AAIS Personal and Premises Liability Program

Transcription

1 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 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 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

2 COVERAGE FORMS (A) GL0345 AAIS AMENDATORY ENDORSEMENT - INDIANA (PREMISES ONLY IN GL0345 AAIS AMENDATORY ENDORSEMENT - INDIANA (PREMISES ONLY IN GL29 AAIS 1.0 AMENDMENT OF POLICY TERMS - NORTH CAROLINA NC (C) GL600 AAIS COMMERCIAL LIABILITY COVERAGE (PREMISES ONLY) AL, AR, CA, CT, DE, MA, MI, MN, GL600 AAIS 1.0 COMMERCIAL LIABILITY COVERAGE (PREMISES ONLY) (F) GL2 AAIS 1.0 FARM PERSONAL LIAB COVERAGE AL, AR, CA, CT, DE, MA, MI, MN, GL2 AAIS 2.0 FARM PERSONAL LIAB COVERAGE AK, AZ, CO, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MO, NC, ND, NH, OH, OK, OR, PA, SC, SD, TN, TX, GL2 AAIS 2.1 FARM PERSONAL LIAB COVERAGE OR GENERAL USE/STATE SPECIFIC (A) GL70 AAIS 1.0 ADDITIONAL INSURED AL, AR, CA, CT, DE, MA, MI, MN, GL70 AAIS 2.1 ADDITIONAL INSURED OR GL71 AAIS 1.0 ADDITIONAL INSUREDS AL, AR, CA, CT, DE, MA, MI, MN, GL71 AAIS 2.0 ADDITIONAL INSUREDS DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OR, PA, RI, SC, SD, TN, TX, GL71 AAIS 2.1 ADDITIONAL INSUREDS OR GL72 AAIS 1.0 ADDITIONAL INSUREDS AND ADDITIONAL RESIDENCES AL, AR, CA, CT, DE, MA, MI, MN, GL72 AAIS 2.0 ADDITIONAL INSUREDS AND ADDITIONAL RESIDENCES GL72 AAIS 2.2 ADDITIONAL INSUREDS AND ADDITIONAL RESIDENCES OR GL5AZ AAIS 1.0 ADDITIONAL POLICY CONDITIONS - ARIZONA AZ GL5AR AAIS 1.0 ADDITIONAL POLICY CONDITIONS ARKANSAS AR GL0795 AAIS ADDITIONAL POLICY CONDITIONS - CALIFORNIA CA GL5CA AAIS ADDITIONAL POLICY CONDITIONS - CALIFORNIA CA GL5CT AAIS 1.0 ADDITIONAL POLICY CONDITIONS CONNECTICUT CT GL5FL AAIS 1.0 ADDITIONAL POLICY CONDITIONS FLORIDA FL GL1711 AAIS ADDITIONAL POLICY CONDITIONS - IDAHO ID PAGE 2 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

3 GL0005 AAIS ADDITIONAL POLICY CONDITIONS - IOWA IA GL5IA AAIS 1.1 ADDITIONAL POLICY CONDITIONS - IOWA IA GL1765 AAIS ADDITIONAL POLICY CONDITIONS - KANSAS KS GL1715 AAIS ADDITIONAL POLICY CONDITIONS - KANSAS KS GL1716 AAIS ADDITIONAL POLICY CONDITIONS - KENTUCKY KY GL5ME AAIS 1.0 ADDITIONAL POLICY CONDITIONS - MAINE ME GL1774 AAIS ADDITIONAL POLICY CONDITIONS - MARYLAND MD GL5MI AAIS 1.0 ADDITIONAL POLICY CONDITIONS MICHIGAN MI GL5MN AAIS 1.0 ADDITIONAL POLICY CONDITIONS MINNESOTA MN (PERSONAL) GL5MN AAIS 1.1 ADDITIONAL POLICY CONDITIONS MINNESOTA MN (PERSONAL) GL5NE AAIS 2.0 ADDITIONAL POLICY CONDITIONS NEBRASKA NE GL5NV AAIS 1.0 ADDITIONAL POLICY CONDITIONS NEVADA NV GL5NH AAIS 1.0 ADDITIONAL POLICY CONDITIONS - NEW HAMPSHIRE NH (MONOLINE POLICIES ONLY) GL5NJ AAIS 1.0 ADDITIONAL POLICY CONDITIONS NEW JERSEY NJ GL5NY AAIS ADDITIONAL POLICY CONDITIONS - NEW YORK NY GL5NY AAIS 2.0 ADDITIONAL POLICY CONDITIONS - NEW YORK NY GL5ND AAIS 1.1 ADDITIONAL POLICY CONDITIONS - NORTH DAKOTA (USED ND WITH GL-2 ONLY) GL5SC AAIS 1.0 ADDITIONAL POLICY CONDITIONS - SOUTH CAROLINA SC GL5VT AAIS 1.0 ADDITIONAL POLICY CONDITIONS VERMONT VT GL5WA AAIS 1.0 ADDITIONAL POLICY CONDITIONS - WASHINGTON WA GL5DC AAIS 1.0 ADDITIONAL POLICY CONDITIONS - WASHINGTON D.C. DC GL5WI AAIS 1.0 ADDITIONAL POLICY CONDITIONS - WISCONSIN WI GL5WY AAIS 1.0 ADDITIONAL POLICY CONDITIONS - WYOMING WY GL5 AAIS 1.0 ADDITIONAL POLICY CONDITIONS (MONOLINE POLICIES ONLY) AK, AL, AR, CA, CO, CT, DC, DE, FL, GA, HI, IA, IL, IN, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OR, PA, RI, SC, SD, TN, TX, GL5 AAIS 1.1 ADDITIONAL POLICY CONDITIONS (MONOLINE POLICIES VA ONLY) GL5MT AAIS ADDITIONAL POLICY CONDITIONS -MONTANA MT GL0005 AAIS ADDITIONAL POLICY CONDITIONS-ILLINOIS IL GL0005 AAIS ADDITIONAL POLICY CONDITIONS-ILLINOIS AK GL73 AAIS 1.0 ADDITIONAL RESIDENCES AL, AR, CA, CT, DE, MA, MI, MN, MS, MT, NE, NJ, NM, NV, RI GL73 AAIS 2.0 ADDITIONAL RESIDENCES GL73 AAIS 2.1 ADDITIONAL RESIDENCES NY ML89 AAIS ALASKA ENDORSEMENT AK GL35 AAIS 2.0 AMENDATORY END - WISCONSIN WI CL300 AAIS 1.0 AMENDATORY ENDORSEMENT CL300 AAIS 1.1 AMENDATORY ENDORSEMENT VA CL0172 AAIS AMENDATORY ENDORSEMENT - DISTRICT OF COLUMBIA DC CL0348 AAIS AMENDATORY ENDORSEMENT - ALASKA AK GL0436 AAIS AMENDATORY ENDORSEMENT - ALASKA AK PAGE 3 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

4 GL0435 AAIS AMENDATORY ENDORSEMENT - ALASKA AK CL0192 AAIS AMENDATORY ENDORSEMENT - ALASKA (BUSINESS OR AK COMMERCIAL CL0148 AAIS AMENDATORY ENDORSEMENT - ARIZONA AZ GL0805 AAIS AMENDATORY ENDORSEMENT - ARIZONA AZ GL0420 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR GL0993 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR CL0178 AAIS AMENDATORY ENDORSEMENT - ARKANSAS AR GL0421 AAIS AMENDATORY ENDORSEMENT - ARKANSAS (PREMISES ONLY AR GL0994 AAIS AMENDATORY ENDORSEMENT - CALIFORNIA CA GL0363 AAIS AMENDATORY ENDORSEMENT - CALIFORNIA CA CL0163 AAIS AMENDATORY ENDORSEMENT - CALIFORNIA CA CL0182 AAIS AMENDATORY ENDORSEMENT - COLORADO CO CL202 AAIS AMENDATORY ENDORSEMENT - DELAWARE NE CL0160 AAIS AMENDATORY ENDORSEMENT - FLORIDA FL CL0128 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA CL0128 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA GL0447 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA GL0633 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA GL0634 AAIS AMENDATORY ENDORSEMENT - GEORGIA GA CL152 AAIS AMENDATORY ENDORSEMENT - HAWAII (MONOLINE HI POLICIES ONLY) CL0195 AAIS AMENDATORY ENDORSEMENT - IDAHO ID CL0120 AAIS AMENDATORY ENDORSEMENT - ILLINOIS IL GL0014 AAIS AMENDATORY ENDORSEMENT - ILLINOIS IL GL0422 AAIS AMENDATORY ENDORSEMENT - INDIANA IN GL0424 AAIS AMENDATORY ENDORSEMENT - INDIANA IN GL0342 AAIS AMENDATORY ENDORSEMENT - INDIANA IN CL0487 AAIS AMENDATORY ENDORSEMENT - IOWA IA CL0115 AAIS AMENDATORY ENDORSEMENT - KANSAS KS GL0037 AAIS AMENDATORY ENDORSEMENT - KANSAS KS GL0016 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA CL0486 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA GL0430 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA GL0395 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA CL0196 AAIS AMENDATORY ENDORSEMENT - LOUISIANA LA CL0117 AAIS AMENDATORY ENDORSEMENT - MAINE ME CL0116 AAIS AMENDATORY ENDORSEMENT - MAINE ME GL1343 AAIS AMENDATORY ENDORSEMENT - MAINE ME CL0117 AAIS AMENDATORY ENDORSEMENT - MAINE ME CL0168 AAIS AMENDATORY ENDORSEMENT - MARYLAND MD GL0403 AAIS AMENDATORY ENDORSEMENT - MICHIGAN MI GL403 AAIS 1.0 AMENDATORY ENDORSEMENT MICHIGAN (PREMISES MI ONLY CL200 AAIS 2.0 AMENDATORY ENDORSEMENT MICHIGAN (PREMISES MI ONLY GL0630 AAIS AMENDATORY ENDORSEMENT - MINNESOTA MN CL0142 AAIS AMENDATORY ENDORSEMENT - MINNESOTA MN CL0206 AAIS AMENDATORY ENDORSEMENT - MISSISSIPPI MS GL0531 AAIS AMENDATORY ENDORSEMENT - MISSISSIPPI MS CL0171 AAIS AMENDATORY ENDORSEMENT - MISSOURI MO GL1351 AAIS AMENDATORY ENDORSEMENT - MISSOURI MO GL0659 AAIS AMENDATORY ENDORSEMENT - MISSOURI (PREMSES ONLY MO CL0144 AAIS AMENDATORY ENDORSEMENT - MONTANA MT GL0047 AAIS AMENDATORY ENDORSEMENT - MONTANA MT CL282 AAIS 1.0 AMENDATORY ENDORSEMENT MONTANA MT CL250 AAIS 2.0 AMENDATORY ENDORSEMENT MONTANA (PREMISES MT ONLY CL0154 AAIS AMENDATORY ENDORSEMENT - NEBRASKA NE PAGE 4 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

5 GL0449 AAIS AMENDATORY ENDORSEMENT - NEBRASKA NE CL0667 AAIS AMENDATORY ENDORSEMENT - NEVADA NV CL0176 AAIS AMENDATORY ENDORSEMENT - NEVADA NV GL0998 AAIS AMENDATORY ENDORSEMENT - NEVADA NV CL0138 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH CL0138 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH GL0925 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE (USE ONLY NH WITH FORM GL-1) GL1029 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE (USE WITH NH GL-2 ONLY) GL1028 AAIS AMENDATORY ENDORSEMENT - NEW HAMPSHIRE (USE WITH NH GL-600 ONLY) CL0485 AAIS AMENDATORY ENDORSEMENT - NEW JERSEY NJ CL0669 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY CL0264 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY GL0453 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY GL0438 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY GL0028 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY CL0264 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY GL0453 AAIS AMENDATORY ENDORSEMENT - NEW YORK NY CL0158 AAIS AMENDATORY ENDORSEMENT - NORTH CAROLINA NC CL0186 AAIS AMENDATORY ENDORSEMENT - NORTH DAKOTA ND GL0045 AAIS AMENDATORY ENDORSEMENT - NORTH DAKOTA ND GL0046 AAIS AMENDATORY ENDORSEMENT - NORTH DAKOTA ND CL186 AAIS 2.0 AMENDATORY ENDORSEMENT - NORTH DAKOTA ND CL0126 AAIS AMENDATORY ENDORSEMENT - OHIO OH GL1345 AAIS AMENDATORY ENDORSEMENT - OHIO OH GL1344 AAIS AMENDATORY ENDORSEMENT - OHIO OH CL0150 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA OK GL0949 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA (USE WITH GL-1 OK AND GL-2) GL0945 AAIS AMENDATORY ENDORSEMENT - OKLAHOMA (USE WITH GL-2 OK ONLY) CL0354 AAIS AMENDATORY ENDORSEMENT - OREGON OR CL0136 AAIS AMENDATORY ENDORSEMENT - OREGON OR CL0124 AAIS AMENDATORY ENDORSEMENT - PENNSYLVANIA PA CL0482 AAIS AMENDATORY ENDORSEMENT - PENNSYLVANIA PA CL0489 AAIS AMENDATORY ENDORSEMENT - RHODE ISLAND RI CL0114 AAIS AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC GL0412 AAIS AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC GL0433 AAIS AMENDATORY ENDORSEMENT - SOUTH DAKOTA SD GL0910 AAIS AMENDATORY ENDORSEMENT - SOUTH DAKOTA SD CL0668 AAIS AMENDATORY ENDORSEMENT - UTAH UT GL0628 AAIS AMENDATORY ENDORSEMENT - UTAH UT CL0132 AAIS AMENDATORY ENDORSEMENT - VERMONT VT GL0441 AAIS AMENDATORY ENDORSEMENT - VERMONT VT GL0032 AAIS AMENDATORY ENDORSEMENT - VERMONT VT CL0175 AAIS AMENDATORY ENDORSEMENT - VIRGINIA - (FARM) VA GL0445 AAIS AMENDATORY ENDORSEMENT - VIRGINIA (FARM) VA GL0033 AAIS AMENDATORY ENDORSEMENT - VIRGINIA (PERSONAL) VA CL0484 AAIS AMENDATORY ENDORSEMENT VIRGINIA (PERSONAL) VA GL0012 AAIS AMENDATORY ENDORSEMENT - WASHINGTON WA GL0367 AAIS AMENDATORY ENDORSEMENT - WASHINGTON WA CL0134 AAIS AMENDATORY ENDORSEMENT - WISCONSIN WI GL0035 AAIS AMENDATORY ENDORSEMENT - WISCONSIN PAGE 5 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

6 CL0130 AAIS AMENDATORY ENDORSEMENT - WYOMING WY GL0946 AAIS AMENDATORY ENDORSEMENT- OKLAHOMA (USE WITH GL-1 OK ONLY) CL0146 AAIS AMENDATORY ENDORSEMENT-NEW JERSEY NJ CL0445 AAIS AMENDATORY ENDORSEMENTS - ARKANSAS AR CL118 AAIS AMENDATORY ENDORSEMENT-TENNESSEE (PREMISES ONLY TN CL118 AAIS 1.0 AMENDATORY ENDORSEMENT-TENNESSEE (PREMISES ONLY TN CL0164 AAIS AMENDATORY ENDORSEMENT-UTAH UT GL0947 AAIS AMENDATORY ENDORSMENT -UTAH UT ML133 AAIS AMENDMENT OF CANCELLATION CONDITION (PREMISES ONLY MI, MN, MO, MS, MT, NC, NE, GL13 AAIS 2.0 AMENDMENT OF POLICY TERMS FLORIDA FL GL15 AAIS 1.0 AMENDMENT OF POLICY TERMS - KANSAS KS GL12 AAIS 1.0 AMENDMENT OF POLICY TERMS LIABILITY CT CONNECTICUT GL17 AAIS 1.0 AMENDMENT OF POLICY TERMS - MAINE ME GL0019 AAIS AMENDMENT OF POLICY TERMS - MICHIGAN MI GL19 AAIS 2.0 AMENDMENT OF POLICY TERMS MICHIGAN MI CL255 AAIS 1.0 AMENDMENT OF POLICY TERMS NEBRASKA NE GL0024 AAIS AMENDMENT OF POLICY TERMS - NEW JERSEY NJ GL30 AAIS 1.0 AMENDMENT OF POLICY TERMS OREGON OR GL30 AAIS 1.1 AMENDMENT OF POLICY TERMS OREGON OR ML138 AAIS 2.0 AMENDMENT OF POLICY TERMS OREGON (PREMISES ONLY OR ML138 AAIS 3.0 AMENDMENT OF POLICY TERMS OREGON (PREMISES ONLY OR GL31 AAIS 1.1 AMENDMENT OF POLICY TERMS - PENNSYLVANIA (USED PA WITH GL-1 ONLY) GL34 AAIS 1.0 AMENDMENT OF POLICY TERMS - WASHINGTON WA GL36 AAIS 2.0 AMENDMENT OF POLICY TERMS - WYOMING WY (B) GL74 AAIS 1.0 BUSINESS ACTIVITIES AL, AR, CA, CT, DE, MA, MI, MN, GL74 AAIS 2.0 BUSINESS ACTIVITIES GL74 AAIS 2.1 BUSINESS ACTIVITIES OR (C) GL84 AAIS 1.0 CARE PROVIDED FOR OTHERS COVERAGE AL, AR, CA, DE, MA, MI, MN, MS, MT, NJ, NM, NV, RI GL84 AAIS 1.1 CARE PROVIDED FOR OTHERS COVERAGE IL GL84 AAIS 1.2 CARE PROVIDED FOR OTHERS COVERAGE NE, VT GL84 AAIS 2.0 CARE PROVIDED FOR OTHERS COVERAGE GL84 AAIS 2.1 CARE PROVIDED FOR OTHERS COVERAGE MN PAGE 6 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

7 GL84 AAIS 2.3 CARE PROVIDED FOR OTHERS COVERAGE CA GL84 AAIS 2.4 CARE PROVIDED FOR OTHERS COVERAGE NY GL84 AAIS 2.5 CARE PROVIDED FOR OTHERS COVERAGE OR GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VT, WI, WV, WY GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION AK GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION AK GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION VA GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION WA GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION WA GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION OK GL0320 AAIS CERTIFIED ACT OF TERRORISM EXCLUSION DC, DE, FL, GA, GU, HI, IA, ID, IL, MI, UT, VA, VI, VT, WA, WI, WV, WY GL0334 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0334 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0334 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0344 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION (NUCLEAR, BIOLOGICAL AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) GL0344 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION (NUCLEAR, BIOLOGICAL AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) GL0344 AAIS CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION (NUCLEAR, BIOLOGICAL AND CHEMICAL NON-CERTIFIED AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID, IL, 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, UT, VA, VT, WI, WV, WY AK WA AL, AR, AZ, CA, CO, CT, DC, DE, HI, IA, ID, IL, 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, UT, VA, VT, WI, WV, WY AK ACTS OF TERRORISM) GL0310 AAIS CERTIFIED TERRORISM LOSS AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VT, WI, WV, WY GL0310 AAIS CERTIFIED TERRORISM LOSS MA GL0310 AAIS CERTIFIED TERRORISM LOSS DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, WA PAGE 7 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

8 KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, FL0670 AAIS CERTIFIED TERRORISM LOSS DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, FL0670 AAIS CERTIFIED TERRORISM LOSS DC, DE, FL, GA, GU, HI, IA, ID, IL, MI, UT, VA, VI, VT, WA, WI, WV, WY GL0310 AAIS CERTIFIED TERRORISM LOSS VA GL0310 AAIS CERTIFIED TERRORISM LOSS OK FL0670 AAIS CERTIFIED TERRORISM LOSS NY FL0670 AAIS CERTIFIED TERRORISM LOSS IN, KS, KY, MA, MD, ME, MI, FL0670 AAIS CERTIFIED TERRORISM LOSS NJ FL0670 AAIS CERTIFIED TERRORISM LOSS GA, NY GL0310 AAIS CERTIFIED TERRORISM LOSS DC, DE, FL, GA, GU, HI, IA, ID, IL, MI, UT, VA, VI, VT, WA, WI, WV, WY CL0605 AAIS CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND MA FEDERAL SHARE OF INSURED LOSSES CL0605 AAIS CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND FEDERAL SHARE OF INSURED LOSSES CL1605 AAIS CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND FEDERAL SHARE OF INSURED LOSSES AK, AL, AR, AZ, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, NE, NH, NJ, NM, NV, OH, OK, OH CL1605 AAIS CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND FEDERAL SHARE OF INSURED LOSSES CL1605 AAIS CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND HI FEDERAL SHARE OF INSURED LOSSES CL0682 AAIS CIVIL UNIONS AMENDMENT - COLORADO CO CL0462 AAIS CIVIL UNIONS AMENDMENT - CONNECTICUT CT CL0679 AAIS CIVIL UNIONS AMENDMENT - DELAWARE DE CL0681 AAIS CIVIL UNIONS AMENDMENT - HAWAII HI CL0678 AAIS CIVIL UNIONS AMENDMENT - ILLINOIS IL CL0321 AAIS CIVIL UNIONS AMENDMENT - NEW JERSEY NJ PAGE 8 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

9 CL0680 AAIS CIVIL UNIONS AMENDMENT - RHODE ISLAND RI CL0453 AAIS CIVIL UNIONS AMENDMENT - VERMONT VT CL0103 AAIS COMMON POLICY CONDITIONS - WASHINGTON WA GL1340 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM EXCLUSION GL1340 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM EXCLUSION DC, DE, FL, GA, GU, HI, IA, ID, IL, MI, UT, VA, VI, VT, WA, WI, WV, WY AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IL, 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, UT, VA, VT, WI, WV, WY GL1340 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL AK TERRORISM EXCLUSION GL1340 AAIS CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL WA TERRORISM EXCLUSION GL1330 AAIS CONDITIONAL TERRORISM EXCLUSION DC, DE, FL, GA, GU, HI, IA, ID, IL, MI, UT, VA, VI, VT, WA, WI, WV, WY GL1330 AAIS CONDITIONAL TERRORISM EXCLUSION AL, AR, AZ, CA, CO, CT, DC, DE, GA, ID, IL, 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, UT, VA, VT, WI, WV, WY GL1330 AAIS CONDITIONAL TERRORISM EXCLUSION AK GL1330 AAIS CONDITIONAL TERRORISM EXCLUSION WA GL75 AAIS 1.0 CUSTOM FARMING AL, AR, CA, CT, DE, MA, MI, MN, GL75 AAIS 2.0 CUSTOM FARMING (D) ML181 AAIS DEFERRED PREMIUM PAYMENT PLAN AL, AR, CA, CT, DE, MA, MI, MN, ML181 AAIS 1.0 DEFERRED PREMIUM PAYMENT PLAN CA, FL, MT, NV, OR, RI, TN, VA CL0105 AAIS DOMESTIC PARTNERSHIP AMENDMENT - OREGON OR (E) GL393 AAIS ELIMINATION OF GENERAL AGGREGATE LIMITS NJ GL0076 AAIS EMPLOYERS' LIABILITY - FARM EMPLOYEES PA GL1349 AAIS EXCLUSION - LOSS, COST, OR EXPENSE INVOLVING MA POLLUTANTS (F) GL77 AAIS 1.0 FIRE LEGAL LIABILITY FARMS AL, AR, CA, CT, DE, MA, MI, MN, GL78 AAIS 1.0 FRUIT OR VEGETABLE PICKING BY PUBLIC AL, AR, CA, CT, DE, MA, MI, MN, GL78 AAIS 2.0 FRUIT OR VEGETABLE PICKING BY PUBLIC PAGE 9 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

10 GL78 AAIS 2.1 FRUIT OR VEGETABLE PICKING BY PUBLIC OR (G) CL0167 AAIS GUARANTY ASSOCIATION COVERAGE LIMITATIONS - MO MISSOURI (H) GL0786 AAIS HEATING OIL RELEASE - LIABILITY COVERAGE MA GL0787 AAIS HEATING OIL RELEASE - LIABILITY COVERAGE MA GL0785 AAIS HEATING OIL RELEASE - LIABILITY COVERAGE MA (I) ML127 AAIS INSURANCE INSPECTION SERVICES EXEMPTION FROM LIABILITY (L) ML224 AAIS 2.0 LEAD LIABILITY COVERAGE PA ML224 AAIS 3.0 LEAD LIABILITY COVERAGE MA GL0890 AAIS LEAD LIABILITY EXCLUSION RI GL0890 AAIS LEAD LIABILITY EXCLUSION NJ GL0890 AAIS LEAD LIABILITY EXCLUSION RI ML223 AAIS 1.0 LEAD LIABILITY EXCLUSION (ADVISORY) MA ML223 AAIS 2.0 LEAD LIABILITY EXCLUSION (ADVISORY) AL, AR, CA, DE, KS, MI, MN, MO, MS, MT, NE, NM, TN ML223 AAIS 2.1 LEAD LIABILITY EXCLUSION (ADVISORY) OK ML223 AAIS 3.0 LEAD LIABILITY EXCLUSION (ADVISORY) MA ML223 AAIS 5.1 LEAD LIABILITY EXCLUSION (ADVISORY) ME ML223 AAIS 6.0 LEAD LIABILITY EXCLUSION (ADVISORY) FL, NV ML223 AAIS 6.1 LEAD LIABILITY EXCLUSION (ADVISORY) ME GL0049 AAIS LEAD LIABILITY EXCLUSIONS RI GL1041 AAIS LIABILITY EXCLUSION - DANGEROUS OR VICIOUS DOG OH GL1039 AAIS LIABILITY EXCLUSION - DANGEROUS OR VICIOUS DOG - FAILURE TO CONFINE OR CONTROL GL1038 AAIS LIABILITY EXCLUSION - INJURY OR DAMAGE ARISING OUT OF A DANGEROUS OR VICIOUS DOG GL1036 AAIS LIABILITY EXCLUSION WITH LIMITED EXCEPTION - INJURY OR DAMAGE ARISING OUT OF A DANGEROUS OR VICIOUS DOG GL4902 AAIS LIMITED COVERAGE FOR LOSS BY WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS (ADVISORY) GL4922 AAIS LIMITED COVERAGE FOR LOSS BY WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS (SAMPLE) OH OH OH GL0784 AAIS LIMITED FUNGI, WET OR DRY ROT, OR BACTERIA COVERGE AL, AZ, CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MS, MT, PAGE 10 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

11 NC, ND, NE, NH, NJ, NM, NV, OH, OK, PA, RI, SC, SD, TN, GL0783 AAIS LIMITED FUNGI, WET OR DRY ROT, OR BACTERIA COVERGE AL, AZ, CO, CT, DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, PA, RI, SC, SD, TN, (M) GL79 AAIS 1.0 MEDICAL PAYMENTS FOR BUSINESS VISITORS AL, AR, CA, CT, DE, MA, MI, MN, MS, MT, NE, NJ, NM, NV, RI GL0428 AAIS MIGRANT AND SEASONAL AGRICULTURAL WORKER MN PROTECTION ACT EXCLUSION GL0027 AAIS MIGRANT AND SEASONAL AGRICULTURAL WORKER NY PROTECTION ACT EXCLUSION GL0810 AAIS MIGRANT AND SESONAL AGRICULTURAL WORKER PROTECTION ACT EXCLUSION GL0793 AAIS MOTORIZED VEHICLES IN, OH (N) CL0491 AAIS NEW HAMPSHIRE - CIVIL UNIONS AMENDMENT NH CL1056 AAIS NO COVERAGE FOR LIABILITY ARISING OUT OF LEAD RI CL1055 AAIS NO COVERAGE FOR LIABILITY ARISING OUT OF LEAD RI GL0816 AAIS NO COVERAGE FOR NON-HIGHWAY VEHICLES OPERATED ON PUBLIC STREETS, HIGHWAYS, OR ROADWAYS -- ILLINOIS GL0818 AAIS NO COVERAGE FOR NON-HIGHWAY VEHICLES OPERATED ON PUBLIC STREETS, HIGHWAYS, OR ROADWAYS -- ILLINOIS GL0330 AAIS NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0330 AAIS NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0330 AAIS NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0429 AAIS NOTICE REGARDING FARM EMPLOYEES COVERAGE - MINNESOTA GL2340 AAIS NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM EXCLUSION GL2340 AAIS NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM EXCLUSION GL2340 AAIS NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM EXCLUSION GL0340 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0340 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION GL0340 AAIS NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF TERRORISM EXCLUSION AND WAR AND MILITARY ACTION EXCLUSION (O) IL IL WA AK AL, AR, CA, CT, DC, DE, HI, IL, MA, MI, MN, MO, MS, MT, NJ, NM, NV, PA, RI, VA MN AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IL, 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, UT, VA, VT, WI, WV, WY AK WA WA AK AL, AR, CA, CT, DC, DE, HI, IL, MA, MI, MN, MO, MS, MT, NE, NJ, NM, NV, RI, VA PAGE 11 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

12 GL80 AAIS 1.0 OFFICE, PROFESSIONAL, PRIVATE SCHOOL OR STUDIO OCCUPANCY GL80 AAIS 1.1 OFFICE, PROFESSIONAL, PRIVATE SCHOOL OR STUDIO OCCUPANCY GL80 AAIS 2.0 OFFICE, PROFESSIONAL, PRIVATE SCHOOL OR STUDIO OCCUPANCY AL, AR, CA, CT, DE, MA, MI, MN, MS, MT, NE, NJ, NM, NV, RI NY OR GL80 AAIS 2.1 OFFICE, PROFESSIONAL, PRIVATE SCHOOL OR STUDIO OCCUPANCY ML406 AAIS 1.0 OKLAHOMA NOTICE OK, PA GL23 AAIS 1.0 OUTBOARD MOTOR COVERAGE NH (P) GL81 AAIS 1.0 PERSONAL INJURY ENDORSEMENT AL, AR, CA, CT, DE, MA, MI, MN, GL81 AAIS 2.3 PERSONAL INJURY ENDORSEMENT OR FL1045 AAIS POLICY DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE CL0314 AAIS POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM EXCLUSIONS - CERTIFIED AND NON-CERTIFIED ACTS CL0319 AAIS POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM EXCLUSIONS - CERTIFIED AND NON-CERTIFIED ACTS CL1045 AAIS POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE CL1035 AAIS POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE DC, DE, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, TX, DC, HI, PA, PR DC, DE, HI, KS, MD, MO, NC, PA, PR, SC, VA, WV DC, DE, FL, GA, GU, HI, IA, ID, IL, MI, UT, VA, VI, VT, WA, WI, WV, WY MO CL0316 AAIS POLICYHOLDER DISCLOSURE-NOTICE OF TERRORISM EXCLUSION CL0316 AAIS POLICYHOLDER DISCLOSURE-NOTICE OF TERRORISM TX EXCLUSION PGL0933 AAIS POLLUTANT - AMENDED DEFINITION IN, MO GL0939 AAIS POLLUTION AMENDMENT IN, MO GL1350 AAIS POLLUTION EXCLUSION MA GL302 AAIS 1.0 POLLUTION LIABILITY EXTENSION FL, NJ GL302 AAIS 1.1 POLLUTION LIABILITY EXTENSION VT GL302 AAIS 2.0 POLLUTION LIABILITY EXTENSION FL, NJ GL302 AAIS 2.2 POLLUTION LIABILITY EXTENSION VT GL302 AAIS 3.0 POLLUTION LIABILITY EXTENSION VT GL128 AAIS PREMIUM PAYMENTS (PREMISES ONLY LIABILITY COVERAGE) PAGE 12 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

13 OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, WA, WI, WV, WY VA GL128 AAIS PREMIUM PAYMENTS (PREMISES ONLY LIABILITY COVERAGE) GL0010 AAIS PUNITIVE DAMAGE EXCLUSION AL GL0010 AAIS PUNITIVE DAMAGE EXCLUSION OH (R) CL0351 AAIS REGISTERED DOMESTIC PARTNERSHIP AMENDMENT - NEVADA (S) GL83 AAIS 1.0 SNOWMOBILE AL, AR, CA, CT, DE, MA, MI, MN, GL83 AAIS 2.0 SNOWMOBILE GL83 AAIS 2.1 SNOWMOBILE WI GL83 AAIS 2.2 SNOWMOBILE OR GL0050 AAIS SOCIAL HOST LIQUOR LIAB EXCL (NE) NE GL0346 AAIS SOCIAL HOST LIQUOR LIABILITY EXCLUSION -MINNESOTA MN GL0361 AAIS SOCIAL HOST LIQUOR LIABILITY EXCLUSION -VERMONT VT GL425 AAIS SOUTH CAROLINA AMENDMENTS (PREMISES ONLY LIABILITY SC COVERAGE) CL0343 AAIS STATE REGISTERED DOMESTIC PARTNERSHIP AMENDMENT - WA WASHINGTON (T) GL2330 AAIS TERRORISM EXCLUSION AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID, IL, 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, UT, VA, VT, WI, WV, WY GL2330 AAIS TERRORISM EXCLUSION AK GL2330 AAIS TERRORISM EXCLUSION WA (W) GL1341 AAIS WAR AND MILITARY ACTION EXCLUSION AK, AL, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, GL1341 AAIS WAR AND MILITARY ACTION EXCLUSION AK, AL, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, GL0990 AAIS WAR, MILITARY, ACTION, AND TERRORISM EXCLUSIONS (USE WITH GL-2 ONLY) NV DC, DE, FL, GA, GU, HI, IA, ID, IL, MI, UT, VA, VI, VT, WA, WI, WV, WY GL82 AAIS 1.0 WATERCRAFT AL, AR, CA, CT, DE, MA, MI, MN, GL82 AAIS 2.0 WATERCRAFT PAGE 13 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care:

14 GL82 AAIS 2.1 WATERCRAFT OR GL4901 AAIS WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS EXCLUSION (ADVISORY) GL4921 AAIS WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS EXCLUSION (PREMISES ONLY (ADVISORY) GL0991 AAIS WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY - DOMESTIC EMPLOYEES - NEW JERSEY ML90 AAIS 1.0 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY ENDORSEMENT (DOMESTIC EMPLOYEES) NJ CA, NE PAGE 14 of 14 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: