AAIS Commercial Umbrella Liability Program

Size: px
Start display at page:

Download "AAIS Commercial Umbrella Liability Program"

Transcription

1 Policy Forms and Endorsements THIS REFERENCE GUIDE FEATURES FORMS CONTAINED IN THE COMMERCIAL UMBRELLA LIABITY PROGRAM 1.0 AND COMMERCIAL UMBRELLA LIABITY PROGRAM IT IS WOLTERS KLUWER FINANCIAL SERVICES' POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS BY ENTITIES THAT ARE NOT MEMBERS OR SUBSCRIBERS TO THAT RESPECTIVE BUREAU COULD BE A VIOLATION OF THEIR COPYRIGHT. Forms are listed alphabetically by form title. PAGE 1 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

2 COMMERCIAL UMBRELLA LIABITY PROGRAM (A) UM0309 AAIS ADDITIONAL INSURED - COVERAGE U, AL, AR, AZ, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MS, MT, NC, ND, NE, NH, NJ, NM, NV,, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY UM0286 AAIS ADDITIONAL INTEREST - COVERAGE U, AR, HI,, MA, MD, NV, OH, PR, SC, TX, UT,, CU0101 AAIS AMENDATORY ENDORSEMENT - ALABAMA AL CU0201 AAIS AMENDATORY ENDORSEMENT - ALABAMA AL UM0689 AAIS AMENDATORY ENDORSEMENT - ARIZONA AZ CU0103 AAIS AMENDATORY ENDORSEMENT - ARIZONA AZ CU0203 AAIS AMENDATORY ENDORSEMENT - ARIZONA AZ UM0654 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR UM0682 AAIS AMENDATORY ENDORSEMENT - CALIFORNIA CA CU0206 AAIS AMENDATORY ENDORSEMENT - COLORADO CO CU0106 AAIS AMENDATORY ENDORSEMENT - COLORADO CO UM0665 AAIS AMENDATORY ENDORSEMENT - COLORADO CO UM0675 AAIS AMENDATORY ENDORSEMENT - CONNECTICUT CT CU0109 AAIS AMENDATORY ENDORSEMENT - DISTRICT OF COLUMBIA DC CU0209 AAIS AMENDATORY ENDORSEMENT - DISTRICT OF COLUMBIA DC UM0686 AAIS AMENDATORY ENDORSEMENT - DISTRICT OF COLUMBIA DC UM0666 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA UM0695 AAIS AMENDATORY ENDORSEMENT - HAII HI CU0213 AAIS AMENDATORY ENDORSEMENT - IDAHO ID CU0113 AAIS AMENDATORY ENDORSEMENT - IDAHO ID UM0662 AAIS AMENDATORY ENDORSEMENT - INDIANA IN UM0652 AAIS AMENDATORY ENDORSEMENT - IO IA CU0116 AAIS AMENDATORY ENDORSEMENT - IO IA CU0216 AAIS AMENDATORY ENDORSEMENT - IO IA UM0660 AAIS AMENDATORY ENDORSEMENT - KANSAS KS UM0694 AAIS AMENDATORY ENDORSEMENT - MASSACHUSETTS MA UM0667 AAIS AMENDATORY ENDORSEMENT - MICHIGAN MI CU0223 AAIS AMENDATORY ENDORSEMENT - MICHIGAN MI CU0123 AAIS AMENDATORY ENDORSEMENT - MICHIGAN MI UM0680 AAIS AMENDATORY ENDORSEMENT - MISSISSIPPI MS UM0659 AAIS AMENDATORY ENDORSEMENT - MISSOURI MO UM0671 AAIS AMENDATORY ENDORSEMENT - NEBRASKA NE UM0671 AAIS AMENDATORY ENDORSEMENT - NEBRASKA NE UM0688 AAIS AMENDATORY ENDORSEMENT - NEDA NV UM0683 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH CU0131 AAIS AMENDATORY ENDORSEMENT - NEW JERSEY NJ CU0231 AAIS AMENDATORY ENDORSEMENT - NEW JERSEY NJ UM0670 AAIS AMENDATORY ENDORSEMENT - NEW JERSEY NJ UM0677 AAIS AMENDATORY ENDORSEMENT - NEW MEXICO NM UM0673 AAIS AMENDATORY ENDORSEMENT - NEW YORK CU0134 AAIS AMENDATORY ENDORSEMENT - NORTH CAROLINA NC CU0234 AAIS AMENDATORY ENDORSEMENT - NORTH CAROLINA NC UM0672 AAIS AMENDATORY ENDORSEMENT - NORTH CAROLINA NC UM0657 AAIS AMENDATORY ENDORSEMENT - NORTH DOTA ND CU0135 AAIS AMENDATORY ENDORSEMENT - NORTH DOTA ND CU0235 AAIS AMENDATORY ENDORSEMENT - NORTH DOTA ND UM0669 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA OK UM0669 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA OK UM0669 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA OK CU0137 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA OK PAGE 2 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

3 CU0237 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA OK UM0740 AAIS AMENDATORY ENDORSEMENT - SOUTH DOTA SD UM0663 AAIS AMENDATORY ENDORSEMENT - TENNESSEE TN UM0696 AAIS AMENDATORY ENDORSEMENT - TEXAS TX CU0245 AAIS AMENDATORY ENDORSEMENT - TEXAS TX CU0145 AAIS AMENDATORY ENDORSEMENT - TEXAS TX CU0247 AAIS AMENDATORY ENDORSEMENT - VERMONT VT CU0147 AAIS AMENDATORY ENDORSEMENT - VERMONT VT UM0674 AAIS AMENDATORY ENDORSEMENT - VIRGINIA CU0248 AAIS AMENDATORY ENDORSEMENT - VIRGINIA UM0265 AAIS AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER LOCATION) UM0266 AAIS AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER PROJECT), AR, HI,, MA, MD,, AR, HI,, MA, MD, UM0319 AAIS ASBESTOS COVERAGES E AND U, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV,, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY CU0976 AAIS AUTO COVERAGE - INDIVIDUAL NAMED INSURED - COVERAGE L - VIRGINIA (C) UM0765 AAIS CERTIFIED ACT OF UM0765 AAIS CERTIFIED ACT OF AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV,, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY UM0765 AAIS CERTIFIED ACT OF UM0765 AAIS CERTIFIED ACT OF UM0765 AAIS CERTIFIED ACT OF AR,, LA, OK UM0765 AAIS CERTIFIED ACT OF UM0765 AAIS CERTIFIED ACT OF FL, GA, MA, MD, MI, NC, NE, NJ, NV, OH, PR, SC, SD, TX, UM0774 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION UM0774 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION UM0774 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION UM0784 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION (NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) UM0784 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION (NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) UM0784 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID,, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID,, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY PAGE 3 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

4 (NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) UM0755 AAIS CERTIFIED TERRORISM LOSS, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY UM0755 AAIS CERTIFIED TERRORISM LOSS UM0755 AAIS CERTIFIED TERRORISM LOSS AR,, LA, OK UM0755 AAIS CERTIFIED TERRORISM LOSS, AR, GA, HI,, MA, MD, NV,, OH, PR, SC, SD, UT, UM0100 AAIS CHANGE ENDORSEMENT, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV,, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY UM0100 AAIS CHANGE ENDORSEMENT LA, TX UM0100 AAIS CHANGE ENDORSEMENT MI, TX CL0682 AAIS CIV UNIONS AMENDMENT - COLORADO CO CL0462 AAIS CIV UNIONS AMENDMENT - CONNECTICUT CT CL0321 AAIS CIV UNIONS AMENDMENT - NEW JERSEY NJ CL0453 AAIS CIV UNIONS AMENDMENT - VERMONT VT CU0975 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - VIRGINIA CL0665 AAIS COMMERCIAL SPECIAL RISKS NOTICE - RHODE ISLAND RI UM0297 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE ME EXTENDED REPORTING PERIODS COVERAGE E UM0297 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE CT EXTENDED REPORTING PERIODS COVERAGE E UM0297 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE EXTENDED REPORTING PERIODS COVERAGE E UM0296 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE OH EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE CT EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE ME, EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE EXTENDED REPORTING PEROID - COVERAGE E, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY UM0040 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY DECLARATIONS PR UM0041 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY PR SUPPLEMENTAL SCHEDULE OF UNDERLYING INSURANCE UM1785 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1785 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL ME UM1785 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, ND, NE, NH, NJ, NM, NV, OH, PAGE 4 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

5 OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY UM1785 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1785 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1785 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL NC UM1785 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1775 AAIS CONDITIONAL UM1775 AAIS CONDITIONAL ME UM1775 AAIS CONDITIONAL AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY UM1775 AAIS CONDITIONAL UM1775 AAIS CONDITIONAL UM1775 AAIS CONDITIONAL NC UM1775 AAIS CONDITIONAL UM0256 AAIS CONTRACTUAL LIABITY LIMITATION, AR, HI,, MA, MD, ME, MI, MT, NE, NJ, NV, OH, SC, TX, UT,, CU0909 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CO CLAIMS-MADE BASIS - COLORADO CU0917 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - NC CLAIMS-MADE BASIS - NORTH CAROLINA CU0919 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - VT CLAIMS-MADE BASIS - VERMONT CU0920 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - VIRGINIA CU0977 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE SUPPLEMENTAL EXTENDED REPORTING PERIOD - VIRGINIA UM0284 AAIS COVERAGE TERRITORY LIMITATION, AR, HI,, MA, MD, CU0927 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CO CLAIMS-MADE BASIS - COLORADO CU0936 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - MI CLAIMS-MADE BASIS - MICHIGAN CU0949 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - NC CLAIMS-MADE BASIS - NORTH CAROLINA CU0981 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - TX CLAIMS-MADE BASIS - TEXAS CU0954 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - VT CLAIMS-MADE BASIS - VERMONT CU0956 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - VIRGINIA CU0955 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - VT EXTENDED REPORTING PERIOD - VERMONT CU0978 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY EXTENDED REPORTING PERIOD - VIRGINIA CU0957 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY UNLIMITED EXTENDED REPORTING PERIOD - VIRGINIA (D) UM0276 AAIS DIRECTORS AND OFFICERS LIABITY COVERAGE E, AR, HI,, MA, MD, CL0308 AAIS TX PAGE 5 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

6 DISCLOSURE NOTICE NO COVERAGE FOR LIABITY ARISING OUT OF ASBESTOS CL0310 AAIS DISCLOSURE NOTICE NO COVERAGE FOR LIABITY ARISING TX OUT OF SICA CL0105 AAIS DOMESTIC PARTNERSHIP AMENDMENT - OREGON OR (E) CU1110 AAIS ELECTION OF UNINSURED MOTORISTS COVERAGE - VT VERMONT UM0320 AAIS EMPLOYERS LIABITY COVERAGE E UM0280 AAIS TERCRAFT LIABITY COVERAGE E, AR, HI,, MA, MD, NV, OH, SC, UT,, CU0614 AAIS ABUSE OR MOLESTATION - COVERAGES E AND NJ U - NEW JERSEY CU0613 AAIS ABUSE OR MOLESTATION - COVERAGES E AND TX U - TEXAS CU0628 AAIS ABUSE OR MOLESTATION - COVERAGES L AND P NJ - NEW JERSEY CU0627 AAIS ABUSE OR MOLESTATION - COVERAGES L AND P TX - TEXAS UM0269 AAIS ADVERTISING INJURY LIABITY COVERAGES E AND U, AR, HI, MA, MI, MT, NC, NE, NJ, CU0638 AAIS AUTO LIABITY - COVERAGE E - TEXAS TX CU0639 AAIS AUTO LIABITY - COVERAGE L - TEXAS TX UM0251 AAIS AUTO LIABITY COVERAGE E, AR, HI,, MA, MD, UM0810 AAIS COMMUNICABLE DISEASE - COVERAGES E AND, SC U UM0810 AAIS COMMUNICABLE DISEASE - COVERAGES E AND U UM0811 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U UM0811 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SD, TN, UT,, VT, WI, WV, WY, SC, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SD, TN, UT,, VT, WI, WV, WY UM0255 AAIS CONTRACTUAL LIABITY COVERAGE E, AR, HI,, MA, MD, UM0254 AAIS CONTRACTUAL LIABITY COVERAGE U, AR, HI,, MA, MD, NV, SC, TX, UT,, UM0282 AAIS CROSS LIABITY COVERAGES E AND U LA UM0282 AAIS CROSS LIABITY COVERAGES E AND U, AR, HI,, MA, MD, UM0203 AAIS DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF UM0204 AAIS 04.02, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY PAGE 6 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

7 - DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY UM0252 AAIS DESIGNATED AUTO COVERAGE E, AR, HI,, MA, MD, UM0262 AAIS DESIGNATED PREMISES COVERAGES E AND U, AR, HI,, MA, ME, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,, UM0259 AAIS DESIGNATED PRODUCTS COVERAGES E AND U, AR, HI,, MA, MD, UM0264 AAIS DESIGNATED PROJECT COVERAGES E AND U, AR, HI,, MA, MD, UM0281 AAIS DESIGNATED TERCRAFT COVERAGE E, AR, HI,, MA, MD, UM0260 AAIS DESIGNATED WORK COVERAGES E AND U, AR, HI,, MA, MD, ME, MI, MT, NE, NJ, NV, OH, SC, TX, UT,, UM0278 AAIS EMPLOYMENT BENEFITS LIABITY COVERAGE E UM0277 AAIS EMPLOYMENT RELATED PRACTICES LIABITY COVERAGE E, AR, HI,, MA, MD,, AR, HI,, MA, MD, ME, MI, MT, NC, NE, NV, OH, SC, TX, UT,, UM0277 AAIS EMPLOYMENT RELATED PRACTICES LIABITY NJ COVERAGE E UM0205 AAIS EXTERIOR INSULATION AND FINISH SYSTEMS, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY UM0279 AAIS LIQUOR LIABITY COVERAGE E, AR, HI,, MA, MD, UM0253 AAIS NON-OWNED AUTO LIABITY COVERAGE HIRED AUTO LIABITY COVERAGE COVERAGE E UM0268 AAIS PERSONAL INJURY LIABITY COVERAGES E AND U UM0267 AAIS PERSONAL AND ADVERTISING INJURY LIABITY COVERAGES E AND U UM0270 AAIS PERSONAL PROPERTY CARE, CUSTODY, AND CONTROL COVERAGES E AND U UM0258 AAIS PRODUCTS/COMPLETED WORK HARARD COVERAGE U, AR, HI,, MA, MD,, AR,, MA, MD, ME, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,,, AR, HI,, MA, MD,, AR, HI, MA, MD, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,,, AR, HI,, MA, MD, NV, OH, SC, TX,, UM0275 AAIS PROFESSTIONAL LIABITY COVERAGE E, AR, HI,, MA, MD, PAGE 7 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

8 UM0272 AAIS REAL AND PERSONAL PROPERTY CARE, CUSTODY, AND CONTROL COVERAGES E AND U, AR, HI,, MA, MD, UM0271 AAIS REAL PROPERTY CARE, CUSTODY AND CONTROL COVERAGES E AND U, AR,, MA, MD, ME, MT, NC, NJ, NV, OH, SC, UT,, UM0206 AAIS R AND MITARY ACTION AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NV,, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY UM0206 AAIS R AND MITARY ACTION NH, UM0202 AAIS WET ROT, DRY ROT BACTERIA FUNGI, OR PROTIST UM0201 AAIS WET ROT, DRY ROT BACTERIA FUNGI, OR PROTIST- CONTRACTING OPERATIONS UM0257 AAIS PRODUCTS/COMPLETED WORK HARZARD COVERAGE E AR, CA, GA, HI, MA, MD, ME, MI, MT, NC, NE, NJ, NV, OH, RI, SC, TX, UT,, VT, AR, CA, GA, HI, MA, MD, ME, MI, MT, NC, NE, NJ, NV, OH, RI, SC, TX, UT,, VT,, AR, HI,, MA, MD, NV, OH, SC, TX,, CU0306 AAIS EXTENDED REPORTING PERIODS - COVERAGE E - VIRGINIA (I) UM1795 AAIS INCIDENTS OF TERRORISM - EXTENDED REPORTING PERIODS, COVERAGE E UM1791 AAIS INCIDENTS OF TERRORISM - SUPPLEMENTAL EXTENDED REPORTING PERIOD, COVERAGE E UM1790 AAIS INCIDENTS OF TERRORISM - SUPPLEMENTAL EXTENDED REPORTING PERIOD, COVERAGE E. UM0809 AAIS INFORMATION DISTRIBUTION AND RECORDING VIOLATIONS NC, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY (K) UM0273 AAIS KNOWN INJURY OR DAMAGE AMENDMENTS COVERAGE E, AR, HI, MA, MD, ME, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,, (L) UM0261 AAIS LIABITY COVERAGE - DESIGNATED PREMISES COVERAGES E AND U UM0263 AAIS LIABITY COVERAGE - DESIGNATED PROJECT COVERAGES E AND U, AR,, MA, MD, ME, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,,, AR, HI,, MA, MD, UM0291 AAIS LOSS INFORMATION - NEW JERSEY NJ (N) CL0491 AAIS NEW HAMPSHIRE - CIV UNIONS AMENDMENT NH UM0775 AAIS NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0775 AAIS NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0775 AAIS NON-CERTIFIED ACT OF AND R AND MITARY ACTION AR, CA, CT, DC, HI,, LA, MA, MD, ME, MI, MO, NE, NV, OH, PR, SC, TX, UT, UM0321 AAIS NOTICE - CLAIMS MADE COVERAGE CU9903 AAIS NOTICE - CLAIMS-MADE COVERAGE - VIRGINIA UM0331 AAIS NOTICE UNDERINSURED MOTORISTS COVERAGE AABLE WI UM2785 AAIS PAGE 8 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

9 NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY UM2785 AAIS NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM UM2785 AAIS NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM UM0785 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0785 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0785 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF AND R AND MITARY ACTION (O) UM0290 AAIS OKLAHOMA NOTICE OK CU9901 AAIS OKLAHOMA NOTICE - RNING OK UM0306 AAIS OPTIONAL EXCESS UNINSURED AND UNDERINSURED MOTOR VEHICLE COVERAGE OFFER (P) CL0319 AAIS POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM S - CERTIFIED AND NON-CERTIFIED ACTS CL0314 AAIS POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM S - CERTIFIED AND NON-CERTIFIED ACTS CL1035 AAIS POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE AR, CA, CT, DC, HI,, LA, MA, MD, ME, MI, MO, NC, NE, NJ, NV, OH, PR, SC, TX, UT, WV DC, DE, HI, KS, MD, MO, NC, PA, PR, SC,, WV DC, HI, PA, PR, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY MO CL0316 AAIS POLICYHOLDER DISCLOSURE-NOTICE OF TERRORISM CL0316 AAIS POLICYHOLDER DISCLOSURE-NOTICE OF TERRORISM TX UM0292 AAIS POLLUTION LIABIITY EXTENSION NJ UM0292 AAIS POLLUTION LIABIITY EXTENSION VT CU0319 AAIS POLLUTION LIABITY EXTENSION - COVERAGE U - VERMONT VT UM0285 AAIS PRODUCTS/COMPLETED WORK HARARD EXPANDED DEFINITION COVERAGE U, AR, HI,, MA, MD, UM0274 AAIS PROFESSIONAL LIABITY LIMITATION COVERAGE E, AR, HI, MA, ME, MI, MT, NC, NE, NJ, NV, OH, SC, UT,, AL CU0604 AAIS PUNITIVE DAMAGES - COVERAGES E AND U - ALABAMA CU0618 AAIS PUNITIVE DAMAGES - COVERAGES L AND P - AL ALABAMA UM0283 AAIS PUNITIVE DAMAGES COVERAGES E AND U LA UM0283 AAIS PUNITIVE DAMAGES COVERAGES E AND U, GA, HI, MA, MD, ME, MI, MT, NC, NE, NJ, NV, SC, UT,, UM0283 AAIS PUNITIVE DAMAGES COVERAGES E AND U AR UM0283 AAIS PUNITIVE DAMAGES COVERAGES E AND U AL UM0283 AAIS PUNITIVE DAMAGES COVERAGES E AND U (R) UM0288 AAIS REJECTION OF UNINSURED/UNDERINSURED MOTORISTS COVERAGE NE, UT PAGE 9 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

10 (S) UM0316 AAIS SICA - COVERAGES E AND U, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY UM0316 AAIS SICA - COVERAGES E AND U CU0311 AAIS SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E - VIRGINIA (T) UM2775 AAIS AL, AZ, CA, CO, CT, DC, DE, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MN, MO, MS, MT, NC, ND, NH, NJ, NM, OH, OK, OR, PA, PR, RI, SC, SD, TN, UT, VT, WI, WV, WY UM2775 AAIS UM2775 AAIS UM2776 AAIS FOR AUTO BODY INJURY OR PROPERTY DAMAGE AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID,, IN, KS, KY, LA, MA, MD, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY UM2776 AAIS FOR AUTO BODY INJURY OR PROPERTY DAMAGE CU9902 AAIS TEXAS NOTICE - LEAD S TX CU9905 AAIS TEXAS NOTICE - LEAD S TX (U) UM0368 AAIS UNDERINSURED MOTORISTS COVERAGE WI CU1104 AAIS UNINSURED MOTORISTS COVERAGE - COVERAGE E - VERMONT CU1117 AAIS UNINSURED MOTORISTS COVERAGE - COVERAGE L - VERMONT UM0287 AAIS UNINSURED/UNDERINSURED MOTORIST BODY INJURY COVERAGE UM0287 AAIS UNINSURED/UNDERINSURED MOTORIST BODY INJURY COVERAGE UM0287 AAIS UNINSURED/UNDERINSURED MOTORIST BODY INJURY COVERAGE (W) UM0311 AAIS R, MITARY ACTION, AND S COVERAGES E AND U UM0311 AAIS R, MITARY ACTION, AND S COVERAGES E AND U UM0311 AAIS R, MITARY ACTION, AND S COVERAGES E AND U VT VT FL UT LA, MT, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, PAGE 10 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

11 UM4901 AAIS WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS UM4911 AAIS WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS COMMERCIAL UMBRELLA LIABITY COVERAGE PROGRAM Following are the forms and endorsements for the Commercial Umbrella Liability Coverage Program. They have been separated into specific sections one section for those forms that apply to policy form CU0001, one for those that apply to policy form CU0002, and one section for forms that apply to both policy forms. Each section contains a complete listing of all forms and endorsements needed for the identified policy form(s). * FORMS IN THIS SECTION ARE APPLICABLE TO POLICY FORM CU (A) CU0308 AAIS ADDITIONAL EXTENDED REPORTING PERIOD - COVERAGE E - CONNECTICUT OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VI, VT,, WI, WV, WY CU0102 AAIS AMENDATORY ENDORSEMENT - ALASKA CU0104 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR CU0105 AAIS AMENDATORY ENDORSEMENT - CALIFORNIA CA CU0107 AAIS AMENDATORY ENDORSEMENT - CONNECTICUT CT CU0108 AAIS AMENDATORY ENDORSEMENT - DELARE DE CU0110 AAIS AMENDATORY ENDORSEMENT - FLORIDA FL CU0111 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA CU0112 AAIS AMENDATORY ENDORSEMENT - HAII HI CU0114 AAIS AMENDATORY ENDORSEMENT - LINOIS CU0115 AAIS AMENDATORY ENDORSEMENT - INDIANA IN CU0117 AAIS AMENDATORY ENDORSEMENT - KANSAS KS CU0118 AAIS AMENDATORY ENDORSEMENT - KENTUCKY KY CU0119 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA CU0120 AAIS AMENDATORY ENDORSEMENT - MAINE ME CU0121 AAIS AMENDATORY ENDORSEMENT - MARYLAND MD CU0122 AAIS AMENDATORY ENDORSEMENT - MASSACHUSETTS MA CU0124 AAIS AMENDATORY ENDORSEMENT - MINNESOTA MN CU0125 AAIS AMENDATORY ENDORSEMENT - MISSISSIPPI MS CU0126 AAIS AMENDATORY ENDORSEMENT - MISSOURI MO CU0127 AAIS AMENDATORY ENDORSEMENT - MONTANA MT CU0128 AAIS AMENDATORY ENDORSEMENT - NEBRASKA NE CU0129 AAIS AMENDATORY ENDORSEMENT - NEDA NV CU0130 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH CU0132 AAIS AMENDATORY ENDORSEMENT - NEW MEXICO NM CU0133 AAIS AMENDATORY ENDORSEMENT - NEW YORK CU0136 AAIS AMENDATORY ENDORSEMENT - OHIO OH CT PAGE 11 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

12 CU0138 AAIS AMENDATORY ENDORSEMENT - OREGON OR CU0139 AAIS AMENDATORY ENDORSEMENT - PENNSYLNIA PA CU0140 AAIS AMENDATORY ENDORSEMENT - PUERTO RICO PR CU0141 AAIS AMENDATORY ENDORSEMENT - RHODE ISLAND RI CU0142 AAIS AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC CU0143 AAIS AMENDATORY ENDORSEMENT - SOUTH DOTA SD CU0144 AAIS AMENDATORY ENDORSEMENT - TENNESSEE TN CU0146 AAIS AMENDATORY ENDORSEMENT - UTAH UT CU0148 AAIS AMENDATORY ENDORSEMENT - VIRGINIA CU0149 AAIS AMENDATORY ENDORSEMENT - SHINGTON CU0150 AAIS AMENDATORY ENDORSEMENT - WEST VIRGINIA WV CU0151 AAIS AMENDATORY ENDORSEMENT - WISCONSIN WI CU0152 AAIS AMENDATORY ENDORSEMENT - WYOMING WY CU1003 AAIS AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER LOCATION) - COVERAGES E AND U CU1004 AAIS AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER PROJECT) - COVERAGES E AND U CU1203 AAIS AMENDMENT CERTIFIED ACT OF - CA, SHINGTON CU0903 AAIS AMENDMENT OF THE DEFINITION OF BODY INJURY - LIMITED PRODUCTS EXCEPTED - SHINGTON CU0902 AAIS AMENDMENT OF THE DEFINITION OF BODY INJURY - SHINGTON (C) CU1302 AAIS CERTIFIED ACT OF, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MD, ME, MI, OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY CU1201 AAIS CERTIFIED ACT OF - ALASKA, CA CU0001 AAIS COMMERCIAL EXCESS/UMBRELLA LIABITY COVERAGE, AL, AR, AZ, CO, DC, DE, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT,, WI, WV, WY UM0200 AAIS COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE, AR, HI,, MD, ME, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,, CU1240 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1219 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1309 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL AL, AR, CA, CO, CT, DC, DE, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY CU1217 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1221 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL NC CU1223 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1238 AAIS CONDITIONAL CU1307 AAIS CONDITIONAL PAGE 12 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

13 AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY CU1211 AAIS CONDITIONAL CU1215 AAIS CONDITIONAL CU1209 AAIS CONDITIONAL CU1213 AAIS CONDITIONAL NC CU1002 AAIS CONTRACTUAL LIABITY LIMITATION CU1006 AAIS COVERAGE TERRITORY LIMITATION (D) CU0322 AAIS DEFENSE COSTS REIMBURSEMENT - COVERAGES E AND U - PA PENNSYLNIA CU0317 AAIS DEFENSE COSTS REIMBURSEMENT COVERAGES E AND U - LINOIS CU1009 AAIS DELETION OF EMPLOYMENT - RELATED PRACTICES LIABITY - COVERAGE E CU0302 AAIS DISTRIBUTION AND RECORDING VIOLATIONS - COVERAGES E AND U - ALASKA (E) CU1108 AAIS ELECTION OR REJECTION OF UNINSURED MOTORISTS COVERAGE - FLORIDA CU0732 AAIS ABUSE OR MOLESTATION - COVERAGES E AND U CU0617 AAIS ABUSE OR MOLESTATION - COVERAGES E AND U - LINOIS CU0733 AAIS ATHLETIC OR SPORTS PARTICIPANTS - COVERAGES E AND U FL AR, AZ, CO, IA, IN, KS, OH, OK, SD, TN, WI, WY CU0706 AAIS AUTO LIABITY - COVERAGE E OH, OK, SD, TN, WI, WY CU0728 AAIS COMMUNICABLE DISEASE - COVERAGES E AND U CU0633 AAIS COMMUNICABLE DISEASE - COVERAGES E AND U - ALASKA CU0609 AAIS COMMUNICABLE DISEASE - COVERAGES E AND U - LINOIS CU0729 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U AR, AZ, CO, IA, IN, KS, OH, OK, SD, TN, WI, WY AR, AZ, CO, IA, IN, KS, OH, OK, SD, TN, WI, WY CU0634 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U - ALASKA CU0610 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U - LINOIS CU0611 AAIS COMMUNICABLE DISEASE COVERAGES E AND U - NEW YORK CU0612 AAIS COMMUNICABLE DISEASE LIMITED PRODUCTS EXCEPTED COVERAGES E AND U - NEW YORK CU0710 AAIS CONTRACTUAL LIABITY - COVERAGE E PAGE 13 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

14 CU0709 AAIS CONTRACTUAL LIABITY - COVERAGE U CU0724 AAIS CROSS LIABITY - COVERAGES E AND U CU0629 AAIS CROSS LIABITY - COVERAGES E AND U - NEW NH HAMPSHIRE CU0703 AAIS DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - COVERAGES E AND U CU0704 AAIS DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - DESIGNATED LOCATIONS OR PROJECTS - COVERAGES E AND U CU0403 AAIS DATA BREACH LIABITY - COVERAGES E AND U CU0403 AAIS DATA BREACH LIABITY - COVERAGES E AND U CU0741 AAIS DATA BREACH LIABITY -- PERSONAL AND ADVERTISING INJURY - COVERAGES E AND U AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY CU0707 AAIS DESIGNATED AUTO - COVERAGE E CU0731 AAIS DESIGNATED ONGOING OPERATION - COVERAGES E AND U CU0715 AAIS DESIGNATED PREMISES - COVERAGES E AND U CU0713 AAIS DESIGNATED PRODUCTS - COVERAGES E AND U CU0716 AAIS DESIGNATED PROJECTS - COVERAGES E AND U CU0723 AAIS DESIGNATED TERCRAFT - COVERAGE E CU0714 AAIS DESIGNATED WORK - COVERAGES E AND U CU0727 AAIS DIRECTORS AND OFFICERS - PROFESSIONAL LIABITY - COVERAGE E CU0720 AAIS EMPLOYEE BENEFITS LIABITY - COVERAGE E CU0726 AAIS EMPLOYERS LIABITY - COVERAGE E CU0603 AAIS PAGE 14 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

15 - EMPLOYERS LIABITY - COVERAGE E - SHINGTON CU0705 AAIS EXTERIOR INSULATION AND FINISH SYSTEMS - COVERAGES E AND U CU0607 AAIS EXTERIOR INSULATION AND FINISH SYSTEMS - COVERAGES E AND U - LOUISIANA CU0606 AAIS FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGE E AND U - LOUISIANA CU0601 AAIS FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGES E & U - FLORIDA CU0701 AAIS FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGES E AND U CU0602 AAIS FUNGUS OR RELATED PERS - COVERAGES E & U - FLORIDA CU0702 AAIS FUNGUS OR RELATED PERS - COVERAGES E AND U CU0605 AAIS FUNGUS OR RELATED PERS - COVERAGES E AND U - LOUISIANA CU0734 AAIS INTERCOMPA PRODUCTS SUITS - COVERAGES E AND U LA LA FL FL LA NH CU0630 AAIS INTERCOMPA PRODUCTS SUITS - COVERAGES E AND U - NEW HAMPSHIRE CU0640 AAIS LEAD LIABITY COVERAGES E AND U - NEW YORK CU0721 AAIS LIQUOR LIABITY - COVERAGE E CU0708 AAIS NON-OWNED AUTO LIABITY COVERAGE AND HIRED AUTO LIABITY COVERAGE - COVERAGE E CU0717 AAIS PERSONAL AND ADVERTISING INJURY LIABITY - COVERAGES E AND U CU0712 AAIS PRODUCTS/COMPLETED WORK HAZARD - COVERAGE U CU0711 AAIS PRODUCTS/COMPLETED WORK HAZARD - COVERAGES E AND U CU0719 AAIS PROFESSIONAL LIABITY - COVERAGE E CU0735 AAIS PROPERTY IN YOUR CUSTODY - COVERAGES E AND U CU0725 AAIS PUNITIVE DAMAGES - COVERAGES E AND U AR, AZ, CO, FL, IA,, IN, KS, KY, MI, MO, MT, NM, OK, RI, TN, WI, WY CU0718 AAIS REAL PROPERTY - CARE, CUSTODY, AND CONTROL - COVERAGES E AND U CU0736 AAIS TOTAL POLLUTION - COVERAGE E CU0738 AAIS TOTAL POLLUTION WITH BUDING EQUIPMENT AND HOSTE FIRE EXCEPTIONS - COVERAGE E PAGE 15 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

16 CU0642 AAIS TOTAL POLLUTION WITH BUDING EQUIPMENT AND HOSTE FIRE EXCEPTIONS -- COVERAGE E CU0737 AAIS TOTAL POLLUTION WITH HOSTE FIRE EXCEPTION - COVERAGE E NE CU0730 AAIS UMBRELLA LIABITY - COVERAGE U CU0301 AAIS R AND MITARY ACTION - COVERAGES E AND U - ALASKA CU0722 AAIS TERCRAFT LIABITY - COVERAGE E CU0739 AAIS EXPANDED LIQUOR LIABITY - COVERAGE E CU0740 AAIS EXPANDED LIQUOR LIABITY - EXCEPTION FOR SCHEDULED EVENTS - COVERAGE E CU0401 AAIS EXTENDED REPORTING PERIOD - COVERAGE E AR, AZ, CO, IA, IN, KS, KY, MI, MN, MO, MT, NM, OH, OK, SD, TN, TX, WI, WY CU0313 AAIS EXTENDED REPORTING PERIOD - OTHER LIABITY - COVERAGE E - LINOIS CU0307 AAIS EXTENDED REPORTING PERIODS - COVERAGE E - ARKANSAS AR CU0303 AAIS EXTENDED REPORTING PERIODS - COVERAGE E - CT CONNECTICUT CU0304 AAIS EXTENDED REPORTING PERIODS - COVERAGE E - LINOIS (I) CU1229 AAIS INCIDENTS OF TERRORISM -- EXTENDED REPORTING PERIODS - COVERAGE E CU1227 AAIS INCIDENTS OF TERRORISM -- SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E CU1225 AAIS INCIDENTS OF TERRORISM -- SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E CU1008 AAIS INSURED - AMENDED DEFINITION - EMPLOYEES AND VOLUNTEER WORKERS ARE NOT INSUREDS - COVERAGES E AND U CU1010 AAIS INSURED - AMENDED DEFINITION - NEW ENTITIES ARE NOT INSUREDS - COVERAGES E AND U NC, (K) CU1028 AAIS KNOWN INJURY OR DAMAGE AMENDMENT - COVERAGE E, AL, AR, AZ, CO, DC, DE, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT,, WI, WV, WY CU0907 AAIS KNOWN INJURY OR DAMAGE AMENDMENT - COVERAGE E - LINOIS (L) CU1013 AAIS LIABITY COVERAGE - DESIGNATED PREMISES - COVERAGE E CU1014 AAIS LIABITY COVERAGE - DESIGNATED PROJECTS - COVERAGE E CU1007 AAIS LIMITED DATA RECORDS COVERAGE - COVERAGE E CU1007 AAIS LIMITED DATA RECORDS COVERAGE - COVERAGE E AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, PAGE 16 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

17 (N) CU1236 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM CU1234 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM CU1313 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM (P) CU1011 AAIS PRODUCTS/COMPLETED WORK HAZARD EXPANDED DEFINITION - COVERAGE E OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY CU0901 AAIS PROFESSIONAL LIABITY COVERAGE - COVERAGE E - LINOIS CU1005 AAIS PROFESSIONAL LIABITY LIMITATION - COVERAGE E (R) CU1109 AAIS REJECTION OF UNINSURED MOTORISTS COVERAGE - NEW HAMPSHIRE (S) CU0309 AAIS SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E - LINOIS (T) CU1232 AAIS CU1311 AAIS AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM,, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY CU1230 AAIS CU1303 AAIS FOR AUTO BODY INJURY OR PROPERTY DAMAGE NH AR, AZ, CO, IA, IN, KS, KY, MI, MN, MO, MT, NM, OH, OK, SD, TN, TX, WI, WY CU1204 AAIS FOR AUTO BODY INJURY OR PROPERTY DAMAGE - SHINGTON CU0320 AAIS THREE YEAR EXTENDED REPORTING PERIOD - COVERAGE E - MD MARYLAND (U) CU1101 AAIS UNINSURED MOTORISTS COVERAGE - COVERAGE E - FLORIDA FL CU1102 AAIS UNINSURED MOTORISTS COVERAGE - COVERAGE E - LA LOUISIANA CU1103 AAIS UNINSURED MOTORISTS COVERAGE - COVERAGE E - NEW NH HAMPSHIRE CU1105 AAIS UNINSURED MOTORISTS COVERAGE AND UNDERINSURED WV MOTORISTS COVERAGE - COVERAGE E - WEST VIRGINIA CU0321 AAIS UNLIMITED EXTENDED REPORTING PERIOD - COVERAGE E - MD MARYLAND (W) CU1012 AAIS IVER OF SUBROGATION PAGE 17 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

18 FORMS IN THIS SECTION ARE APPLICABLE TO POLICY FORM CU (A) CU0202 AAIS AMENDATORY ENDORSEMENT - ALASKA CU0204 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR CU0205 AAIS AMENDATORY ENDORSEMENT - CALIFORNIA CA CU0207 AAIS AMENDATORY ENDORSEMENT - CONNECTICUT CT CU0208 AAIS AMENDATORY ENDORSEMENT - DELARE DE CU0210 AAIS AMENDATORY ENDORSEMENT - FLORIDA FL CU0211 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA CU0212 AAIS AMENDATORY ENDORSEMENT - HAII HI CU0214 AAIS AMENDATORY ENDORSEMENT - LINOIS CU0215 AAIS AMENDATORY ENDORSEMENT - INDIANA IN CU0217 AAIS AMENDATORY ENDORSEMENT - KANSAS KS CU0218 AAIS AMENDATORY ENDORSEMENT - KENTUCKY KY CU0219 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA CU0220 AAIS AMENDATORY ENDORSEMENT - MAINE ME CU0221 AAIS AMENDATORY ENDORSEMENT - MARYLAND MD CU0222 AAIS AMENDATORY ENDORSEMENT - MASSACHUSETTS MA CU0224 AAIS AMENDATORY ENDORSEMENT - MINNESOTA MN CU0225 AAIS AMENDATORY ENDORSEMENT - MISSISSIPPI MS CU0226 AAIS AMENDATORY ENDORSEMENT - MISSOURI MO CU0227 AAIS AMENDATORY ENDORSEMENT - MONTANA MT CU0228 AAIS AMENDATORY ENDORSEMENT - NEBRASKA NE CU0229 AAIS AMENDATORY ENDORSEMENT - NEDA NV CU0230 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH CU0232 AAIS AMENDATORY ENDORSEMENT - NEW MEXICO NM CU0233 AAIS AMENDATORY ENDORSEMENT - NEW YORK CU0236 AAIS AMENDATORY ENDORSEMENT - OHIO OH CU0238 AAIS AMENDATORY ENDORSEMENT - OREGON OR CU0239 AAIS AMENDATORY ENDORSEMENT - PENNSYLNIA PA CU0240 AAIS AMENDATORY ENDORSEMENT - PUERTO RICO PR CU0241 AAIS AMENDATORY ENDORSEMENT - RHODE ISLAND RI CU0242 AAIS AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC CU0243 AAIS AMENDATORY ENDORSEMENT - SOUTH DOTA SD CU0244 AAIS AMENDATORY ENDORSEMENT - TENNESSEE TN CU0246 AAIS AMENDATORY ENDORSEMENT - UTAH UT CU0249 AAIS AMENDATORY ENDORSEMENT - SHINGTON CU0250 AAIS AMENDATORY ENDORSEMENT - WEST VIRGINIA WV CU0251 AAIS AMENDATORY ENDORSEMENT - WISCONSIN WI CU0252 AAIS AMENDATORY ENDORSEMENT - WYOMING WY CU1024 AAIS AMENDED DEFINITION - NEW ENTITIES ARE NOT INSUREDS - COVERAGES L AND P CU1016 AAIS AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER LOCATION) - COVERAGES L AND P CU1017 AAIS AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER PROJECT) - COVERAGES L AND P CU0906 AAIS AMENDMENT OF THE DEFINITION OF BODY INJURY - LIMITED PRODUCTS EXCEPTED - SHINGTON CU0905 AAIS AMENDMENT OF THE DEFINITION OF BODY INJURY - SHINGTON CU1033 AAIS AUTO COVERAGE - INDIVIDUAL NAMED INSURED - COVERAGE L CU0984 AAIS AUTO COVERAGE - INDIVIDUAL NAMED INSURED - COVERAGE L - NEW YORK (C) PAGE 18 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

19 CU1029 AAIS CANCELLATION AMENDMENT - LESSOR OF AUTOS CU1305 AAIS CERTIFIED ACT OF, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, MD, ME, MI, OR, PA, RI, SC, SD, TN, TX, UT,, VT,, WI, WV, WY CU1205 AAIS CERTIFIED ACT OF - ALASKA, CA CU1207 AAIS CERTIFIED ACT OF - SHINGTON CA, CL0492 AAIS CLAIMS-MADE COVERAGE - CHANGE IN RETROACTIVE DATE MO CU1030 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P AR, AZ, CO, IA, IN, KS, KY, MI, MN, MO, MT, NM, OH, OK, SD, TN, TX, WI, WY CU0966 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - ALASKA CU0985 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - CT CONNECTICUT CU0979 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - LINOIS CU0971 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - MD MARYLAND CU0967 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - NEW NH HAMPSHIRE CU0980 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - NEW YORK CU0968 AAIS CLAIMS-MADE COVERAGE - COVERAGES L AND P - WEST WV VIRGINIA CU0002 AAIS COMMERCIAL UMBRELLA LIABITY COVERAGE, AL, AR, AZ, CO, DC, DE, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT,, WI, WV, WY CU1224 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1222 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL NC CU1241 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1220 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1310 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY CU1218 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1214 AAIS CONDITIONAL NC CU1212 AAIS CONDITIONAL CU1216 AAIS CONDITIONAL CU1239 AAIS CONDITIONAL CU1308 AAIS CONDITIONAL AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY CU1210 AAIS CONDITIONAL PAGE 19 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

20 CU1015 AAIS CONTRACTUAL LIABITY LIMITATION CU0911 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - LINOIS CU1036 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS AZ, IA, IN, KS, KY, MI, NM, OH, OK, SD, TN, TX, WI CU0964 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - ALASKA CU0908 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - AR CLAIMS-MADE BASIS - ARKANSAS CU0910 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CT CLAIMS-MADE BASIS - CONNECTICUT CU0928 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CT CLAIMS-MADE BASIS - CONNECTICUT CU0912 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - LA CLAIMS-MADE BASIS - LOUISIANA CU0974 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MD CLAIMS-MADE BASIS - MARYLAND CU0913 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MN CLAIMS-MADE BASIS - MINNESOTA CU0965 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MO CLAIMS-MADE BASIS - MISSOURI CU0963 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MT CLAIMS-MADE BASIS - MONTANA CU0914 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - NH CLAIMS-MADE BASIS - NEW HAMPSHIRE CU0915 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - NEW YORK CU0918 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - PA CLAIMS-MADE BASIS - PENNSYLNIA CU0922 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - WY CLAIMS-MADE BASIS - WYOMING CU1037 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - SUPPLEMENTAL EXTENDED REPORTING PERIOD CU0982 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE ONE YEAR SUPPLEMENTAL EXTENDED REPORTING PERIOD - NEW YORK CU0916 AAIS COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE UNLIMITED SUPPLEMENTAL EXTENDED REPORTING PERIOD - NEW YORK CU0921 AAIS COVERAGE E - EMPLOYMENT BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - WEST VIRGINIA CU1019 AAIS COVERAGE TERRITORY LIMITATION CU0932 AAIS COVERAGE Z - EMPLOYEE BENEFITS LIABITY - CLAIMS- MADE BASIS - LOUISIANA CU0947 AAIS COVERAGE Z - EMPLOYEE PRACTICES LIABITY - CLAIMS- MADE BASIS - NEW YORK CU0969 AAIS COVERAGE Z - EMPLOYEE PRACTICES LIABITY - CLAIMS- MADE BASIS - WEST VIRGINIA CU0983 AAIS COVERAGE Z - EMPLOYEE PRACTICES LIABITY ONE YEAR ADDITIONAL EXTENDED REPORTING PERIOD - NEW YORK CU0948 AAIS COVERAGE Z - EMPLOYEE PRACTICES LIABITY THREE YEAR ADDITIONAL EXTENDED REPORTING PERIOD - NEW YORK CU0950 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - OH CLAIMS-MADE BASIS - OHIO CU0938 AAIS MN WV LA WV PAGE 20 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

21 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - EXTENDED REPORTING PERIOD - MINNESOTA CU0926 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - ADDITIONAL EXTENDED REPORTING PERIOD - ARKANSAS CU0929 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - ADDITIONAL EXTENDED REPORTING PERIOD - CONNECTICUT CU0944 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - ADDITIONAL EXTENDED REPORTING PERIOD - NEW HAMPSHIRE CU0942 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS MADE BASIS - NEBRASKA CU1038 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS CU0923 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - ALASKA CU0925 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - ARKANSAS CU0930 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - GEORGIA CU0931 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - LINOIS CU0933 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MAINE CU0972 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MARYLAND CU0937 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MINNESOTA CU0939 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MISSISSIPPI CU0940 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MISSOURI CU0962 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MONTANA CU0943 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - NEW HAMPSHIRE CU0945 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - NEW MEXICO CU0951 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - PENNSYLNIA CU0952 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - SOUTH DOTA CU0958 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - WISCONSIN CU0959 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - WYOMING CU1039 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - EXTENDED REPORTING PERIOD AR CT NH NE AZ, IA, IN, KS, KY, OK, TN AR GA ME MD MN MS MO MT NH NM PA SD WI WY ME CU0934 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - EXTENDED REPORTING PERIOD - MAINE CU0941 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - MO EXTENDED REPORTING PERIOD - MISSOURI CU0946 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - NM EXTENDED REPORTING PERIOD - NEW MEXICO CU0953 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - SD EXTENDED REPORTING PERIOD - SOUTH DOTA CU0960 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - THREE WY YEAR EXTENDED REPORTING PERIOD - WYOMING CU0961 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - WY UNLIMITED EXTENDED REPORTING PERIOD - WYOMING CU0935 AAIS MD PAGE 21 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

22 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY EXTENDED REPORTING PERIOD - MARYLAND CU0924 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY SUPPLEMENTAL EXTENDED REPORTING PERIOD - ALASKA CU0973 AAIS COVERAGE Z - EMPLOYMENT PRACTICES LIABITY MD UNLIMITED EXTENDED REPORTING PERIOD - MARYLAND (D) CU0318 AAIS DEFENSE COSTS REIMBURSEMENT - COVERAGES L AND P - LINOIS CU0323 AAIS DEFENSE COSTS REIMBURSEMENT COVERAGES L AND P - PA PENNSYLNIA (E) CU1035 AAIS EMPLOYEE REDEFINED - COVERAGE L CU0821 AAIS ABUSE OR MOLESTATION - COVERAGES L AND P AR, AZ, CO, IA, IN, KS, OH, OK, SD, TN, WI, WY CU0637 AAIS ABUSE OR MOLESTATION - COVERAGES L AND P - LINOIS CU0822 AAIS ATHLETIC OR SPORTS PARTICIPANTS - COVERAGE L CU0806 AAIS AUTO LIABITY - COVERAGE L OH, OK, SD, TN, WI, WY CU0819 AAIS COMMUNICABLE DISEASE - COVERAGES L AND P CU0635 AAIS COMMUNICABLE DISEASE - COVERAGES L AND P - ALASKA CU0623 AAIS COMMUNICABLE DISEASE - COVERAGES L AND P - LINOIS CU0820 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES L AND P OH, OK, SD, TN, WI, WY OH, OK, SD, TN, WI, WY CU0624 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES L AND P - LINOIS CU0636 AAIS COMMUNICABLE DISEASE - LIMITED PRODUCTS EXPECTED - COVERAGES L AND P - ALASKA CU0625 AAIS COMMUNICABLE DISEASE COVERAGES L AND P - NEW YORK CU0626 AAIS COMMUNICABLE DISEASE LIMITED PRODUCTS EXCEPTED COVERAGES L AND P - NEW YORK CU0809 AAIS CONTRACTUAL LIABITY - COVERAGE L CU0817 AAIS CROSS LIABITY - COVERAGES L AND P CU0631 AAIS CROSS LIABITY - COVERAGES L AND P - NEW HAMPSHIRE CU0803 AAIS DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - COVERAGE L CU0804 AAIS DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - DESIGNATED LOCATIONS OR PROJECTS - COVERAGE L CU0404 AAIS DATA BREACH LIABITY - COVERAGES L AND P CU0404 AAIS NH PAGE 22 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

AAIS Personal and Premises Liability Program

AAIS Personal and Premises Liability Program Policy Forms and Endorsements IT IS WOLTERS KLUWER FINANCIAL SERVICES' POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS

More information

AAIS Mobile-Homeowners 2008 Series

AAIS Mobile-Homeowners 2008 Series Policy Forms and Endorsements IT IS WOLTERS KLUWER FINANCIAL SERVICES' POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS

More information

AAIS Agricultural Commercial Excess and Umbrella Liability Program

AAIS Agricultural Commercial Excess and Umbrella Liability Program Policy Forms and Endorsements IT IS WOLTERS KLUWER FINANCIAL SERVICES POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS

More information

Notices of Cancellation / Nonrenewal and / or Other Related Forms

Notices of Cancellation / Nonrenewal and / or Other Related Forms Forms are listed alphabetically by form title. INDEX POLICY CODES 1. Auto 2. Fire and Multiple Peril 3. Liability 4. Property, other than Fire and Multiple Peril (e.g. Crime & Inland Marine) 5. Workers

More information

STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT

STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT STATE INCOME TAX WITHHOLDING INFORMATION DOCUMENT Zurich American Life Insurance Company (ZALICO) Administrative Offices: PO BOX 19097 Greenville, SC 29602-9097 800/449-0523 This document is intended to

More information

WHAT STATES IS IT ILLEGAL TO DO BPO S?

WHAT STATES IS IT ILLEGAL TO DO BPO S? WHAT STATES IS IT ILLEGAL TO DO BPO S? Copyright Protected by BPO University Nicole Ocean 2010 My name is Nicole Ocean, founder and administrator of the BPO University. I am a certified real estate instructor

More information

VCF Program Statistics (Represents activity through the end of the day on June 30, 2015)

VCF Program Statistics (Represents activity through the end of the day on June 30, 2015) VCF Program Statistics (Represents activity through the end of the day on June 30, 2015) As of June 30, 2015, the VCF has made 12,712 eligibility decisions, finding 11,770 claimants eligible for compensation.

More information

United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS

United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS UPDATED REQUIREMENTS FOR FORMAT OF MASTER MAILING LIST The meeting of creditors

More information

United States Bankruptcy Court District of Arizona

United States Bankruptcy Court District of Arizona United States Bankruptcy Court District of Arizona NOTICE TO: DEBTOR ATTORNEYS, BANKRUPTCY PETITION PREPARERS AND DEBTORS UPDATED REQUIREMENTS FOR FORMAT OF MASTER MAILING LIST The meeting of creditors

More information

Escheat Requirements *Indicates updates in laws or regulations for the state

Escheat Requirements *Indicates updates in laws or regulations for the state Escheat Requirements *Indicates updates in laws or regulations for the state California: See General Reporting Instructions for Holders of Unclaimed Property Missouri: Limitation does not affect property

More information

Youth Voter Turnout in the 2008 and 2006 Elections: A State-by-State Comparison

Youth Voter Turnout in the 2008 and 2006 Elections: A State-by-State Comparison Youth in the 2008 and 2006 Elections: A State-by-State Comparison By Surbhi Godsay, Amanda Nover, and Emily Hoban Kirby 1 September 2010 The 2008 presidential election saw a two percentage point increase

More information

2016 Individual Exchange Premiums updated November 4, 2015

2016 Individual Exchange Premiums updated November 4, 2015 2016 Individual Exchange Premiums updated November 4, 2015 Within the document, you'll find insights across 50 states and DC with available findings (i.e., carrier participation, price leadership, gross

More information

Motor Vehicle Financial Responsibility Forms

Motor Vehicle Financial Responsibility Forms Alphabetical Index Forms are listed alphabetically by form title. Important Note: The forms shown herein for each state may not be a complete listing of all the financial responsibility forms that are

More information

LexisNexis Law Firm Billable Hours Survey Top Line Report. June 11, 2012

LexisNexis Law Firm Billable Hours Survey Top Line Report. June 11, 2012 LexisNexis Law Firm Billable Hours Survey Top Line Report June 11, 2012 Executive Summary by Law Firm Size According to the survey, we found that attorneys were not billing all the time they worked. There

More information

Motor Vehicle Financial Responsibility Forms

Motor Vehicle Financial Responsibility Forms Alphabetical Index Forms are listed alphabetically by form title. Important Note: The forms shown herein for each state may not be a complete listing of all the financial responsibility forms that are

More information

ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL

ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL State-Level Analysis HELP WANTED PROJECTIONS of JOBS and EDUCATION REQUIREMENTS Through 2018 JUNE 2010 ANTHONY P. CARNEVALE NICOLE SMITH JEFF STROHL Contents 1 Introduction 3 U.S. Maps: Educational concentrations

More information

INTRODUCTION. Figure 1. Contributions by Source and Year: 2012 2014 (Billions of dollars)

INTRODUCTION. Figure 1. Contributions by Source and Year: 2012 2014 (Billions of dollars) Annual Survey of Public Pensions: State- and Locally- Administered Defined Benefit Data Summary Report: Economy-Wide Statistics Division Briefs: Public Sector By Phillip Vidal Released July 2015 G14-ASPP-SL

More information

ENS Governmental Format Status (As of 06/16/2008)

ENS Governmental Format Status (As of 06/16/2008) Alaska AK Production (G) Region D Tan - Development Required Alabama AL Production (G) Region C Arkansas AR Production (G) Region C D Yellow - Pended for required Beta Site Green - In Production - Direct

More information

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Beth Radtke 50 Included in the report: 7/22/2015 11:15:28 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL)

More information

Hail-related claims under comprehensive coverage

Hail-related claims under comprehensive coverage Bulletin Vol. 29, No. 3 : April 2012 Hail-related claims under comprehensive coverage Claims for hail damage more than doubled in 2011 compared with the previous three years. Hail claims are primarily

More information

Table 1: Workers Compensation Laws And Coverage Requirements For Domestic Service Employment By Jurisdiction

Table 1: Workers Compensation Laws And Coverage Requirements For Domestic Service Employment By Jurisdiction Table 1: Laws And Coverage Requirements For Domestic Service Employment By AL Code of Alabama 1975- Articles 1-13, Sections 25-5-1 25-5-340 AK Chapter 23.30- Alaska Labor and AZ Arizona Revised Statutes-

More information

Cancellation/Nonrenewal Surplus Lines Exemptions

Cancellation/Nonrenewal Surplus Lines Exemptions Cancellation/Nonrenewal Surplus Lines Exemptions * Indicates updates in laws or regulations for the state Contact: Tina Crum, tina.crum@pciaa.net, 847-553-3804 Disclaimer: This document was prepared by

More information

Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues

Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues Health Insurance Exchanges and the Medicaid Expansion After the Supreme Court Decision: State Actions and Key Implementation Issues Sara R. Collins, Ph.D. Vice President, Affordable Health Insurance The

More information

50-State Analysis. School Attendance Age Limits. 700 Broadway, Suite 810 Denver, CO 80203-3442 303.299.3600 Fax: 303.296.8332

50-State Analysis. School Attendance Age Limits. 700 Broadway, Suite 810 Denver, CO 80203-3442 303.299.3600 Fax: 303.296.8332 0-State Analysis School Attendance Age Limits 700 Broadway, Suite 810 Denver, CO 80203-32 303.299.3600 Fax: 303.296.8332 Introduction School Attendance Age Limits By Marga Mikulecky April 2013 This 0-State

More information

Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of January 1, 2014

Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of January 1, 2014 January 2014 Fact Sheet Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of January 1, 2014 As part of the Affordable Care Act s goal to reduce the number

More information

Approved Mortgage Insurance Forms

Approved Mortgage Insurance Forms Approved Mortgage Insurance Forms Document Name Form/Version No. Arch Mortgage Insurance Company First Lien Master Policy ARCH 1800.00 (07/14) Texas Declarations Page ARCH 1800.00 TXDEC (07/14) Commitment

More information

Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1, 2014

Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1, 2014 Where Are States Today? Medicaid and CHIP Eligibility Levels for Children and Non-Disabled Adults as of April 1, 2014 As part of the Affordable Care Act s goal to reduce the number of uninsured, it makes

More information

Cancellation of Debt (COD) R. Bruce McCommons Harford County, MD TrC 12/4/2013 rbrucemcc@comcast.net

Cancellation of Debt (COD) R. Bruce McCommons Harford County, MD TrC 12/4/2013 rbrucemcc@comcast.net Cancellation of Debt (COD) R. Bruce McCommons Harford County, MD TrC 12/4/2013 rbrucemcc@comcast.net 1 Cancellation of debt (COD)... Generally, if a debt for which the taxpayer was personally responsible

More information

Health Insurance Coverage of Children Under Age 19: 2008 and 2009

Health Insurance Coverage of Children Under Age 19: 2008 and 2009 Health Insurance Coverage of Children Under Age 19: 2008 and 2009 American Community Survey Briefs Issued September 2010 ACSBR/09-11 IntroductIon Health insurance, whether private or public, improves children

More information

September Townsend Hall University of Missouri Columbia, MO 65211

September Townsend Hall University of Missouri Columbia, MO 65211 Report of a Survey of State Mathematics Supervisors: What influence has NCTM s Curriculum Focal Points had on state-level specification of learning goals? September 2007 This paper was supported by funds

More information

Foreign Language Enrollments in K 12 Public Schools: Are Students Prepared for a Global Society?

Foreign Language Enrollments in K 12 Public Schools: Are Students Prepared for a Global Society? Foreign Language s in K 2 Public Schools: Are Students Prepared for a Global Society? Section I: Introduction Since 968, the American Council on the Teaching of Foreign Languages (ACTFL) has conducted

More information

Table 1: Advertising, Marketing and Promotional Expense as a Percentage of Net Operating Revenue

Table 1: Advertising, Marketing and Promotional Expense as a Percentage of Net Operating Revenue Table 1: Advertising, Marketing and Promotional Expense as a Percentage of Net Operating Revenue NAIC Group % Attorney s Title 3.8% Chicago / Fidelity 0.9% Diversified 0.6% First American 2.7% Investors

More information

7 th National RAC (and MAC) Summit December 5 6, 2012 Washington, DC

7 th National RAC (and MAC) Summit December 5 6, 2012 Washington, DC 7 th National RAC (and MAC) Summit December 5 6, 2012 Washington, DC Jane Snecinski P.O. Box 12078 Atlanta, GA 30355 www.postacuteadvisors.com National client base (both public and private sector) based

More information

Benefits of Selling WorkLife 65

Benefits of Selling WorkLife 65 PruTerm WorkLife 65 SM LEARN ABOUT THE PRODUCT AND MARKET Benefits of Selling WorkLife 65 Pru s new and innovative term product will resonate with your clients. WorkLife 65 is a new and innovative term

More information

Rates are valid through March 31, 2014.

Rates are valid through March 31, 2014. The data in this chart was compiled from the physician fee schedule information posted on the CMS website as of January 2014. CPT codes and descriptions are copyright 2012 American Medical Association.

More information

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO)

Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Beth Radtke 49 Included in the report: 7/22/2015 11:24:12 AM Alaska (AK) Arizona (AZ) Arkansas (AR) California-RN (CA-RN) Colorado (CO) Connecticut (CT) Delaware (DE) District Columbia (DC) Florida (FL)

More information

Arizona Reaching International Competitiveness by National Center for Higher Education Management Systems

Arizona Reaching International Competitiveness by National Center for Higher Education Management Systems Arizona Reaching International Competitiveness by 2025 National Center for Higher Education Management Systems Differences in College Attainment (Associate and Higher) Between Young and Older Adults U.S.

More information

NEW CARRIER SIGN UP REQUEST FORM

NEW CARRIER SIGN UP REQUEST FORM Instructions: (Please fax or email the completed documents) dispatch@txcarriers.com Fax: 1-855-631-4174 o Fill o Copy o Copy o initial o Insurance out Carrier profile of Common Carrier Authority Company

More information

Required Minimum Distribution Election Form for IRA s, 403(b)/TSA and other Qualified Plans

Required Minimum Distribution Election Form for IRA s, 403(b)/TSA and other Qualified Plans Required Minimum Distribution Election Form for IRA s, 403(b)/TSA and other Qualified Plans For Policyholders who have not annuitized their deferred annuity contracts Zurich American Life Insurance Company

More information

NCCI Filing Memorandum Item B-1420

NCCI Filing Memorandum Item B-1420 NCCI Filing Memorandum Item B-1420 NATIONAL COUNCIL ON COMPENSATION INSURANCE, INC. (Applies in: AK, AL, AR, AZ, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, NE, NH, NM,

More information

FR Y-14Q: Retail US Auto Loan Schedule Instructions

FR Y-14Q: Retail US Auto Loan Schedule Instructions FR Y-14Q: Retail US Auto Loan Schedule Instructions This document provides general guidance and data definitions for the US Auto Loan Schedule. For the International Auto Loan Schedule, see the separate

More information

COMMERCIAL FINANCE ASSOCIATION. Annual Asset-Based Lending and Factoring Surveys, 2008

COMMERCIAL FINANCE ASSOCIATION. Annual Asset-Based Lending and Factoring Surveys, 2008 COMMERCIAL FINANCE ASSOCIATION Annual Asset-Based Lending and Factoring Surveys, 2008 Non-Member Edition May 6, 2009 R.S. Carmichael & Co., Inc. Commercial Finance Association 70 West Red Oak Lane (4 th

More information

Alabama Commission of Higher Education P. O. Box 302000 Montgomery, AL. Alabama

Alabama Commission of Higher Education P. O. Box 302000 Montgomery, AL. Alabama Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Alabama Commission of Higher Education P. O. Box 302000 Montgomery, AL 36130-2000 (334) 242-1998 Fax: (334) 242-0268 Alaska Commission

More information

90-400 APPENDIX B. STATE AGENCY ADDRESSES FOR INTERSTATE UIB CLAIMS

90-400 APPENDIX B. STATE AGENCY ADDRESSES FOR INTERSTATE UIB CLAIMS INTERSTATE UIB CLAIMS Alabama Multi- Unit (#01) Industrial Relations Bldg. Montgomery, AL 31604 Alaska Interstate Unit (#02) P.O. Box 3-7000 Juneau, AK 99801 Arizona Interstate Liable Office (#03) Department

More information

Pooling of Risk In applying rating factors, carriers will group policyholders into classes and blocks of business.

Pooling of Risk In applying rating factors, carriers will group policyholders into classes and blocks of business. Rate Regulation Introduction Concerns over the fairness and equity of insurer rating practices that attempt to charge higher premiums to those with higher actual and expected claims costs have increased

More information

LIMITED PARTNERSHIP FORMATION

LIMITED PARTNERSHIP FORMATION LIMITED PARTNERSHIP FORMATION The following Chart has been designed to allow you in a summary format, determine the minimum requirements to form a limited partnership in all 50 states and the District

More information

Motor Carrier Forms Bodily Injury and Property Damage Liability

Motor Carrier Forms Bodily Injury and Property Damage Liability ALPHABETICAL INDEX Forms are listed alphabetically by form title. Important Note: The forms shown herein for each state may not be a complete listing of all the motor carrier bodily injury and property

More information

The Cost and Benefits of Individual & Family Health Insurance Plans. November 2012

The Cost and Benefits of Individual & Family Health Insurance Plans. November 2012 The Cost and Benefits of Individual & Family Health Insurance Plans November 2012 Table of Contents Introduction and Background... 3 Methodology Summary... 3 Report Highlights... 4 Major Medical Policies

More information

Annual Survey of Public Employment & Payroll Summary Report: 2013

Annual Survey of Public Employment & Payroll Summary Report: 2013 Annual Survey of Public Employment & Payroll Summary Report: 2013 Economy-Wide Statistics Briefs: Public Sector by Robert Jesse Willhide Released December 19, 2014 G13-ASPEP INTRODUCTION This report is

More information

8. Network Usage and Growth

8. Network Usage and Growth 8. Network Usage and Growth To monitor use of the public switched telephone network, the National Exchange Carrier Association (NECA) provides quarterly reports to the Commission on the volume of interstate

More information

Resource Brief: Ombudsman Program Data Management Systems

Resource Brief: Ombudsman Program Data Management Systems Resource Brief: Ombudsman Program Prepared by the National Association of State Units on Aging National Long-Term Care Ombudsman Resource Center National Citizens' Coalition for Nursing Home Reform 1424

More information

TABLE 1. Didactic/Clinical/Lab SEMESTER TWO (Apply for admission to Nursing Program during Semester Two)

TABLE 1. Didactic/Clinical/Lab SEMESTER TWO (Apply for admission to Nursing Program during Semester Two) ITEM 127-105-R0505 TABLE 1 CURRICULUM FOR 72 CREDIT ASN WITH OPTIONAL PN EXIT AFTER 48(+) CREDITS ( STAND-ALONE LPN PROGRAMS WILL OFFER FIRST FOUR SEMESTERS) Course Credits Didactic/Clinical/Lab Course

More information

SAFE Act Continuing Education Requirements AllRegs NMLS Approved Curriculum

SAFE Act Continuing Education Requirements AllRegs NMLS Approved Curriculum NMLS Approval Information The Nationwide Mortgage Licensing System & Registry (NMLS) has approved AllRegs as an Education Provider (#1400024), and approved the following courses. Successive Years Rule

More information

Community College/Technical Institute Mission Convergence Study

Community College/Technical Institute Mission Convergence Study Center for Community College Policy Education Commission of the States Community College/Technical Institute Mission Convergence Study Phase 1: Survey of the States Prepared by Donald E. Puyear, Ph.D.

More information

NYCOM 2009 Entering Class - Matriculant Comparison Data

NYCOM 2009 Entering Class - Matriculant Comparison Data NYCOM 2009 Entering Class - Matriculant Comparison Data Enclosed are summary tables of the 2009 matriculants and parallel data for matriculants to your college. Matriculant data were matched to the applicant

More information

Where Are States Today? Medicaid and CHIP Eligibility Levels for Adults, Children, and Pregnant Women as of January 2015

Where Are States Today? Medicaid and CHIP Eligibility Levels for Adults, Children, and Pregnant Women as of January 2015 February 2015 Fact Sheet Where Are States Today? Medicaid and CHIP Eligibility Levels for Adults, Children, and Pregnant Women as of This fact sheet provides an overview of eligibility levels for parents,

More information

Director: David Roark

Director: David Roark Director: David Roark Service Area: The Texas Service Center accepts and processes certain applications and petitions from individuals residing in the following states: Alabama, Arkansas, Connecticut,

More information

Motor Carrier Forms Bodily Injury and Property Damage Liability

Motor Carrier Forms Bodily Injury and Property Damage Liability ALPHABETICAL INDEX Forms are listed alphabetically by form title. Important Note: The forms shown herein for each state may not be a complete listing of all the motor carrier bodily injury and property

More information

kaiser medicaid and the uninsured commission on The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis

kaiser medicaid and the uninsured commission on The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis kaiser commission on medicaid and the uninsured The Cost and Coverage Implications of the ACA Medicaid Expansion: National and State-by-State Analysis John Holahan, Matthew Buettgens, Caitlin Carroll,

More information

STATE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PARTICIPATION RATES IN 2009 FOOD AND NUTRITION SERVICE

STATE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PARTICIPATION RATES IN 2009 FOOD AND NUTRITION SERVICE Responsibility and Work Opportunity Reconciliation Act.... STATE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM PARTICIPATION RATES IN 2009 FOOD AND NUTRITION SERVICE Recent studies have examined national participation

More information

The Cost And Benefits Of Individual Health Insurance Plans: 2007

The Cost And Benefits Of Individual Health Insurance Plans: 2007 The Cost And Benefits Of Individual Health Insurance Plans: 2007 Contents Introduction and overview 3 Methodology summary 4 Report summary 5 Major Medical Plan Premiums Profile of ehealthinsurance policy

More information

*Time is listed as approximate as an offender may be charged with other crimes which may add on to the sentence.

*Time is listed as approximate as an offender may be charged with other crimes which may add on to the sentence. Victims of drunk driving crashes are given a life sentence. In instances of vehicular homicide caused by drunk drivers, these offenders rarely receive a life sentence in prison. Laws vary greatly on the

More information

ESCHEAT HAPPENS!! HOW NOT TO BE UP A CREEK WHEN IT DOES.

ESCHEAT HAPPENS!! HOW NOT TO BE UP A CREEK WHEN IT DOES. ESCHEAT HAPPENS!! HOW NOT TO BE UP A CREEK WHEN IT DOES. HISTORY Romans England Magna Carta Feudal Period United States 1940 s Escheatment laws begin 1954 First Uniform Unclaimed Property Law passed 1965

More information

License Plate and Frame Guidelines

License Plate and Frame Guidelines rev: 12/17/13 License and Frame Guidelines # State License s Small over Small Small over Large Large Only 1 Alabama: AL 2 Alaska: AK 3 Arizona: AZ 4 Arkansas: AR 5 California: CA 6 Colorado: CO 7 Connecticut:

More information

The Case for Change The Case for Whopping Big Change

The Case for Change The Case for Whopping Big Change TESTIMONY The California Assembly Higher Education Committee October 7, 2013 Presentation by: David Longanecker President, Western Interstate Commission for Higher Education (WICHE) FINANCING CALIFORNIA

More information

The Vermont Legislative Research Shop

The Vermont Legislative Research Shop The Vermont Legislative Research Shop State Responses to Terrorism Every state has responded in some way to the events of September 11 th. Most states have named a Director of Homeland or a liaison to

More information

Health Insurance Price Index Report for Open Enrollment and Q1 2014. May 2014

Health Insurance Price Index Report for Open Enrollment and Q1 2014. May 2014 Health Insurance Price Index Report for Open Enrollment and May 2014 ehealth 5.2014 Table of Contents Introduction... 3 Executive Summary and Highlights... 4 Nationwide Health Insurance Costs National

More information

Health Coverage for the Hispanic Population Today and Under the Affordable Care Act

Health Coverage for the Hispanic Population Today and Under the Affordable Care Act on on medicaid and and the the uninsured Health Coverage for the Population Today and Under the Affordable Care Act April 2013 Over 50 million s currently live in the United States, comprising 17 percent

More information

Arizona Form 2014 Credit for Taxes Paid to Another State or Country 309

Arizona Form 2014 Credit for Taxes Paid to Another State or Country 309 Arizona Form 2014 Credit for Taxes Paid to Another State or Country 309 Phone Numbers For information or help, call one of the numbers listed: Phoenix (602) 255-3381 From area codes 520 and 928, toll-free

More information

STATE ELECTIONS OFFICES

STATE ELECTIONS OFFICES STATE ELECTIONS OFFICES 1. Alabama 600 Dexter Ave, Suite E-208 PO Box 5616 Montgomery, AL 36103-5616 Phone: 334-242-4845 2. Alaska Election Director s Office Court Plaza Building 240 Main Street, 4th Floor

More information

ONLINE SERVICES FOR KEY LOW-INCOME BENEFIT PROGRAMS What States Provide Online with Respect to SNAP, TANF, Child Care Assistance, Medicaid, and CHIP

ONLINE SERVICES FOR KEY LOW-INCOME BENEFIT PROGRAMS What States Provide Online with Respect to SNAP, TANF, Child Care Assistance, Medicaid, and CHIP 820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Updated June 8, 2011 ONLINE SERVICES FOR KEY LOW-INCOME BENEFIT PROGRAMS What States

More information

TAX PREP FEE PHILOSOPHY. Copyright 2013 Drake Software

TAX PREP FEE PHILOSOPHY. Copyright 2013 Drake Software TAX PREP FEE PHILOSOPHY Copyright 2013 Drake Software Table of Contents Tax Prep Fee Survey Introduction... 2 Profile of Respondents... 3 Tax Prep Fee Averages - Federal Forms... 4 1040 Prep Fee Averages

More information

ACORD Forms Index. All packages contain 100 forms - Please specify number of packages required COUNTRYWIDE P&C FORMS - continued 2011/11 2013/09

ACORD Forms Index. All packages contain 100 forms - Please specify number of packages required COUNTRYWIDE P&C FORMS - continued 2011/11 2013/09 Please provide the information below to avoid delay in shipment. ACORD Forms Index Agency/Company Name: Contact Name: Street Address: City: Telephone: Fax: Web Site: State: ACORD Account #: E-Mail Address:

More information

Guide to Life Licensing. For Agent Use Only. This material may not be used with the public.

Guide to Life Licensing. For Agent Use Only. This material may not be used with the public. Guide to Life Licensing For Agent Use Only. This material may not be used with the public. Insurance policies and/or associated riders and features may not be available in all states Insurance products

More information

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Licensure Endorsement

Federation of State Boards of Physical Therapy Jurisdiction Licensure Reference Guide Topic: Licensure Endorsement The table below lists the licensure requirements for already-licensed PTs and PTAs applying for licensure in another jurisdiction. Summary Number of jurisdictions requiring license from: license was ever

More information

MAIA Bulletin #2004-26 December 2004 (updated 6/6/05) SR-22 Project

MAIA Bulletin #2004-26 December 2004 (updated 6/6/05) SR-22 Project MAIA Bulletin #2004-26 December 2004 (updated 6/6/05) SR-22 Project One of the most common complaints we receive is that consumers in Massachusetts are unable to secure SR-22 (financial responsibility)

More information

Audio Monitoring And The Law: How to Use Audio Legally in Security Systems. Today s Learning Objectives

Audio Monitoring And The Law: How to Use Audio Legally in Security Systems. Today s Learning Objectives Audio Monitoring And The Law: How to Use Audio Legally in Security Systems Presented to ISC West / SIA Education April 11, 2013 Donald J Schiffer Attorney at Law General Counsel Louroe Electronics Today

More information

Commercial Automobile

Commercial Automobile Policy Forms and Endorsements IT IS WOLTERS KLUWER POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBRIBERS OF THOSE RESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS BY ENTITIES THAT ARE

More information

U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending

U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending U.S. Department of Housing and Urban Development: Weekly Progress Report on Recovery Act Spending by State and Program Report as of 3/7/2011 5:40:51 PM HUD's Weekly Recovery Act Progress Report: AK Grants

More information

Contact information concerning unclaimed property escheated to states

Contact information concerning unclaimed property escheated to states Contact information concerning unclaimed property escheated to states ALABAMA Unclaimed Property Division PO Box 327580 Montgomery, AL 36132-7580 334-242-9614 ALASKA Unclaimed Property Division PO Box

More information

Finescaled Weather Data Set for the US

Finescaled Weather Data Set for the US Finescaled Weather Data Set for the US 1950-2005 Wolfram Schlenker Columbia University and NBER Michael J. Roberts North Carolina State University 1 Data Description 1.1 Data Construction Our data is based

More information

More State s Apportionment Allocations Impacted by New Census Estimates; New Twist in Supreme Court Case

More State s Apportionment Allocations Impacted by New Census Estimates; New Twist in Supreme Court Case [Type here] 6171 Emerywood Court Manassas, Virginia 20112 202 789.2004 tel. or 703 580.7267 703 580.6258 fax Info@electiondataservices.com FOR IMMEDIATE RELEASE Date: December 22, 2015 Contact: Kimball

More information

List of State DMV Websites

List of State DMV Websites List of State DMV Websites Alabama Alabama Department of Revenue Motor Vehicle Division http://www.ador.state.al.us/motorvehicle/index.html Alaska Alaska Department of Administration Division of Motor

More information

FAMILY LAW DIVORCE AND DISSOLUTION ALIMONY, MAINTENANCE, AND OTHER SPOUSAL SUPPORT (STATUTES) Thomson Reuters/West August 2010

FAMILY LAW DIVORCE AND DISSOLUTION ALIMONY, MAINTENANCE, AND OTHER SPOUSAL SUPPORT (STATUTES) Thomson Reuters/West August 2010 FAMILY LAW DIVORCE AND DISSOLUTION ALIMONY, MAINTENANCE, AND OTHER SPOUSAL SUPPORT (STATUTES) Thomson Reuters/West August 2010 All states and jurisdictions have enacted statutes regarding the provision

More information

Driving under the influence of alcohol or

Driving under the influence of alcohol or National Survey on Drug Use and Health The NSDUH Report December 9, 2010 State Estimates of Drunk and Drugged Driving In Brief Combined 2006 to 2009 data indicate that 13.2 percent of persons aged 16 or

More information

Lincoln Financial Annuity Product Training

Lincoln Financial Annuity Product Training Lincoln Financial Annuity Training * All required training must be completed prior to writing any business with this carrier. Failure to do so could result in business being returned* Training only applies

More information

Radiologic Sciences Staffing and Workplace Survey 2013

Radiologic Sciences Staffing and Workplace Survey 2013 Radiologic Sciences Staffing and Workplace Survey 2013 A Nationwide Survey of Radiologic Technologists Conducted by the American Society of Radiologic Technologists 1 Table of Contents Executive Summary...

More information

Summary of State Educational Requirements for International Dentists

Summary of State Educational Requirements for International Dentists Summary of State Educational Requirements for International Dentists This information is subject to change the reader must contact the state dental board directly to verify the current licensure requirements

More information

R.1 NTS ROUTING TABLE BY POSTAL STATE ABBREVIATION (A-L)

R.1 NTS ROUTING TABLE BY POSTAL STATE ABBREVIATION (A-L) PSCM, APP. B, MPGR, W3YVQ MPGRV14A-3/14, 1-1 MPGR / ROUTING, W3YVQ MPGRV14A, 3/14 / ROUTING TABLES R.1 ROUTING TABLE BY POSTAL STATE ABBREVIATION (A-L)... 1 R.1 ROUTING TABLE BY POSTAL STATE ABBREVIATION

More information

Continuing Education Units (CEU)

Continuing Education Units (CEU) CEUGuide Continuing Education Units (CEU) You are responsible for meeting any CEU requirements which may apply to your professional work in the low voltage industry. It is your responsibility to identify

More information

Building Codes in Effect by State

Building Codes in Effect by State s in Effect by Mandated or Electrical Mechanical Plumbing Fuel Gas Efficiency Accessibility Life Safety Fire Alabama (AL) The only state mandatory code is Life Safety. Only state buildings, schools, hotels,

More information

A CLOSER LOOK AT THE CHARTER SCHOOL MOVEMENT

A CLOSER LOOK AT THE CHARTER SCHOOL MOVEMENT A CLOSER LOOK AT THE CHARTER SCHOOL MOVEMENT Schools, Students, and Management Organizations, During the school year, more than 400 new charter public opened. 1 An estimated 250,000 additional students

More information

Pro Hac Vice Admission Rules

Pro Hac Vice Admission Rules AMERICAN BAR ASSOCIATION CENTER FOR PROFESSIONAL RESPONSIBILITY CPR POLICY IMPLEMENTATION COMMITTEE Pro Hac Vice Admission Rules Recommendation: The American Bar Association adopts a Model Rule on Pro

More information

Public School Teacher Experience Distribution. Public School Teacher Experience Distribution

Public School Teacher Experience Distribution. Public School Teacher Experience Distribution Public School Teacher Experience Distribution Lower Quartile Median Upper Quartile Mode Alabama Percent of Teachers FY Public School Teacher Experience Distribution Lower Quartile Median Upper Quartile

More information

Marketplaces (Exchanges): Information for Employers and Individuals Lisa Klinger, J.D. www.leavitt.com/healthcarereform.com

Marketplaces (Exchanges): Information for Employers and Individuals Lisa Klinger, J.D. www.leavitt.com/healthcarereform.com 10-21- 2013 As of January 1, 2014, the Patient Protection and Affordable Care Act (PPACA) requires most U.S. citizens and lawful residents to either have minimum essential coverage or to pay a federal

More information

Chex Systems, Inc. does not currently charge a fee to place, lift or remove a freeze; however, we reserve the right to apply the following fees:

Chex Systems, Inc. does not currently charge a fee to place, lift or remove a freeze; however, we reserve the right to apply the following fees: Chex Systems, Inc. does not currently charge a fee to place, lift or remove a freeze; however, we reserve the right to apply the following fees: Security Freeze Table AA, AP and AE Military addresses*

More information

Use and Characteristics of Electronic Health Record Systems Among Office-based Physician Practices: United States, 2001 2012

Use and Characteristics of Electronic Health Record Systems Among Office-based Physician Practices: United States, 2001 2012 Use and Characteristics of Electronic Health Record Systems Among Office-based Physician Practices: United States, 2001 2012 Chun-Ju Hsiao, Ph.D., and Esther Hing, M.P.H. Key findings In 2012, 72% of office-based

More information

STATE PERSONAL INCOME TAXES ON PENSIONS & RETIREMENT INCOME: TAX YEAR 2010

STATE PERSONAL INCOME TAXES ON PENSIONS & RETIREMENT INCOME: TAX YEAR 2010 STATE PERSONAL INCOME TAXES ON PENSIONS & RETIREMENT INCOME: TAX YEAR 2010 Ronald Snell Denver, Colorado February 2011 Most states that levy a personal income tax allow people who receive retirement income

More information

Other State Policy. CA Policy. Increase Requested

Other State Policy. CA Policy. Increase Requested Rate History Contact: 1 (800) 331-1538 Form * ** Date Date Name 1 NH94 I D 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006 8/20/2006 2 LTC94P I F 9/14/1998 N/A N/A N/A 35.00% 20.00% 1/25/2006 3/27/2006

More information

Three-Year Moving Averages by States % Home Internet Access

Three-Year Moving Averages by States % Home Internet Access Three-Year Moving Averages by States % Home Internet Access Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana

More information