Laserfiche WebLink
DocuSign Envelope ID: 111C4FE8- F974.4B16- BC9A- 67E51D5FD6C4 <br />POLICY NUMBER: 680- 5F243125 -15 -42 <br />EFFECTIVE DATE: 01/01/2015 <br />ISSUE DATE: 01/23/2015 <br />LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br />THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS <br />BY LINE OF BUSINESS <br />* IL <br />TO <br />07 <br />09 <br />87 <br />CHANGE ENDORSEMENT <br />IL <br />TO <br />19 <br />02 <br />05 <br />COMMON POLICY DECLARATIONS <br />MP <br />TO <br />01 <br />02 <br />05 <br />BUSINESSOWNERS COVERAGE PART DECLARATIO <br />* IL <br />T8 <br />01 <br />01 <br />01 <br />FORMS ENDORSEMENTS AND SCHEDULE NUMBERS <br />IL <br />T3 <br />15 <br />09 <br />07 <br />COMMON POLICY CONDITIONS <br />BUSINESSOWNERS <br />MP TI 30 02 05 <br />MP T1 02 02 05 <br />MP T1 05 02 05 <br />MP T5 22 08 07 <br />MP T3 07 03 97 <br />MP T3 25 01 08 <br />MP T3 50 11 06 <br />MP T3 56 02 08 <br />MP T9 70 03 06 <br />MP T4 90 05 10 <br />MP T5 08 01 06 <br />TABLE OF CONTENTS - BUSINESSOWNERS COVERAGE PART - <br />DELUXE PLAN <br />BUSINESSOWNERS PROPERTY COVERAGE SPECIAL FORM <br />AMENDATORY PROVISIONS - OFFICES <br />CALIFORNIA AMENDATORY PROVISIONS <br />PROTECTIVE SAFEGUARDS ENDORSEMENT FOR SPRINKLERED <br />LOCATIONS AND RESTAURANTS <br />TERRORISM RISK INSURANCE ACT OF 2002 DISCLOSURE <br />EQUIPMENT BREAKDOWN - SERVICE INTERRUPTION LIMITATION <br />AMENDATORY PROVISIONS - GREEN BUILDING AND BUSINESS <br />PERSONAL PROP COV ENHANCEMENTS <br />POWER PAC ENDORSEMENT <br />LIMIT OF INS /OCCURRENCE ENDT - CALIFORNIA <br />CALIFORNIA CHANGES - REPLACEMENT COST1 <br />COMMERCIAL GENERAL LIABILITY <br />CG <br />TO <br />34 <br />11 <br />03 <br />TABLE OF CONTENTS - COMMERCIAL GENERAL LIABILITY <br />COVERAGE FORM CG 00 01 10 01 <br />CG <br />00 <br />01 <br />10 <br />01 <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />CG <br />21 <br />70 <br />01 <br />08 <br />CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM <br />CG <br />D2 <br />55 <br />11 <br />03 <br />AMENDMENT OF COVERAGE - POLLUTION <br />CG <br />D3 <br />09 <br />11 <br />03 <br />AMENDATORY ENDR- PRODUCTS- COMPLETED OPERATIONS HAZARD <br />CG <br />D4 <br />71 <br />02 <br />09 <br />AMENDMENT OF COVERAGE B - PERSONAL AND ADVERTISING <br />INJURY LIABILITY <br />CG <br />DO <br />37 <br />04 <br />05 <br />OTHER INSURANCE - ADDITIONAL INSUREDS <br />* CG <br />D1 <br />05 <br />04 <br />94 <br />BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS <br />CG <br />D1 <br />86 <br />11 <br />03 <br />XTEND ENDORSEMENT <br />CG <br />D2 <br />03 <br />12 <br />97 <br />AMEND - NON CUMULATION OF EACH OCC <br />CG <br />D4 <br />13 <br />04 <br />08 <br />AMEND COVG - POLLUTION -EQUIP EXCEPTION <br />MP <br />T1 <br />25 <br />11 <br />03 <br />HIRED AUTO AND NON -OWNED AUTO LIABILITY <br />CG <br />D2 <br />56 <br />11 <br />03 <br />AMENDMENT OF COVERAGE - PROPERTY DAMAGE <br />CG <br />D2 <br />88 <br />11 <br />03 <br />EMPLOYMENT- RELATED PRACTICES EXCLUSION <br />* TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. <br />IL T8 01 01 01 PAGE: 1 OF 2 <br />