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 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
-------------------------------------------------------- GENERAL USE/STATE SPECIFIC -------------------------------------------------------- (A) HO6016 AAIS 01.15 ADDITIONAL INSURED - LANDLORD AK, AL, AR, AZ, CA, CO, DC, DE, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WA, WI, WV, WY MH0801 AAIS 01.13 AMENDATORY ENDORSEMENT - ALABAMA AL MH0854 AAIS 02.15 AMENDATORY ENDORSEMENT - ALASKA AK MH0802 AAIS 05.14 AMENDATORY ENDORSEMENT - ARIZONA AZ MH0803 AAIS 01.13 AMENDATORY ENDORSEMENT - ARKANSAS AR MH0803 AAIS 07.15 AMENDATORY ENDORSEMENT - ARKANSAS AR MH0804 AAIS 01.16 AMENDATORY ENDORSEMENT - CALIFORNIA CA MH0805 AAIS 09.13 AMENDATORY ENDORSEMENT - COLORADO CO MH0806 AAIS 01.15 AMENDATORY ENDORSEMENT - CONNECTICUT CT MH0807 AAIS 01.13 AMENDATORY ENDORSEMENT - DELAWARE DE ML0124 AAIS 02.16 AMENDATORY ENDORSEMENT - FLORIDA FL MH0810 AAIS 02.15 AMENDATORY ENDORSEMENT - GEORGIA GA MH0811 AAIS 05.13 AMENDATORY ENDORSEMENT - IDAHO ID MH0812 AAIS 01.13 AMENDATORY ENDORSEMENT - ILLINOIS IL MH0814 AAIS 01.13 AMENDATORY ENDORSEMENT - IOWA IA MH0815 AAIS 01.15 AMENDATORY ENDORSEMENT - KANSAS KS MH0816 AAIS 05.13 AMENDATORY ENDORSEMENT - KENTUCKY KY MH0817 AAIS 02.15 AMENDATORY ENDORSEMENT - LOUISIANA LA MH0818 AAIS 01.13 AMENDATORY ENDORSEMENT - MAINE ME MH0818 AAIS 09.15 AMENDATORY ENDORSEMENT - MAINE ME MH0819 AAIS 10.14 AMENDATORY ENDORSEMENT - MARYLAND MD MH0820 AAIS 01.13 AMENDATORY ENDORSEMENT - MASSACHUSETTS MA MH0821 AAIS 01.13 AMENDATORY ENDORSEMENT - MICHIGAN MI MH0822 AAIS 01.13 AMENDATORY ENDORSEMENT - MINNESOTA MN MH0823 AAIS 01.13 AMENDATORY ENDORSEMENT - MISSISSIPPI MS MH0824 AAIS 10.13 AMENDATORY ENDORSEMENT - MISSOURI MO MH0825 AAIS 01.13 AMENDATORY ENDORSEMENT - MONTANA MT MH0826 AAIS 01.15 AMENDATORY ENDORSEMENT - NEBRASKA NE MH0827 AAIS 01.13 AMENDATORY ENDORSEMENT - NEVADA NV MH0828 AAIS 01.15 AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH MH0829 AAIS 01.13 AMENDATORY ENDORSEMENT - NEW JERSEY NJ MH0830 AAIS 01.13 AMENDATORY ENDORSEMENT - NEW MEXICO NM MH0831 AAIS 01.13 AMENDATORY ENDORSEMENT - NEW YORK NY MH0831 AAIS 01.15 AMENDATORY ENDORSEMENT - NEW YORK NY MH0833 AAIS 08.15 AMENDATORY ENDORSEMENT - NORTH DAKOTA ND MH0834 AAIS 01.15 AMENDATORY ENDORSEMENT - OHIO OH MH0835 AAIS 01.13 AMENDATORY ENDORSEMENT - OKLAHOMA OK MH0836 AAIS 01.13 AMENDATORY ENDORSEMENT - OREGON OR MH0838 AAIS 01.13 AMENDATORY ENDORSEMENT - RHODE ISLAND RI MH0839 AAIS 01.13 AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC MH0840 AAIS 01.13 AMENDATORY ENDORSEMENT - SOUTH DAKOTA SD MH0843 AAIS 01.13 AMENDATORY ENDORSEMENT - UTAH UT MH0844 AAIS 01.13 AMENDATORY ENDORSEMENT - VERMONT VT MH0845 AAIS 07.15 AMENDATORY ENDORSEMENT - VIRGINIA VA MH0846 AAIS 01.13 AMENDATORY ENDORSEMENT - WASHINGTON WA MH0947 AAIS 01.13 AMENDATORY ENDORSEMENT - WEST VIRGINIA WV MH0847 AAIS 01.15 AMENDATORY ENDORSEMENT - WEST VIRGINIA WV MH0848 AAIS 01.13 AMENDATORY ENDORSEMENT - WISCONSIN WI MH0849 AAIS 01.13 AMENDATORY ENDORSEMENT - WYOMING WY MH0849 AAIS 01.15 AMENDATORY ENDORSEMENT - WYOMING WY PAGE 2 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
HO1221 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 GA HO1231 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 LA HO1241 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 KS HO1301 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 AL, AR, AZ, CA, CO, DC, DE, HO1211 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 WA HO1181 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 AL, AR, AZ, CO, DC, DE, IA, HO1191 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 AK HO1201 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 WY HO1131 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 CT HO1141 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0001 NY HO1232 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 LA HO1242 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 KS HO1302 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 AL, AR, AZ, CA, CO, DC, DE, HO1222 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 GA HO1192 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 AK HO1142 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 NY HO1202 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 WY HO1132 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 CT HO1212 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 WA HO1182 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0002 AL, AR, AZ, CO, DC, DE, IA, HO1213 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 WA HO1223 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 GA HO1233 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 LA HO1243 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 KY HO1303 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 AL, AR, AZ, CA, CO, DC, DE, HO1193 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 AK HO1143 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 NY HO1133 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 CT HO1183 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 AL, AR, AZ, CO, DC, DE, IA, HO1203 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0003 WY HO1214 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 WA HO1244 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 KS HO1304 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 AL, AR, AZ, CA, CO, DC, DE, HO1234 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 LA PAGE 3 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
HO1224 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 GA HO1144 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 NY HO1204 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 WY HO1184 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 AL, AR, AZ, CO, DC, DE, IA, HO1194 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 AK HO1134 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0004 CT HO1305 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0005 AL, AR, AZ, CA, CO, DC, DE, HO1306 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0006 AL, AR, AZ, CA, CO, DC, DE, HO1218 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 WA HO1228 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 GA HO1238 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 LA HO1308 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 AL, AR, AZ, CA, CO, DC, DE, IA, ID, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NV, OH, OK, OR, RI, SC, SD, TN, UT, VA, WI HO1248 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 KS HO1138 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 CT HO1188 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 AL, AR, AZ, CO, DC, DE, IA, MS, MT, ND, NV, OH, OK, OR, RI, SC, UT, VA, VT, WI HO1148 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 NY HO1198 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 AK HO1208 AAIS 01.15 AMENDMENT OF POLICY TERMS - FORM HO 0008 WY MH9901 AAIS 01.13 ANNUAL SUMMARY OF MOBILE-HOMEOWNERS COVERAGES MD AND EXCLUSIONS AND NOTICE OF AVAILABILITY OF CREDITS FOR MITIGATING HURRICANE LOSS HO1300 AAIS 01.15 ASBESTOS EXCLUSION AK, AL, AR, AZ, CA, CO, CT, DC, DE, IA, ID, IL, IN, KS, KY, MA, MD, ME, NJ, NM, NV, NY, OH, OK, OR, PA, RI,, WY HO1775 AAIS 01.13 ASSOCIATION DEDUCTIBLE COVERAGE - EARTHQUAKE AK HO1775 AAIS 04.13 ASSOCIATION DEDUCTIBLE COVERAGE - EARTHQUAKE AK (B) HO0001 AAIS 01.15 BASIC FORM - PENNSYLVANIA PA HO0002 AAIS 01.15 BROAD FORM - PENNSYLVANIA PA (C) CL0682 AAIS 06.13 CIVIL UNIONS AMENDMENT - COLORADO CO MH7701 AAIS 01.13 COLLISION, UPSET, SINKING, OR STANDING CA, GA, MT, NV MH7826 AAIS 01.13 COLLISION, UPSET, SINKING, OR STANDING DE, GA, IN, ME, MS, MH7708 AAIS 01.13 COLLISION, UPSET, SINKING, OR STRANDING WA HO1798 AAIS 01.15 COMPUTER COVERAGE KS HO1685 AAIS 01.15 COMPUTER COVERAGE VT HO1711 AAIS 01.15 COMPUTER COVERAGE WA HO2770 AAIS 01.15 COMPUTER COVERAGE AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KY, LA, MA, PAGE 4 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
MD, ME, MI, MN, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI,, WY MH7825 AAIS 01.13 CONSENT TO MOVE MOBILE HOME DE, GA, IN, ME, MS, MH7700 AAIS 01.13 CONSENT TO MOVE MOBILE HOME CA, GA, MT, NV HO0004 AAIS 01.15 CONTENTS BROAD FORM - PENNSYLVANIA PA HO1781 AAIS 01.13 COVERAGE C - HIGHER LIMITS ON CERTAIN PROPERTY VA HO2730 AAIS 01.15 COVERAGE C -- PERSONAL PROPERTY - SPECIAL COVERAGE AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KY, LA, MA, MD, ME, NJ, NM, NV, NY, OH, OK, OR, PA, RI,, WY (E) HO1605 AAIS 01.15 EARTHQUAKE COVERAGE CA HO1774 AAIS 01.15 EARTHQUAKE COVERAGE AK MH2754 AAIS 01.15 EARTHQUAKE COVERAGE AL, AR, AZ, CO, DE, GA, IA, ID, IL, IN, KS, KY, LA, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WI, WV, WY HO1776 AAIS 01.13 EARTHQUAKE LOSS ASSESSMENT AK HO1776 AAIS 04.13 EARTHQUAKE LOSS ASSESSMENT AK MH7801 AAIS 01.13 EMERGENCY REMOVAL TOWING COST - HIGHER LIMIT DE, GA, IN, ME, MS, HO1620 AAIS 12.06 EQUIPMENT BREAKDOWN COVERAGE LA HO1648 AAIS 12.06 EQUIPMENT BREAKDOWN COVERAGE CT HO1621 AAIS 12.06 EQUIPMENT BREAKDOWN COVERAGE - INCLUDES LA PERMANENTLY INSTALLED APPLIANCES HO1649 AAIS 12.06 EQUIPMENT BREAKDOWN COVERAGE - INCLUDES CT PERMANENTLY INSTALLED APPLIANCES HO1545 AAIS 12.13 EXCLUSION - YOU LIVE AT A LOCATION OTHER THAN THE MN, NH, RI DESCRIBED LOCATION HO1788 AAIS 12.13 EXCLUSION - YOU LIVE AT A LOCATION OTHER THAN THE GA DESCRIBED LOCATION HO2003 AAIS 12.13 EXCLUSION -- YOU LIVE AT A LOCATION OTHER THAN THE DESCRIBED LOCATION (H) HO1176 AAIS 11.13 HOW MUCH WE PAY FOR LOSS OR OCCURRENCE -- NO COVERAGE FOR DIMINISHED VALUE AL, AR, AZ, CA, CO, DC, DE, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MO, MS, MT, NC, ND, NE, NJ, NM, NV, OH, OK, OR, PA, SC, SD, TN, UT, VA, WA, WI, WV, WY MH1532 AAIS 01.13 HURRICANE DEDUCTIBLE - CONNECTICUT CT HO1531 AAIS 07.14 HURRICANE DEDUCTIBLE - MARYLAND MD (I) HO9922 AAIS 11.07 IMPORTANT INFORMATION ABOUT YOUR HOMEOWNERS INSURANCE MH9900 AAIS 01.13 IMPORTANT NOTICE OF PREMIUM DISCOUNTS - MANUFACTURED HOUSING PROPERTY INSURANCE COVERAGE (L) HO9920 AAIS 01.06 LEAD LIABILITY DISCLOSURE NOTICE MA HO1129 AAIS 01.13 LIABILITY EXCLUSION - LEAD AK HO1100 AAIS 01.06 LIABILITY EXCLUSIONS POLLUTANTS GA, VT HO1102 AAIS 01.06 LIABILITY EXCLUSIONS POLLUTANTS, BACTERIA, FUNGI, WET ROT, AND DRY ROT HO1130 AAIS 01.15 LIABILITY EXCLUSIONS POLLUTANTS, BACTERIA, FUNGI, WET ROT, AND DRY ROT GA DE SC CT, KS, MA, MI, ND, OK, RI NE PAGE 5 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
HO1500 AAIS 01.15 LIMITED EARTHQUAKE COVERAGE -- CALIFORNIA CA HO0008 AAIS 01.15 LIMITED FORM - PENNSYLVANIA PA HO1801 AAIS 01.15 LIMITED WATER BACK UP COVERAGE MD (M) MH9932 AAIS 05.15 MOBILE HOMEOWNERS INSURANCE SUMMARY (FOR USE NJ WITH HO 0001 AND HO 0008) MH9931 AAIS 05.15 MOBILE HOMEOWNERS INSURANCE SUMMARY (FOR USE NJ WITH HO 0001 AND HO 0008) MH7800 AAIS 01.13 MOBILE-HOMEOWNERS ENDORSEMENT DE, GA, IN, ME, MS, MH7800 AAIS 03.13 MOBILE-HOMEOWNERS ENDORSEMENT AK (N) CL0683 AAIS 06.14 NOTICE TO POLICYHOLDER -- NO COVERAGE FOR FLOOD (MUST BE ATTACHED WHEN A POLICY PROVIDES COVERAGE FOR RESIDENTIAL RISKS) (P) HO1601 AAIS 01.15 PERSONAL INJURY NY HO1655 AAIS 01.15 PERSONAL INJURY VT HO1690 AAIS 01.15 PERSONAL INJURY NJ HO1626 AAIS 01.15 PERSONAL INJURY LA HO1684 AAIS 01.15 PERSONAL INJURY WY HO1694 AAIS 01.15 PERSONAL INJURY WA HO4001 AAIS 01.15 PERSONAL INJURY AK, AL, AR, AZ, CA, CO, DC, DE, GA, IA, ID, IL, IN, KY, MA, MD, ME, MI, MO, MS, MT, ND, NE, NM, NV, OK, OR, PA, RI, CL1058 AAIS 08.14 POLICY COVERAGES AND LIMITATIONS SUMMARY SC HO9923 AAIS 07.14 POLICYHOLDER NOTICE - HURRICANE DEDUCTIBLE MD HO1348 AAIS 07.13 POLLUTANT - AMENDED DEFINITION IN, MO HO1347 AAIS 09.14 PUNITIVE OR EXEMPLARY DAMAGES EXCLUSION AK, AR, AZ, CA, CO, CT, DC, DE, IA, ID, IL, IN, KS, KY, MA, MD, ME, MN, MO, ND, NE, NH, NM, NV, NY, OH, OK, OR, PA, RI, SD, TN, UT, VA, VT, WA, WI, WV, WY (R) HO1501 AAIS 01.15 RECONSTRUCTION COST COVERAGE CA HO1777 AAIS 01.13 RELATED PRIVATE STRUCTURES - AWAY FROM THE CT LOCATION MH9933 AAIS 05.15 RENTERS INSURANCE SUMMARY (FOR USE WITH HO 0004) NJ MH1130 AAIS 01.13 REPLACEMENT COST LOSS SETTLEMENT TERMS - MOBILE NV HOMES HO1645 AAIS 01.06 REPLACEMENT COST LOSS SETTLEMENT TERMS - PERSONAL WV PROPERTY HO9925 AAIS 01.15 RESIDENTIAL PROPERTY INSURANCE - OUTLINE OF AL COVERAGE AND COMPREHENSIVE POLICY CHECKLIST ML9926 AAIS 07.13 RESIDENTIAL PROPERTY INSURANCE - OUTLINE OF AL COVERAGE AND COMPREHENSIVE POLICY CHECKLIST MH1683 AAIS 01.13 ROOF SURFACING AMENDMENT - ACTUAL CASH VALUE LA TERMS FOR WINDSTORM OR HAIL LOSS MH4835 AAIS 01.13 ROOF SURFACING AMENDMENT - ACTUAL CASH VALUE TERMS FOR WINDSTORM OR HAIL LOSS (S) HO9905 AAIS 09.08 SAMPLE POLICYHOLDER NOTICE - ORDINANCE OR LAW AK COVERAGE - HO 0001, HO 0002, HO 0003, AND HO 0005 NH DE, GA, IN, ME, MS, OH, OK, OR, VT, WI HO9906 AAIS 09.08 SAMPLE POLICYHOLDER NOTICE - ORDINANCE OR LAW AK COVERAGE - HO 0004 HO1678 AAIS 01.15 SCHEDULE PERSONAL PROPERTY COVERAGE LA HO1679 AAIS 01.15 LA PAGE 6 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
SCHEDULE PERSONAL PROPERTY COVERAGE - AGREED VALUE LOSS SETTLEMENT TERMS HO1708 AAIS 01.15 SCHEDULED MOTORIZED GOLD CART COVERAGE WA HO3831 AAIS 01.15 SCHEDULED MOTORIZED GOLF CART COVERAGE AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WI, WV, WY HO1633 AAIS 01.15 SCHEDULED PERSONAL PROPERTY COVERAGE AK HO3061 AAIS 01.15 SCHEDULED PERSONAL PROPERTY COVERAGE AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MS, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WA, WI, WV, WY HO1625 AAIS 01.15 SCHEDULED PERSONAL PROPERTY COVERAGE MT HO3063 AAIS 01.15 SCHEDULED PERSONAL PROPERTY COVERED -- AGREED VALUE LOSS SETTLEMENT TERMS AK, AL, AR, AZ, CA, CO, CT, DC, DE, GA, IA, ID, IL, IN, KS, KY, MA, MD, ME, MI, MN, MO, MS, MT, ND, NE, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, SD, TN, UT, VA, VT, WA, WI, WV, WY HO1778 AAIS 01.13 SCHEDULED RELATED PRIVATE STRUCTURES - AWAY FROM CT THE DESCRIBED LOCATION MH7702 AAIS 01.13 SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE CA, MT MH7703 AAIS 01.13 SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE GA, NH MH7705 AAIS 01.13 SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE LA MH7827 AAIS 01.13 SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE DE, GA, IN, ME, MS, MH7704 AAIS 01.13 SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE KS, NM MH7707 AAIS 01.13 SECURED PARTY'S INTEREST - ADDITIONAL COVERAGE NV HO1524 AAIS 01.06 SOCIAL HOST LIQUOR LIABILITY EXCLUSION - NEBRASKA NE HO0003 AAIS 01.15 SPECIAL FORM - PENNSYLVANIA PA MH9902 AAIS 01.13 STATEMENT OF ADDITIONAL OPTIONAL COVERAGES NOT INCLUDED IN THE STANDARD MOBILE-HOMEOWNER'S INSURANCE POLICY ML9927 AAIS 02.13 SUMMARY OF COVERAGE - MOBILE HOME POLICY - CO COLORADO (V) HO1117 AAIS 10.13 VICARIOUS LIABILITY SUB-LIMIT CO (W) HO1780 AAIS 01.13 WINDSTORM OR HAIL DEDUCTIBLE AK, NH MD PAGE 7 of 7 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424