued <br />80 -02 -2367 <br />8 -04 <br />ADDL INS - SCHEDULED PERSON OR ORGANIZATION <br />10/01/13 <br />10/24/13 <br />80 -02 -6403 <br />12 -07 <br />CAP ON CERTIIIED TERRORISM LOSSES <br />10/01/13 <br />10/11/13 <br />80 -02 -2000 <br />4 -01 <br />GENERAL LIABILITY <br />10/01/13 <br />10/11/13 <br />80 -02 -2012 <br />6 -98 <br />EMPLOYEE BENEFPIS ERRORS OR OMISSIONS <br />1.0 /01/13 <br />10/11/13 <br />80 -02 -2319 <br />4 -01 <br />AGGREGATE LIMITS OF INSURANCE PER LOCATION <br />10/01/13 <br />10/11/13 <br />80 -02 -2328 <br />4 -01 <br />CUMIS - CALIFORNIA <br />10/01/13 <br />10/11/13 <br />80 -02 -2362 <br />4 -01 <br />CONDITION- WAIVER OF TRANS./RIGHTS OF RECOVERY <br />10 /01/1.3 <br />10/11/13 <br />80 -02 -2373 <br />4 -94 <br />CONTINUAT'I'ON OF 80 -02 -2362 <br />10/01/13 <br />10/11/13 <br />80 -02 -2423 <br />4 -05 <br />EXCL LF INSDS OR AFFILIATES /LEGAL PROF SERV <br />10/01/13 <br />10/11/13 <br />80 -02 -2651 <br />4 -01 <br />CUMIS - CALIFORNIA <br />10/01/13 <br />1.0/11/13 <br />80 -02 -2653 <br />4 -01 <br />OTHER INSURANCE - PRIMARY ADDT, INSURED <br />10/01/13 <br />10/11/13 <br />80 -02 -2668 <br />8 -01 <br />EXCL, BIOLOGICAL AGENTS, TOTAL <br />10/01/13 <br />10/11/13 <br />80 -02 -6528 <br />4 -05 <br />EXCLUSION - INFORMATION DISTRIBUTION LAWS <br />10/01/13 <br />10 /11/13 <br />80 -02 -6541 <br />3 -05 <br />CONDITION - PREMIUM AUDIT <br />10/01/13 <br />10/11/13 <br />80 -02 -6595 <br />5 -06 <br />DEDUCTIBLES <br />10/01/13 <br />10/11/13 <br />last page <br />Form 80 -02 -2999 (ED. 6 -95) Schedule of Forms Page 1 <br />