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: