SWIFT ENGINEERING INC. 2 - 2014 - Laserfiche WebLink

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Liability Insurance Schedule of Forms Policy Period APRIL 1, 2014 TO APRIL 1, 2015 Effective Date OCTOBER 14, 2014 Policy Number 3600-15-13 NBO Insured SWIFT ENGINEERING INC Name of Company FEDERAL INSURANCE COMPANY Date Issued OCTOBER 29, 2014 The following is a schedule of forms issued as of the date shown above: Form Number Edition Date Form Name Effective Date Date Issued 80-02-2367 8-04 ADDL INS - SCHEDULED PERSON OR ORGANIZATION 10/14/14 10/29/14 80-02-6400 12-07 EXCLUSION OF CERTIFIED ACTS OF TERRORISM 04/01/14 04/23/14 80-02-0010 4-94 LIABILITY DECLARATIONS 10/14/14 10/29/14 80-02-2002 4-01 PREMISES/OPERATIONS 04/01/14 04/23/14 80-02-2012 6-98 EMPLOYEE BENEFITS ERRORS OR OMISSIONS 04/01/14 04/23/14 80-02-2328 4-01 CUMIS-CALIFORNIA 04/01/14 04/23/14 80-02-2651 4-01 CUNES-CALIFORNIA 04/01/14 04/23/14 80-02-2658 4-01 EXCLUSION -PRIVACY 04/01/14 04/23/14 80-02-2672 10-01 EXCL-DAMAGE TO ALIENATED PREMISES/WORK/RECALL 04/01/14 04/23/14 80-02-6428 8-04 EXCLUSION-PROFESSIONALLIABILITY,TOTAL 04/01/14 04/23/14 80-02-6528 1-13 EXCL-INFO LAWS INCL UNAUTHORUNSOLICTCOMMUN 04/01/14 04/23/14 80-02-6541 3-05 CONDITION -PREMIUM AUDIT 04/01/14 04/23/14 80-02-6552 5-05 EXCLASBESTOS,SILICA,SIMCMPDINCL MIXED DUST 04/01/14 04/23/14 80-02-6560 4-04 EXCLUSION -BIOLOGICAL AGENTS, TOTAL 04/01/14 04/23/14 80-02-6563 4-04 EXCLUSION-LEAD,TOTAL 04/01/14 04/23/14 80-02-6595 5-06 DEDUCTIBLES 04/01/14 04/23/14 Deference Copy last page Form 80-02-2999 (ED. 6-95) Schedule of Forms Page 1