Policy Forms and Endorsements THIS REFERENCE GUIDE FEATURES FORMS CONTAINED IN THE COMMERCIAL UMBRELLA LIABITY PROGRAM 1.0 AND COMMERCIAL UMBRELLA LIABITY PROGRAM 09 10. 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: 800-382-2424
-------------------------------------------------------- COMMERCIAL UMBRELLA LIABITY PROGRAM 1.0 -------------------------------------------------------- (A) UM0309 AAIS 10.05 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 04.00 ADDITIONAL INTEREST - COVERAGE U, AR, HI,, MA, MD, NV, OH, PR, SC, TX, UT,, CU0101 AAIS 09.10 AMENDATORY ENDORSEMENT - ALABAMA AL CU0201 AAIS 09.10 AMENDATORY ENDORSEMENT - ALABAMA AL UM0689 AAIS 04.00 AMENDATORY ENDORSEMENT - ARIZONA AZ CU0103 AAIS 05.14 AMENDATORY ENDORSEMENT - ARIZONA AZ CU0203 AAIS 05.14 AMENDATORY ENDORSEMENT - ARIZONA AZ UM0654 AAIS 04.00 AMENDATORY ENDORSEMENT - ARKANSAS AR UM0682 AAIS 08.06 AMENDATORY ENDORSEMENT - CALIFORNIA CA CU0206 AAIS 09.10 AMENDATORY ENDORSEMENT - COLORADO CO CU0106 AAIS 09.10 AMENDATORY ENDORSEMENT - COLORADO CO UM0665 AAIS 10.06 AMENDATORY ENDORSEMENT - COLORADO CO UM0675 AAIS 07.01 AMENDATORY ENDORSEMENT - CONNECTICUT CT CU0109 AAIS 09.10 AMENDATORY ENDORSEMENT - DISTRICT OF COLUMBIA DC CU0209 AAIS 09.10 AMENDATORY ENDORSEMENT - DISTRICT OF COLUMBIA DC UM0686 AAIS 10.06 AMENDATORY ENDORSEMENT - DISTRICT OF COLUMBIA DC UM0666 AAIS 04.00 AMENDATORY ENDORSEMENT - GEORGIA GA UM0695 AAIS 04.00 AMENDATORY ENDORSEMENT - HAII HI CU0213 AAIS 05.13 AMENDATORY ENDORSEMENT - IDAHO ID CU0113 AAIS 05.13 AMENDATORY ENDORSEMENT - IDAHO ID UM0662 AAIS 07.10 AMENDATORY ENDORSEMENT - INDIANA IN UM0652 AAIS 04.00 AMENDATORY ENDORSEMENT - IO IA CU0116 AAIS 06.11 AMENDATORY ENDORSEMENT - IO IA CU0216 AAIS 06.11 AMENDATORY ENDORSEMENT - IO IA UM0660 AAIS 08.10 AMENDATORY ENDORSEMENT - KANSAS KS UM0694 AAIS 04.00 AMENDATORY ENDORSEMENT - MASSACHUSETTS MA UM0667 AAIS 03.10 AMENDATORY ENDORSEMENT - MICHIGAN MI CU0223 AAIS 09.10 AMENDATORY ENDORSEMENT - MICHIGAN MI CU0123 AAIS 09.10 AMENDATORY ENDORSEMENT - MICHIGAN MI UM0680 AAIS 09.06 AMENDATORY ENDORSEMENT - MISSISSIPPI MS UM0659 AAIS 05.05 AMENDATORY ENDORSEMENT - MISSOURI MO UM0671 AAIS 04.00 AMENDATORY ENDORSEMENT - NEBRASKA NE UM0671 AAIS 10.08 AMENDATORY ENDORSEMENT - NEBRASKA NE UM0688 AAIS 01.05 AMENDATORY ENDORSEMENT - NEDA NV UM0683 AAIS 10.09 AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH CU0131 AAIS 09.10 AMENDATORY ENDORSEMENT - NEW JERSEY NJ CU0231 AAIS 09.10 AMENDATORY ENDORSEMENT - NEW JERSEY NJ UM0670 AAIS 10.02 AMENDATORY ENDORSEMENT - NEW JERSEY NJ UM0677 AAIS 11.03 AMENDATORY ENDORSEMENT - NEW MEXICO NM UM0673 AAIS 03.10 AMENDATORY ENDORSEMENT - NEW YORK CU0134 AAIS 09.13 AMENDATORY ENDORSEMENT - NORTH CAROLINA NC CU0234 AAIS 09.13 AMENDATORY ENDORSEMENT - NORTH CAROLINA NC UM0672 AAIS 11.03 AMENDATORY ENDORSEMENT - NORTH CAROLINA NC UM0657 AAIS 07.03 AMENDATORY ENDORSEMENT - NORTH DOTA ND CU0135 AAIS 09.10 AMENDATORY ENDORSEMENT - NORTH DOTA ND CU0235 AAIS 09.10 AMENDATORY ENDORSEMENT - NORTH DOTA ND UM0669 AAIS 04.00 AMENDATORY ENDORSEMENT - OKLAHOMA OK UM0669 AAIS 04.10 AMENDATORY ENDORSEMENT - OKLAHOMA OK UM0669 AAIS 09.01 AMENDATORY ENDORSEMENT - OKLAHOMA OK CU0137 AAIS 09.10 AMENDATORY ENDORSEMENT - OKLAHOMA OK PAGE 2 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU0237 AAIS 09.10 AMENDATORY ENDORSEMENT - OKLAHOMA OK UM0740 AAIS 02.02 AMENDATORY ENDORSEMENT - SOUTH DOTA SD UM0663 AAIS 11.04 AMENDATORY ENDORSEMENT - TENNESSEE TN UM0696 AAIS 01.09 AMENDATORY ENDORSEMENT - TEXAS TX CU0245 AAIS 08.13 AMENDATORY ENDORSEMENT - TEXAS TX CU0145 AAIS 08.13 AMENDATORY ENDORSEMENT - TEXAS TX CU0247 AAIS 09.10 AMENDATORY ENDORSEMENT - VERMONT VT CU0147 AAIS 09.10 AMENDATORY ENDORSEMENT - VERMONT VT UM0674 AAIS 03.10 AMENDATORY ENDORSEMENT - VIRGINIA CU0248 AAIS 07.15 AMENDATORY ENDORSEMENT - VIRGINIA UM0265 AAIS 04.00 AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER LOCATION) UM0266 AAIS 04.00 AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER PROJECT), AR, HI,, MA, MD,, AR, HI,, MA, MD, UM0319 AAIS 10.05 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 09.10 AUTO COVERAGE - INDIVIDUAL NAMED INSURED - COVERAGE L - VIRGINIA (C) UM0765 AAIS 01.03 CERTIFIED ACT OF UM0765 AAIS 01.08 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 02.08 CERTIFIED ACT OF UM0765 AAIS 03.03 CERTIFIED ACT OF UM0765 AAIS 05.03 CERTIFIED ACT OF AR,, LA, OK UM0765 AAIS 06.03 CERTIFIED ACT OF UM0765 AAIS 12.02 CERTIFIED ACT OF FL, GA, MA, MD, MI, NC, NE, NJ, NV, OH, PR, SC, SD, TX, UM0774 AAIS 06.06 CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION UM0774 AAIS 07.06 CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION UM0774 AAIS 08.06 CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION UM0784 AAIS 06.06 CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION (NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) UM0784 AAIS 07.06 CERTIFIED AND NON-CERTIFIED ACT OF TERRORISM AND R AND MITARY ACTION (NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) UM0784 AAIS 08.06 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: 800-382-2424
(NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACTS OF TERRORISM) UM0755 AAIS 01.08 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 03.03 CERTIFIED TERRORISM LOSS UM0755 AAIS 05.03 CERTIFIED TERRORISM LOSS AR,, LA, OK UM0755 AAIS 12.02 CERTIFIED TERRORISM LOSS, AR, GA, HI,, MA, MD, NV,, OH, PR, SC, SD, UT, UM0100 AAIS 01.99 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 03.01 CHANGE ENDORSEMENT LA, TX UM0100 AAIS 05.05 CHANGE ENDORSEMENT MI, TX CL0682 AAIS 06.13 CIV UNIONS AMENDMENT - COLORADO CO CL0462 AAIS 09.06 CIV UNIONS AMENDMENT - CONNECTICUT CT CL0321 AAIS 01.07 CIV UNIONS AMENDMENT - NEW JERSEY NJ CL0453 AAIS 12.00 CIV UNIONS AMENDMENT - VERMONT VT CU0975 AAIS 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - VIRGINIA CL0665 AAIS 06.04 COMMERCIAL SPECIAL RISKS NOTICE - RHODE ISLAND RI UM0297 AAIS 04.00 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE ME EXTENDED REPORTING PERIODS COVERAGE E UM0297 AAIS 04.01 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE CT EXTENDED REPORTING PERIODS COVERAGE E UM0297 AAIS 08.05 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE EXTENDED REPORTING PERIODS COVERAGE E UM0296 AAIS 04.00 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE OH EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS 04.01 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE CT EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS 05.00 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE ME, EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS 08.05 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE EXTENDED REPORTING PEROID - COVERAGE E UM0296 AAIS 09.01 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 04.00 COMMERCIAL UMBRELLA/EXCESS LIABITY DECLARATIONS PR UM0041 AAIS 04.00 COMMERCIAL UMBRELLA/EXCESS LIABITY PR SUPPLEMENTAL SCHEDULE OF UNDERLYING INSURANCE UM1785 AAIS 03.07 CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1785 AAIS 06.04 CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL ME UM1785 AAIS 06.06 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: 800-382-2424
OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, WI, WV, WY UM1785 AAIS 07.06 CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1785 AAIS 08.06 CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1785 AAIS 09.06 CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL NC UM1785 AAIS 10.06 CONDITIONAL NUCLEAR, BIOLOGICAL AND CHEMICAL UM1775 AAIS 03.07 CONDITIONAL UM1775 AAIS 06.04 CONDITIONAL ME UM1775 AAIS 06.06 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 07.06 CONDITIONAL UM1775 AAIS 08.06 CONDITIONAL UM1775 AAIS 09.06 CONDITIONAL NC UM1775 AAIS 10.06 CONDITIONAL UM0256 AAIS 04.00 CONTRACTUAL LIABITY LIMITATION, AR, HI,, MA, MD, ME, MI, MT, NE, NJ, NV, OH, SC, TX, UT,, CU0909 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CO CLAIMS-MADE BASIS - COLORADO CU0917 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - NC CLAIMS-MADE BASIS - NORTH CAROLINA CU0919 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - VT CLAIMS-MADE BASIS - VERMONT CU0920 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - VIRGINIA CU0977 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE SUPPLEMENTAL EXTENDED REPORTING PERIOD - VIRGINIA UM0284 AAIS 04.00 COVERAGE TERRITORY LIMITATION, AR, HI,, MA, MD, CU0927 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CO CLAIMS-MADE BASIS - COLORADO CU0936 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - MI CLAIMS-MADE BASIS - MICHIGAN CU0949 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - NC CLAIMS-MADE BASIS - NORTH CAROLINA CU0981 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - TX CLAIMS-MADE BASIS - TEXAS CU0954 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - VT CLAIMS-MADE BASIS - VERMONT CU0956 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - VIRGINIA CU0955 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - VT EXTENDED REPORTING PERIOD - VERMONT CU0978 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY EXTENDED REPORTING PERIOD - VIRGINIA CU0957 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY UNLIMITED EXTENDED REPORTING PERIOD - VIRGINIA (D) UM0276 AAIS 04.00 DIRECTORS AND OFFICERS LIABITY COVERAGE E, AR, HI,, MA, MD, CL0308 AAIS 09.06 TX PAGE 5 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
DISCLOSURE NOTICE NO COVERAGE FOR LIABITY ARISING OUT OF ASBESTOS CL0310 AAIS 09.06 DISCLOSURE NOTICE NO COVERAGE FOR LIABITY ARISING TX OUT OF SICA CL0105 AAIS 07.07 DOMESTIC PARTNERSHIP AMENDMENT - OREGON OR (E) CU1110 AAIS 09.10 ELECTION OF UNINSURED MOTORISTS COVERAGE - VT VERMONT UM0320 AAIS 03.10 EMPLOYERS LIABITY COVERAGE E UM0280 AAIS 04.00 - TERCRAFT LIABITY COVERAGE E, AR, HI,, MA, MD, NV, OH, SC, UT,, CU0614 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES E AND NJ U - NEW JERSEY CU0613 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES E AND TX U - TEXAS CU0628 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES L AND P NJ - NEW JERSEY CU0627 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES L AND P TX - TEXAS UM0269 AAIS 04.00 - ADVERTISING INJURY LIABITY COVERAGES E AND U, AR, HI, MA, MI, MT, NC, NE, NJ, CU0638 AAIS 09.10 - AUTO LIABITY - COVERAGE E - TEXAS TX CU0639 AAIS 09.10 - AUTO LIABITY - COVERAGE L - TEXAS TX UM0251 AAIS 04.00 - AUTO LIABITY COVERAGE E, AR, HI,, MA, MD, UM0810 AAIS 01.10 - COMMUNICABLE DISEASE - COVERAGES E AND, SC U UM0810 AAIS 09.09 - COMMUNICABLE DISEASE - COVERAGES E AND U UM0811 AAIS 01.10 - COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U UM0811 AAIS 09.09 - 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 04.00 - CONTRACTUAL LIABITY COVERAGE E, AR, HI,, MA, MD, UM0254 AAIS 04.00 - CONTRACTUAL LIABITY COVERAGE U, AR, HI,, MA, MD, NV, SC, TX, UT,, UM0282 AAIS 03.02 - CROSS LIABITY COVERAGES E AND U LA UM0282 AAIS 04.00 - CROSS LIABITY COVERAGES E AND U, AR, HI,, MA, MD, UM0203 AAIS 04.02 - 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: 800-382-2424
- 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 04.00 - DESIGNATED AUTO COVERAGE E, AR, HI,, MA, MD, UM0262 AAIS 04.00 - DESIGNATED PREMISES COVERAGES E AND U, AR, HI,, MA, ME, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,, UM0259 AAIS 04.00 - DESIGNATED PRODUCTS COVERAGES E AND U, AR, HI,, MA, MD, UM0264 AAIS 04.00 - DESIGNATED PROJECT COVERAGES E AND U, AR, HI,, MA, MD, UM0281 AAIS 04.00 - DESIGNATED TERCRAFT COVERAGE E, AR, HI,, MA, MD, UM0260 AAIS 04.00 - DESIGNATED WORK COVERAGES E AND U, AR, HI,, MA, MD, ME, MI, MT, NE, NJ, NV, OH, SC, TX, UT,, UM0278 AAIS 04.00 - EMPLOYMENT BENEFITS LIABITY COVERAGE E UM0277 AAIS 04.00 - 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 05.00 - EMPLOYMENT RELATED PRACTICES LIABITY NJ COVERAGE E UM0205 AAIS 04.02 - 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 04.00 - LIQUOR LIABITY COVERAGE E, AR, HI,, MA, MD, UM0253 AAIS 04.00 - NON-OWNED AUTO LIABITY COVERAGE HIRED AUTO LIABITY COVERAGE COVERAGE E UM0268 AAIS 04.00 - PERSONAL INJURY LIABITY COVERAGES E AND U UM0267 AAIS 04.00 - PERSONAL AND ADVERTISING INJURY LIABITY COVERAGES E AND U UM0270 AAIS 04.00 - PERSONAL PROPERTY CARE, CUSTODY, AND CONTROL COVERAGES E AND U UM0258 AAIS 04.00 - 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 04.00 - PROFESSTIONAL LIABITY COVERAGE E, AR, HI,, MA, MD, PAGE 7 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
UM0272 AAIS 04.00 - REAL AND PERSONAL PROPERTY CARE, CUSTODY, AND CONTROL COVERAGES E AND U, AR, HI,, MA, MD, UM0271 AAIS 04.00 - REAL PROPERTY CARE, CUSTODY AND CONTROL COVERAGES E AND U, AR,, MA, MD, ME, MT, NC, NJ, NV, OH, SC, UT,, UM0206 AAIS 01.08 - 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 05.08 - R AND MITARY ACTION NH, UM0202 AAIS 04.02 - WET ROT, DRY ROT BACTERIA FUNGI, OR PROTIST UM0201 AAIS 04.02 - WET ROT, DRY ROT BACTERIA FUNGI, OR PROTIST- CONTRACTING OPERATIONS UM0257 AAIS 04.00 - 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 09.10 EXTENDED REPORTING PERIODS - COVERAGE E - VIRGINIA (I) UM1795 AAIS 09.04 INCIDENTS OF TERRORISM - EXTENDED REPORTING PERIODS, COVERAGE E UM1791 AAIS 09.04 INCIDENTS OF TERRORISM - SUPPLEMENTAL EXTENDED REPORTING PERIOD, COVERAGE E UM1790 AAIS 09.04 INCIDENTS OF TERRORISM - SUPPLEMENTAL EXTENDED REPORTING PERIOD, COVERAGE E. UM0809 AAIS 09.09 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 04.00 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 04.00 LIABITY COVERAGE - DESIGNATED PREMISES COVERAGES E AND U UM0263 AAIS 04.00 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 04.00 LOSS INFORMATION - NEW JERSEY NJ (N) CL0491 AAIS 01.08 NEW HAMPSHIRE - CIV UNIONS AMENDMENT NH UM0775 AAIS 01.03 NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0775 AAIS 06.03 NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0775 AAIS 12.02 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 08.05 NOTICE - CLAIMS MADE COVERAGE CU9903 AAIS 09.10 NOTICE - CLAIMS-MADE COVERAGE - VIRGINIA UM0331 AAIS 05.06 NOTICE UNDERINSURED MOTORISTS COVERAGE AABLE WI UM2785 AAIS 06.04 PAGE 8 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
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 07.04 NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM UM2785 AAIS 08.04 NUCLEAR, BIOLOGICAL AND CHEMICAL TERRORISM UM0785 AAIS 01.03 NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0785 AAIS 06.03 NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF AND R AND MITARY ACTION UM0785 AAIS 12.02 NUCLEAR, BIOLOGICAL, AND CHEMICAL NON-CERTIFIED ACT OF AND R AND MITARY ACTION (O) UM0290 AAIS 04.00 OKLAHOMA NOTICE OK CU9901 AAIS 09.10 OKLAHOMA NOTICE - RNING OK UM0306 AAIS 06.01 OPTIONAL EXCESS UNINSURED AND UNDERINSURED MOTOR VEHICLE COVERAGE OFFER (P) CL0319 AAIS 06.06 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM S - CERTIFIED AND NON-CERTIFIED ACTS CL0314 AAIS 06.06 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM S - CERTIFIED AND NON-CERTIFIED ACTS CL1035 AAIS 12.02 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 04.03 POLICYHOLDER DISCLOSURE-NOTICE OF TERRORISM CL0316 AAIS 04.06 POLICYHOLDER DISCLOSURE-NOTICE OF TERRORISM TX UM0292 AAIS 04.00 POLLUTION LIABIITY EXTENSION NJ UM0292 AAIS 04.01 POLLUTION LIABIITY EXTENSION VT CU0319 AAIS 09.10 POLLUTION LIABITY EXTENSION - COVERAGE U - VERMONT VT UM0285 AAIS 04.00 PRODUCTS/COMPLETED WORK HARARD EXPANDED DEFINITION COVERAGE U, AR, HI,, MA, MD, UM0274 AAIS 04.00 PROFESSIONAL LIABITY LIMITATION COVERAGE E, AR, HI, MA, ME, MI, MT, NC, NE, NJ, NV, OH, SC, UT,, AL CU0604 AAIS 09.10 PUNITIVE DAMAGES - COVERAGES E AND U - ALABAMA CU0618 AAIS 09.10 PUNITIVE DAMAGES - COVERAGES L AND P - AL ALABAMA UM0283 AAIS 03.02 PUNITIVE DAMAGES COVERAGES E AND U LA UM0283 AAIS 04.00 PUNITIVE DAMAGES COVERAGES E AND U, GA, HI, MA, MD, ME, MI, MT, NC, NE, NJ, NV, SC, UT,, UM0283 AAIS 05.00 PUNITIVE DAMAGES COVERAGES E AND U AR UM0283 AAIS 06.00 PUNITIVE DAMAGES COVERAGES E AND U AL UM0283 AAIS 07.00 PUNITIVE DAMAGES COVERAGES E AND U (R) UM0288 AAIS 04.00 REJECTION OF UNINSURED/UNDERINSURED MOTORISTS COVERAGE NE, UT PAGE 9 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
(S) UM0316 AAIS 10.05 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 10.06 SICA - COVERAGES E AND U CU0311 AAIS 09.10 SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E - VIRGINIA (T) UM2775 AAIS 06.04 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 07.04 UM2775 AAIS 08.04 UM2776 AAIS 06.06 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 07.06 FOR AUTO BODY INJURY OR PROPERTY DAMAGE CU9902 AAIS 09.10 TEXAS NOTICE - LEAD S TX CU9905 AAIS 09.10 TEXAS NOTICE - LEAD S TX (U) UM0368 AAIS 05.06 UNDERINSURED MOTORISTS COVERAGE WI CU1104 AAIS 09.10 UNINSURED MOTORISTS COVERAGE - COVERAGE E - VERMONT CU1117 AAIS 09.10 UNINSURED MOTORISTS COVERAGE - COVERAGE L - VERMONT UM0287 AAIS 03.01 UNINSURED/UNDERINSURED MOTORIST BODY INJURY COVERAGE UM0287 AAIS 04.00 UNINSURED/UNDERINSURED MOTORIST BODY INJURY COVERAGE UM0287 AAIS 05.01 UNINSURED/UNDERINSURED MOTORIST BODY INJURY COVERAGE (W) UM0311 AAIS 01.02 R, MITARY ACTION, AND S COVERAGES E AND U UM0311 AAIS 02.02 R, MITARY ACTION, AND S COVERAGES E AND U UM0311 AAIS 12.01 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: 800-382-2424
UM4901 AAIS 04.02 WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS UM4911 AAIS 04.02 WET ROT, DRY ROT, BACTERIA, FUNGI, OR PROTISTS -------------------------------------------------------- COMMERCIAL UMBRELLA LIABITY COVERAGE PROGRAM 09 10 -------------------------------------------------------- Following are the forms and endorsements for the Commercial Umbrella Liability Coverage 09 10 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 CU0001 -------------------------------------------------------- (A) CU0308 AAIS 09.10 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 09.10 AMENDATORY ENDORSEMENT - ALASKA CU0104 AAIS 05.11 AMENDATORY ENDORSEMENT - ARKANSAS AR CU0105 AAIS 10.13 AMENDATORY ENDORSEMENT - CALIFORNIA CA CU0107 AAIS 09.10 AMENDATORY ENDORSEMENT - CONNECTICUT CT CU0108 AAIS 09.10 AMENDATORY ENDORSEMENT - DELARE DE CU0110 AAIS 11.11 AMENDATORY ENDORSEMENT - FLORIDA FL CU0111 AAIS 02.15 AMENDATORY ENDORSEMENT - GEORGIA GA CU0112 AAIS 09.10 AMENDATORY ENDORSEMENT - HAII HI CU0114 AAIS 09.10 AMENDATORY ENDORSEMENT - LINOIS CU0115 AAIS 07.13 AMENDATORY ENDORSEMENT - INDIANA IN CU0117 AAIS 05.13 AMENDATORY ENDORSEMENT - KANSAS KS CU0118 AAIS 05.13 AMENDATORY ENDORSEMENT - KENTUCKY KY CU0119 AAIS 09.10 AMENDATORY ENDORSEMENT - LOUISIANA LA CU0120 AAIS 09.10 AMENDATORY ENDORSEMENT - MAINE ME CU0121 AAIS 10.14 AMENDATORY ENDORSEMENT - MARYLAND MD CU0122 AAIS 09.10 AMENDATORY ENDORSEMENT - MASSACHUSETTS MA CU0124 AAIS 06.13 AMENDATORY ENDORSEMENT - MINNESOTA MN CU0125 AAIS 09.10 AMENDATORY ENDORSEMENT - MISSISSIPPI MS CU0126 AAIS 10.13 AMENDATORY ENDORSEMENT - MISSOURI MO CU0127 AAIS 09.10 AMENDATORY ENDORSEMENT - MONTANA MT CU0128 AAIS 09.10 AMENDATORY ENDORSEMENT - NEBRASKA NE CU0129 AAIS 09.10 AMENDATORY ENDORSEMENT - NEDA NV CU0130 AAIS 01.15 AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH CU0132 AAIS 09.10 AMENDATORY ENDORSEMENT - NEW MEXICO NM CU0133 AAIS 09.10 AMENDATORY ENDORSEMENT - NEW YORK CU0136 AAIS 09.10 AMENDATORY ENDORSEMENT - OHIO OH CT PAGE 11 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU0138 AAIS 10.13 AMENDATORY ENDORSEMENT - OREGON OR CU0139 AAIS 09.10 AMENDATORY ENDORSEMENT - PENNSYLNIA PA CU0140 AAIS 09.10 AMENDATORY ENDORSEMENT - PUERTO RICO PR CU0141 AAIS 09.13 AMENDATORY ENDORSEMENT - RHODE ISLAND RI CU0142 AAIS 04.13 AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC CU0143 AAIS 09.12 AMENDATORY ENDORSEMENT - SOUTH DOTA SD CU0144 AAIS 09.10 AMENDATORY ENDORSEMENT - TENNESSEE TN CU0146 AAIS 09.10 AMENDATORY ENDORSEMENT - UTAH UT CU0148 AAIS 07.15 AMENDATORY ENDORSEMENT - VIRGINIA CU0149 AAIS 09.10 AMENDATORY ENDORSEMENT - SHINGTON CU0150 AAIS 09.10 AMENDATORY ENDORSEMENT - WEST VIRGINIA WV CU0151 AAIS 09.10 AMENDATORY ENDORSEMENT - WISCONSIN WI CU0152 AAIS 09.10 AMENDATORY ENDORSEMENT - WYOMING WY CU1003 AAIS 09.10 AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER LOCATION) - COVERAGES E AND U CU1004 AAIS 09.10 AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER PROJECT) - COVERAGES E AND U CU1203 AAIS 01.15 AMENDMENT CERTIFIED ACT OF - CA, SHINGTON CU0903 AAIS 09.10 AMENDMENT OF THE DEFINITION OF BODY INJURY - LIMITED PRODUCTS EXCEPTED - SHINGTON CU0902 AAIS 09.10 AMENDMENT OF THE DEFINITION OF BODY INJURY - SHINGTON (C) CU1302 AAIS 01.15 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 01.15 CERTIFIED ACT OF - ALASKA, CA CU0001 AAIS 09.10 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 04.00 COMMERCIAL UMBRELLA/EXCESS LIABITY COVERAGE, AR, HI,, MD, ME, MI, MT, NC, NE, NJ, NV, OH, SC, TX, UT,, CU1240 AAIS 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1219 AAIS 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1309 AAIS 08.13 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 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1221 AAIS 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL NC CU1223 AAIS 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1238 AAIS 08.13 CONDITIONAL CU1307 AAIS 08.13 CONDITIONAL PAGE 12 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
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 08.13 CONDITIONAL CU1215 AAIS 08.13 CONDITIONAL CU1209 AAIS 08.13 CONDITIONAL CU1213 AAIS 08.13 CONDITIONAL NC CU1002 AAIS 09.10 CONTRACTUAL LIABITY LIMITATION CU1006 AAIS 09.10 COVERAGE TERRITORY LIMITATION (D) CU0322 AAIS 04.11 DEFENSE COSTS REIMBURSEMENT - COVERAGES E AND U - PA PENNSYLNIA CU0317 AAIS 09.10 DEFENSE COSTS REIMBURSEMENT COVERAGES E AND U - LINOIS CU1009 AAIS 09.10 DELETION OF EMPLOYMENT - RELATED PRACTICES LIABITY - COVERAGE E CU0302 AAIS 09.10 DISTRIBUTION AND RECORDING VIOLATIONS - COVERAGES E AND U - ALASKA (E) CU1108 AAIS 09.10 ELECTION OR REJECTION OF UNINSURED MOTORISTS COVERAGE - FLORIDA CU0732 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES E AND U CU0617 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES E AND U - LINOIS CU0733 AAIS 09.10 - ATHLETIC OR SPORTS PARTICIPANTS - COVERAGES E AND U FL AR, AZ, CO, IA, IN, KS, OH, OK, SD, TN, WI, WY CU0706 AAIS 09.10 - AUTO LIABITY - COVERAGE E OH, OK, SD, TN, WI, WY CU0728 AAIS 09.10 - COMMUNICABLE DISEASE - COVERAGES E AND U CU0633 AAIS 09.10 - COMMUNICABLE DISEASE - COVERAGES E AND U - ALASKA CU0609 AAIS 09.10 - COMMUNICABLE DISEASE - COVERAGES E AND U - LINOIS CU0729 AAIS 09.10 - 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 09.10 - COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U - ALASKA CU0610 AAIS 09.10 - COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES E AND U - LINOIS CU0611 AAIS 09.10 - COMMUNICABLE DISEASE COVERAGES E AND U - NEW YORK CU0612 AAIS 09.10 - COMMUNICABLE DISEASE LIMITED PRODUCTS EXCEPTED COVERAGES E AND U - NEW YORK CU0710 AAIS 09.10 - CONTRACTUAL LIABITY - COVERAGE E PAGE 13 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU0709 AAIS 09.10 - CONTRACTUAL LIABITY - COVERAGE U CU0724 AAIS 09.10 - CROSS LIABITY - COVERAGES E AND U CU0629 AAIS 09.10 - CROSS LIABITY - COVERAGES E AND U - NEW NH HAMPSHIRE CU0703 AAIS 09.10 - DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - COVERAGES E AND U CU0704 AAIS 09.10 - DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - DESIGNATED LOCATIONS OR PROJECTS - COVERAGES E AND U CU0403 AAIS 03.15 -- DATA BREACH LIABITY - COVERAGES E AND U CU0403 AAIS 09.14 -- DATA BREACH LIABITY - COVERAGES E AND U CU0741 AAIS 09.14 -- 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 09.10 - DESIGNATED AUTO - COVERAGE E CU0731 AAIS 09.10 - DESIGNATED ONGOING OPERATION - COVERAGES E AND U CU0715 AAIS 09.10 - DESIGNATED PREMISES - COVERAGES E AND U CU0713 AAIS 09.10 - DESIGNATED PRODUCTS - COVERAGES E AND U CU0716 AAIS 09.10 - DESIGNATED PROJECTS - COVERAGES E AND U CU0723 AAIS 09.10 - DESIGNATED TERCRAFT - COVERAGE E CU0714 AAIS 09.10 - DESIGNATED WORK - COVERAGES E AND U CU0727 AAIS 09.10 - DIRECTORS AND OFFICERS - PROFESSIONAL LIABITY - COVERAGE E CU0720 AAIS 09.10 - EMPLOYEE BENEFITS LIABITY - COVERAGE E CU0726 AAIS 09.10 - EMPLOYERS LIABITY - COVERAGE E CU0603 AAIS 09.10 PAGE 14 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
- EMPLOYERS LIABITY - COVERAGE E - SHINGTON CU0705 AAIS 09.10 - EXTERIOR INSULATION AND FINISH SYSTEMS - COVERAGES E AND U CU0607 AAIS 09.10 - EXTERIOR INSULATION AND FINISH SYSTEMS - COVERAGES E AND U - LOUISIANA CU0606 AAIS 09.10 - FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGE E AND U - LOUISIANA CU0601 AAIS 09.10 - FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGES E & U - FLORIDA CU0701 AAIS 09.10 - FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGES E AND U CU0602 AAIS 09.10 - FUNGUS OR RELATED PERS - COVERAGES E & U - FLORIDA CU0702 AAIS 09.10 - FUNGUS OR RELATED PERS - COVERAGES E AND U CU0605 AAIS 09.10 - FUNGUS OR RELATED PERS - COVERAGES E AND U - LOUISIANA CU0734 AAIS 09.10 - INTERCOMPA PRODUCTS SUITS - COVERAGES E AND U LA LA FL FL LA NH CU0630 AAIS 09.10 - INTERCOMPA PRODUCTS SUITS - COVERAGES E AND U - NEW HAMPSHIRE CU0640 AAIS 09.10 - LEAD LIABITY COVERAGES E AND U - NEW YORK CU0721 AAIS 09.10 - LIQUOR LIABITY - COVERAGE E CU0708 AAIS 09.10 - NON-OWNED AUTO LIABITY COVERAGE AND HIRED AUTO LIABITY COVERAGE - COVERAGE E CU0717 AAIS 09.10 - PERSONAL AND ADVERTISING INJURY LIABITY - COVERAGES E AND U CU0712 AAIS 09.10 - PRODUCTS/COMPLETED WORK HAZARD - COVERAGE U CU0711 AAIS 09.10 - PRODUCTS/COMPLETED WORK HAZARD - COVERAGES E AND U CU0719 AAIS 09.10 - PROFESSIONAL LIABITY - COVERAGE E CU0735 AAIS 09.10 - PROPERTY IN YOUR CUSTODY - COVERAGES E AND U CU0725 AAIS 09.10 - 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 09.10 - REAL PROPERTY - CARE, CUSTODY, AND CONTROL - COVERAGES E AND U CU0736 AAIS 09.10 - TOTAL POLLUTION - COVERAGE E CU0738 AAIS 09.10 - TOTAL POLLUTION WITH BUDING EQUIPMENT AND HOSTE FIRE EXCEPTIONS - COVERAGE E PAGE 15 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU0642 AAIS 06.14 -- TOTAL POLLUTION WITH BUDING EQUIPMENT AND HOSTE FIRE EXCEPTIONS -- COVERAGE E CU0737 AAIS 09.10 - TOTAL POLLUTION WITH HOSTE FIRE EXCEPTION - COVERAGE E NE CU0730 AAIS 09.10 - UMBRELLA LIABITY - COVERAGE U CU0301 AAIS 09.10 - R AND MITARY ACTION - COVERAGES E AND U - ALASKA CU0722 AAIS 09.10 - TERCRAFT LIABITY - COVERAGE E CU0739 AAIS 09.10 EXPANDED LIQUOR LIABITY - COVERAGE E CU0740 AAIS 09.10 EXPANDED LIQUOR LIABITY - EXCEPTION FOR SCHEDULED EVENTS - COVERAGE E CU0401 AAIS 09.10 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 09.10 EXTENDED REPORTING PERIOD - OTHER LIABITY - COVERAGE E - LINOIS CU0307 AAIS 09.10 EXTENDED REPORTING PERIODS - COVERAGE E - ARKANSAS AR CU0303 AAIS 09.10 EXTENDED REPORTING PERIODS - COVERAGE E - CT CONNECTICUT CU0304 AAIS 09.10 EXTENDED REPORTING PERIODS - COVERAGE E - LINOIS (I) CU1229 AAIS 08.13 INCIDENTS OF TERRORISM -- EXTENDED REPORTING PERIODS - COVERAGE E CU1227 AAIS 08.13 INCIDENTS OF TERRORISM -- SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E CU1225 AAIS 08.13 INCIDENTS OF TERRORISM -- SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E CU1008 AAIS 09.10 INSURED - AMENDED DEFINITION - EMPLOYEES AND VOLUNTEER WORKERS ARE NOT INSUREDS - COVERAGES E AND U CU1010 AAIS 09.10 INSURED - AMENDED DEFINITION - NEW ENTITIES ARE NOT INSUREDS - COVERAGES E AND U NC, (K) CU1028 AAIS 09.10 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 09.10 KNOWN INJURY OR DAMAGE AMENDMENT - COVERAGE E - LINOIS (L) CU1013 AAIS 09.10 LIABITY COVERAGE - DESIGNATED PREMISES - COVERAGE E CU1014 AAIS 09.10 LIABITY COVERAGE - DESIGNATED PROJECTS - COVERAGE E CU1007 AAIS 03.15 LIMITED DATA RECORDS COVERAGE - COVERAGE E CU1007 AAIS 09.14 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: 800-382-2424
(N) CU1236 AAIS 08.13 NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM CU1234 AAIS 08.13 NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM CU1313 AAIS 08.13 NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM (P) CU1011 AAIS 09.10 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 09.10 PROFESSIONAL LIABITY COVERAGE - COVERAGE E - LINOIS CU1005 AAIS 09.10 PROFESSIONAL LIABITY LIMITATION - COVERAGE E (R) CU1109 AAIS 09.10 REJECTION OF UNINSURED MOTORISTS COVERAGE - NEW HAMPSHIRE (S) CU0309 AAIS 09.10 SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE E - LINOIS (T) CU1232 AAIS 08.13 CU1311 AAIS 08.13 AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM,, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY CU1230 AAIS 08.13 CU1303 AAIS 09.10 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 09.10 FOR AUTO BODY INJURY OR PROPERTY DAMAGE - SHINGTON CU0320 AAIS 09.10 THREE YEAR EXTENDED REPORTING PERIOD - COVERAGE E - MD MARYLAND (U) CU1101 AAIS 09.10 UNINSURED MOTORISTS COVERAGE - COVERAGE E - FLORIDA FL CU1102 AAIS 09.10 UNINSURED MOTORISTS COVERAGE - COVERAGE E - LA LOUISIANA CU1103 AAIS 09.10 UNINSURED MOTORISTS COVERAGE - COVERAGE E - NEW NH HAMPSHIRE CU1105 AAIS 09.10 UNINSURED MOTORISTS COVERAGE AND UNDERINSURED WV MOTORISTS COVERAGE - COVERAGE E - WEST VIRGINIA CU0321 AAIS 09.10 UNLIMITED EXTENDED REPORTING PERIOD - COVERAGE E - MD MARYLAND (W) CU1012 AAIS 09.10 IVER OF SUBROGATION -------------------------------------------------------- PAGE 17 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
FORMS IN THIS SECTION ARE APPLICABLE TO POLICY FORM CU0002 -------------------------------------------------------- (A) CU0202 AAIS 09.10 AMENDATORY ENDORSEMENT - ALASKA CU0204 AAIS 05.11 AMENDATORY ENDORSEMENT - ARKANSAS AR CU0205 AAIS 10.13 AMENDATORY ENDORSEMENT - CALIFORNIA CA CU0207 AAIS 09.10 AMENDATORY ENDORSEMENT - CONNECTICUT CT CU0208 AAIS 09.10 AMENDATORY ENDORSEMENT - DELARE DE CU0210 AAIS 11.11 AMENDATORY ENDORSEMENT - FLORIDA FL CU0211 AAIS 02.15 AMENDATORY ENDORSEMENT - GEORGIA GA CU0212 AAIS 09.10 AMENDATORY ENDORSEMENT - HAII HI CU0214 AAIS 09.10 AMENDATORY ENDORSEMENT - LINOIS CU0215 AAIS 07.13 AMENDATORY ENDORSEMENT - INDIANA IN CU0217 AAIS 05.13 AMENDATORY ENDORSEMENT - KANSAS KS CU0218 AAIS 05.13 AMENDATORY ENDORSEMENT - KENTUCKY KY CU0219 AAIS 09.10 AMENDATORY ENDORSEMENT - LOUISIANA LA CU0220 AAIS 09.10 AMENDATORY ENDORSEMENT - MAINE ME CU0221 AAIS 10.14 AMENDATORY ENDORSEMENT - MARYLAND MD CU0222 AAIS 09.10 AMENDATORY ENDORSEMENT - MASSACHUSETTS MA CU0224 AAIS 06.13 AMENDATORY ENDORSEMENT - MINNESOTA MN CU0225 AAIS 09.10 AMENDATORY ENDORSEMENT - MISSISSIPPI MS CU0226 AAIS 10.13 AMENDATORY ENDORSEMENT - MISSOURI MO CU0227 AAIS 09.10 AMENDATORY ENDORSEMENT - MONTANA MT CU0228 AAIS 09.10 AMENDATORY ENDORSEMENT - NEBRASKA NE CU0229 AAIS 09.10 AMENDATORY ENDORSEMENT - NEDA NV CU0230 AAIS 01.15 AMENDATORY ENDORSEMENT - NEW HAMPSHIRE NH CU0232 AAIS 09.10 AMENDATORY ENDORSEMENT - NEW MEXICO NM CU0233 AAIS 09.10 AMENDATORY ENDORSEMENT - NEW YORK CU0236 AAIS 09.10 AMENDATORY ENDORSEMENT - OHIO OH CU0238 AAIS 10.13 AMENDATORY ENDORSEMENT - OREGON OR CU0239 AAIS 09.10 AMENDATORY ENDORSEMENT - PENNSYLNIA PA CU0240 AAIS 09.10 AMENDATORY ENDORSEMENT - PUERTO RICO PR CU0241 AAIS 09.13 AMENDATORY ENDORSEMENT - RHODE ISLAND RI CU0242 AAIS 04.13 AMENDATORY ENDORSEMENT - SOUTH CAROLINA SC CU0243 AAIS 09.12 AMENDATORY ENDORSEMENT - SOUTH DOTA SD CU0244 AAIS 09.10 AMENDATORY ENDORSEMENT - TENNESSEE TN CU0246 AAIS 09.10 AMENDATORY ENDORSEMENT - UTAH UT CU0249 AAIS 09.10 AMENDATORY ENDORSEMENT - SHINGTON CU0250 AAIS 09.10 AMENDATORY ENDORSEMENT - WEST VIRGINIA WV CU0251 AAIS 09.10 AMENDATORY ENDORSEMENT - WISCONSIN WI CU0252 AAIS 09.10 AMENDATORY ENDORSEMENT - WYOMING WY CU1024 AAIS 09.10 AMENDED DEFINITION - NEW ENTITIES ARE NOT INSUREDS - COVERAGES L AND P CU1016 AAIS 09.10 AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER LOCATION) - COVERAGES L AND P CU1017 AAIS 09.10 AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER PROJECT) - COVERAGES L AND P CU0906 AAIS 09.10 AMENDMENT OF THE DEFINITION OF BODY INJURY - LIMITED PRODUCTS EXCEPTED - SHINGTON CU0905 AAIS 09.10 AMENDMENT OF THE DEFINITION OF BODY INJURY - SHINGTON CU1033 AAIS 09.10 AUTO COVERAGE - INDIVIDUAL NAMED INSURED - COVERAGE L CU0984 AAIS 09.10 AUTO COVERAGE - INDIVIDUAL NAMED INSURED - COVERAGE L - NEW YORK (C) PAGE 18 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU1029 AAIS 09.10 CANCELLATION AMENDMENT - LESSOR OF AUTOS CU1305 AAIS 01.15 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 01.15 CERTIFIED ACT OF - ALASKA, CA CU1207 AAIS 01.15 CERTIFIED ACT OF - SHINGTON CA, CL0492 AAIS 01.10 CLAIMS-MADE COVERAGE - CHANGE IN RETROACTIVE DATE MO CU1030 AAIS 09.10 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 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - ALASKA CU0985 AAIS 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - CT CONNECTICUT CU0979 AAIS 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - LINOIS CU0971 AAIS 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - MD MARYLAND CU0967 AAIS 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - NEW NH HAMPSHIRE CU0980 AAIS 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - NEW YORK CU0968 AAIS 09.10 CLAIMS-MADE COVERAGE - COVERAGES L AND P - WEST WV VIRGINIA CU0002 AAIS 09.10 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 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1222 AAIS 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL NC CU1241 AAIS 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1220 AAIS 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1310 AAIS 08.13 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 08.13 CONDITIONAL NUCLEAR, BIOLOGICAL, AND CHEMICAL CU1214 AAIS 08.13 CONDITIONAL NC CU1212 AAIS 08.13 CONDITIONAL CU1216 AAIS 08.13 CONDITIONAL CU1239 AAIS 08.13 CONDITIONAL CU1308 AAIS 08.13 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 08.13 CONDITIONAL PAGE 19 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU1015 AAIS 09.10 CONTRACTUAL LIABITY LIMITATION CU0911 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - LINOIS CU1036 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS AZ, IA, IN, KS, KY, MI, NM, OH, OK, SD, TN, TX, WI CU0964 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - ALASKA CU0908 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - AR CLAIMS-MADE BASIS - ARKANSAS CU0910 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CT CLAIMS-MADE BASIS - CONNECTICUT CU0928 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CT CLAIMS-MADE BASIS - CONNECTICUT CU0912 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - LA CLAIMS-MADE BASIS - LOUISIANA CU0974 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MD CLAIMS-MADE BASIS - MARYLAND CU0913 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MN CLAIMS-MADE BASIS - MINNESOTA CU0965 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MO CLAIMS-MADE BASIS - MISSOURI CU0963 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - MT CLAIMS-MADE BASIS - MONTANA CU0914 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - NH CLAIMS-MADE BASIS - NEW HAMPSHIRE CU0915 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - NEW YORK CU0918 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - PA CLAIMS-MADE BASIS - PENNSYLNIA CU0922 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - WY CLAIMS-MADE BASIS - WYOMING CU1037 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE - SUPPLEMENTAL EXTENDED REPORTING PERIOD CU0982 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE ONE YEAR SUPPLEMENTAL EXTENDED REPORTING PERIOD - NEW YORK CU0916 AAIS 09.10 COVERAGE E - EMPLOYEE BENEFITS LIABITY COVERAGE UNLIMITED SUPPLEMENTAL EXTENDED REPORTING PERIOD - NEW YORK CU0921 AAIS 09.10 COVERAGE E - EMPLOYMENT BENEFITS LIABITY COVERAGE - CLAIMS-MADE BASIS - WEST VIRGINIA CU1019 AAIS 09.10 COVERAGE TERRITORY LIMITATION CU0932 AAIS 09.10 COVERAGE Z - EMPLOYEE BENEFITS LIABITY - CLAIMS- MADE BASIS - LOUISIANA CU0947 AAIS 09.10 COVERAGE Z - EMPLOYEE PRACTICES LIABITY - CLAIMS- MADE BASIS - NEW YORK CU0969 AAIS 09.10 COVERAGE Z - EMPLOYEE PRACTICES LIABITY - CLAIMS- MADE BASIS - WEST VIRGINIA CU0983 AAIS 09.10 COVERAGE Z - EMPLOYEE PRACTICES LIABITY ONE YEAR ADDITIONAL EXTENDED REPORTING PERIOD - NEW YORK CU0948 AAIS 09.10 COVERAGE Z - EMPLOYEE PRACTICES LIABITY THREE YEAR ADDITIONAL EXTENDED REPORTING PERIOD - NEW YORK CU0950 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - OH CLAIMS-MADE BASIS - OHIO CU0938 AAIS 09.10 MN WV LA WV PAGE 20 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - EXTENDED REPORTING PERIOD - MINNESOTA CU0926 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - ADDITIONAL EXTENDED REPORTING PERIOD - ARKANSAS CU0929 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - ADDITIONAL EXTENDED REPORTING PERIOD - CONNECTICUT CU0944 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - ADDITIONAL EXTENDED REPORTING PERIOD - NEW HAMPSHIRE CU0942 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS MADE BASIS - NEBRASKA CU1038 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS CU0923 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - ALASKA CU0925 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - ARKANSAS CU0930 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - GEORGIA CU0931 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - LINOIS CU0933 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MAINE CU0972 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MARYLAND CU0937 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MINNESOTA CU0939 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MISSISSIPPI CU0940 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MISSOURI CU0962 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - MONTANA CU0943 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - NEW HAMPSHIRE CU0945 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - NEW MEXICO CU0951 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - PENNSYLNIA CU0952 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - SOUTH DOTA CU0958 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - WISCONSIN CU0959 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - CLAIMS-MADE BASIS - WYOMING CU1039 AAIS 09.10 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 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - EXTENDED REPORTING PERIOD - MAINE CU0941 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - MO EXTENDED REPORTING PERIOD - MISSOURI CU0946 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - NM EXTENDED REPORTING PERIOD - NEW MEXICO CU0953 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - SD EXTENDED REPORTING PERIOD - SOUTH DOTA CU0960 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - THREE WY YEAR EXTENDED REPORTING PERIOD - WYOMING CU0961 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY - WY UNLIMITED EXTENDED REPORTING PERIOD - WYOMING CU0935 AAIS 09.10 MD PAGE 21 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
COVERAGE Z - EMPLOYMENT PRACTICES LIABITY EXTENDED REPORTING PERIOD - MARYLAND CU0924 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY SUPPLEMENTAL EXTENDED REPORTING PERIOD - ALASKA CU0973 AAIS 09.10 COVERAGE Z - EMPLOYMENT PRACTICES LIABITY MD UNLIMITED EXTENDED REPORTING PERIOD - MARYLAND (D) CU0318 AAIS 09.10 DEFENSE COSTS REIMBURSEMENT - COVERAGES L AND P - LINOIS CU0323 AAIS 04.11 DEFENSE COSTS REIMBURSEMENT COVERAGES L AND P - PA PENNSYLNIA (E) CU1035 AAIS 09.10 EMPLOYEE REDEFINED - COVERAGE L CU0821 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES L AND P AR, AZ, CO, IA, IN, KS, OH, OK, SD, TN, WI, WY CU0637 AAIS 09.10 - ABUSE OR MOLESTATION - COVERAGES L AND P - LINOIS CU0822 AAIS 09.10 - ATHLETIC OR SPORTS PARTICIPANTS - COVERAGE L CU0806 AAIS 09.10 - AUTO LIABITY - COVERAGE L OH, OK, SD, TN, WI, WY CU0819 AAIS 09.10 - COMMUNICABLE DISEASE - COVERAGES L AND P CU0635 AAIS 09.10 - COMMUNICABLE DISEASE - COVERAGES L AND P - ALASKA CU0623 AAIS 09.10 - COMMUNICABLE DISEASE - COVERAGES L AND P - LINOIS CU0820 AAIS 09.10 - COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES L AND P OH, OK, SD, TN, WI, WY OH, OK, SD, TN, WI, WY CU0624 AAIS 09.10 - COMMUNICABLE DISEASE - LIMITED PRODUCTS EXCEPTED - COVERAGES L AND P - LINOIS CU0636 AAIS 09.10 - COMMUNICABLE DISEASE - LIMITED PRODUCTS EXPECTED - COVERAGES L AND P - ALASKA CU0625 AAIS 09.10 - COMMUNICABLE DISEASE COVERAGES L AND P - NEW YORK CU0626 AAIS 09.10 - COMMUNICABLE DISEASE LIMITED PRODUCTS EXCEPTED COVERAGES L AND P - NEW YORK CU0809 AAIS 09.10 - CONTRACTUAL LIABITY - COVERAGE L CU0817 AAIS 09.10 - CROSS LIABITY - COVERAGES L AND P CU0631 AAIS 09.10 - CROSS LIABITY - COVERAGES L AND P - NEW HAMPSHIRE CU0803 AAIS 09.10 - DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - COVERAGE L CU0804 AAIS 09.10 - DAMAGE TO WORK PERFORMED BY YOU OR ON YOUR BEHALF - DESIGNATED LOCATIONS OR PROJECTS - COVERAGE L CU0404 AAIS 03.15 -- DATA BREACH LIABITY - COVERAGES L AND P CU0404 AAIS 09.14 NH PAGE 22 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
-- DATA BREACH LIABITY - COVERAGES L AND P CU0833 AAIS 03.15 -- DATA BREACH LIABITY -- PERSONAL AND ADVERTISING INJURY - COVERAGE P CU0833 AAIS 09.14 -- DATA BREACH LIABITY -- PERSONAL AND ADVERTISING INJURY - COVERAGE P 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 CU0807 AAIS 09.10 - DESIGNATED AUTO - COVERAGE L CU0823 AAIS 09.10 - DESIGNATED ONGOING OPERATION - COVERAGES L AND P CU0813 AAIS 09.10 - DESIGNATED PREMISES - COVERAGES L AND P CU0811 AAIS 09.10 - DESIGNATED PRODUCTS - COVERAGE L CU0814 AAIS 09.10 - DESIGNATED PROJECTS - COVERAGES L AND P CU0812 AAIS 09.10 - DESIGNATED WORK - COVERAGE L CU0831 AAIS 09.10 - EXPLOSION, COLLAPSE, AND UNDERGROUND PROPERTY DAMAGE HAZARD (DESIGNATED OPERATIONS EXCEPTED) - COVERAGE L CU0832 AAIS 09.10 - EXPLOSION, COLLAPSE, AND UNDERGROUND PROPERTY DAMAGE HAZARD (DESIGNATED OPERATIONS) - COVERAGE L CU0805 AAIS 09.10 - EXTERIOR INSULATION AND FINISH SYSTEMS - COVERAGES L AND P CU0621 AAIS 09.10 - EXTERIOR INSULATION AND FINISH SYSTEMS - COVERAGES L AND P - LOUISIANA CU0615 AAIS 09.10 - FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGES L & P - FLORIDA CU0801 AAIS 09.10 - FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGES L AND P CU0620 AAIS 09.10 - FUNGUS OR RELATED PERS - CONTRACTING OPERATIONS - COVERAGES L AND P - LOUISIANA CU0616 AAIS 09.10 - FUNGUS OR RELATED PERS - COVERAGES L & P - FLORIDA CU0802 AAIS 09.10 - FUNGUS OR RELATED PERS - COVERAGES L AND P CU0619 AAIS 09.10 - FUNGUS OR RELATED PERS - COVERAGES L AND P - LOUISIANA CU0828 AAIS 09.10 - INTERCOMPA PRODUCTS SUITS - COVERAGE L LA FL LA FL LA PAGE 23 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU0632 AAIS 09.10 - INTERCOMPA PRODUCTS SUITS - COVERAGE L - NEW HAMPSHIRE CU0641 AAIS 09.10 - LEAD LIABITY COVERAGES L AND P - NEW YORK CU0808 AAIS 09.10 - NON-OWNED AUTO LIABITY COVERAGE AND HIRED AUTO LIABITY COVERAGE - COVERAGE L CU0815 AAIS 09.10 - PERSONAL AND ADVERTISING INJURY LIABITY - COVERAGE P CU0810 AAIS 09.10 - PRODUCTS/COMPLETED WORK HAZARD - COVERAGE L NH CU0827 AAIS 09.10 - PROPERTY IN YOUR CUSTODY - COVERAGE L CU0818 AAIS 09.10 - PUNITIVE DAMAGES - COVERAGES L AND P AR, AZ, CO, FL, IA,, IN, KS, KY, MI, MN, MO, MT, NH, NM, OH, OK, RI, SD, TN, WI, WY CU0816 AAIS 09.10 - REAL PROPERTY - CARE, CUSTODY, AND CONTROL - COVERAGE L CU0824 AAIS 09.10 - TOTAL POLLUTION - COVERAGE L AR, AZ, CO, IA, IN, KS, KY, MI, MN, MO, MT, NM, OH, OK, SD, TN, TX, WI, WY CU0826 AAIS 09.10 - TOTAL POLLUTION WITH BUDING EQUIPMENT AND HOSTE FIRE EXCEPTIONS - COVERAGE L CU0643 AAIS 06.14 -- TOTAL POLLUTION WITH BUDING EQUIPMENT AND HOSTE FIRE EXCEPTIONS -- COVERAGE L CU0825 AAIS 09.10 - TOTAL POLLUTION WITH HOSTE FIRE EXCEPTION - COVERAGE L NE CU0314 AAIS 09.10 - R AND MITARY ACTION - COVERAGES L AND P - ALASKA CU0829 AAIS 09.10 EXPANDED LIQUOR LIABITY - COVERAGE L CU0830 AAIS 09.10 EXPANDED LIQUOR LIABITY - EXCEPTION FOR SCHEDULED EVENTS - COVERAGE L (F) CU1032 AAIS 09.10 FELLOW EMPLOYEE AUTO COVERAGE - COVERAGE L CU1034 AAIS 09.10 FOLLOWING FORM POLLUTION COVERAGE - COVERAGE L (I) CU1242 AAIS 08.13 INCIDENTS OF TERRORISM -- EXTENDED REPORTING PERIODS - COVERAGE L AND COVERAGE P CU1228 AAIS 08.13 INCIDENTS OF TERRORISM -- SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE L AND COVERAGE P CU1226 AAIS 08.13 INCIDENTS OF TERRORISM -- SUPPLEMENTAL EXTENDED REPORTING PERIOD - COVERAGE L AND COVERAGE P CU0315 AAIS 09.10 INFORMATION DISTRIBUTION AND RECORDING VIOLATIONS - COVERAGES L AND P - ALASKA CU1023 AAIS 09.10 NC, PAGE 24 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
INSURED - AMENDED DEFINITION - EMPLOYEES AND VOLUNTEER WORKERS ARE NOT INSUREDS - COVERAGE L (L) CU1020 AAIS 09.10 LIABITY COVERAGE - DESIGNATED PREMISES - COVERAGES L AND P CU1021 AAIS 09.10 LIABITY COVERAGE - DESIGNATED PROJECTS - COVERAGES L AND P CU1022 AAIS 03.15 LIMITED DATA RECORDS COVERAGE - COVERAGE L CU1022 AAIS 09.14 LIMITED DATA RECORDS COVERAGE - COVERAGE L 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 (N) CU1314 AAIS 08.13 NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM CU1235 AAIS 08.13 NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM CU1237 AAIS 08.13 NUCLEAR, BIOLOGICAL, AND CHEMICAL TERRORISM (P) CU1027 AAIS 09.10 PERSONAL AND ADVERTISING INJURY LIABITY - LIMITED CONTRACTUAL LIABITY COVERAGE - COVERAGE P 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 CU0904 AAIS 09.10 PROFESSIONAL LIABITY COVERAGE - COVERAGES L AND P - LINOIS CU1018 AAIS 09.10 PROFESSIONAL LIABITY LIMITATION - COVERAGES L AND P (S) CU1031 AAIS 09.10 SUPPLEMENTAL EXTENDED REPORTING PERIOD (T) CU1231 AAIS 08.13 CU1312 AAIS 08.13 AL, AR, AZ, CA, CO, CT, DC, DE, GA, HI, IA, ID,, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT,, VT, WI, WV, WY CU1233 AAIS 08.13 CU1306 AAIS 09.10 FOR AUTO BODY INJURY OR PROPERTY DAMAGE CU1208 AAIS 09.10 FOR AUTO BODY INJURY OR PROPERTY DAMAGE - SHINGTON CU1206 AAIS 09.10 FOR AUTO BODY INJURY OR PROPERTY DAMAGE - ALASKA (U) CU1114 AAIS 09.10 UNINSURED MOTORISTS COVERAGE - COVERAGE L - FLORIDA FL CU1115 AAIS 09.10 LA PAGE 25 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
UNINSURED MOTORISTS COVERAGE - COVERAGE L - LOUISIANA CU1116 AAIS 09.10 UNINSURED MOTORISTS COVERAGE - COVERAGE L - NEW NH HAMPSHIRE CU1118 AAIS 09.10 UNINSURED MOTORISTS COVERAGE AND UNDERINSURED WV MOTORISTS COVERAGE - COVERAGE L - WEST VIRGINIA (W) CU1026 AAIS 09.10 IVER OF SUBROGATION -------------------------------------------------------- FORMS IN THIS SECTION ARE APPLICABLE TO BOTH POLICY FORM CU0001 AND POLICY FORM CU0002 -------------------------------------------------------- (A) CL0346 AAIS 11.08 ATTORNEY'S FEES COVERAGE NOTICE - ALASKA (C) CU1301 AAIS 01.15 CERTIFIED TERRORISM LOSS, 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 CL0605 AAIS 01.08 CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND MA FEDERAL SHARE OF INSURED LOSSES CL0605 AAIS 01.15 CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND FEDERAL SHARE OF INSURED LOSSES CL1605 AAIS 06.06 CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND FEDERAL SHARE OF INSURED LOSSES, AL, AR, AZ, CO, CT, DC, DE, FL, GA, HI, IA, ID,, IN, KS, KY, LA, 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, 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 OH CL1605 AAIS 07.13 CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND FEDERAL SHARE OF INSURED LOSSES CL1605 AAIS 08.13 CERTIFIED TERRORISM LOSS DISCLOSURE OF PREMIUM AND HI FEDERAL SHARE OF INSURED LOSSES CU1001 AAIS 09.10 CHANGE ENDORSEMENT KY, MI, MN, MO, NM, OH, OK, SD, TN, TX, WI, WY CL0679 AAIS 12.11 CIV UNIONS AMENDMENT - DELARE DE CL0681 AAIS 01.12 CIV UNIONS AMENDMENT - HAII HI CL0678 AAIS 07.11 CIV UNIONS AMENDMENT - LINOIS CL0680 AAIS 12.11 CIV UNIONS AMENDMENT - RHODE ISLAND RI CU0312 AAIS 10.11 CONDOMINIUM OR COMMUNITY ASSOCIATION - COVERAGES E AND U - UTAH CU0316 AAIS 10.11 CONDOMINIUM OR COMMUNITY ASSOCIATION - COVERAGES L AND P - UTAH (G) CL0167 AAIS 05.05 GUARANTY ASSOCIATION COVERAGE LIMITATIONS - MISSOURI (I) CU9904 AAIS 09.10 INSURANCE CONSULTATION SERVICES EXEMPTION ACT - PENNSYLNIA NOTICE (O) UT UT MO PA PAGE 26 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424
CU1113 AAIS 09.10 OPTIONAL EXCESS UNINSURED AND UNDERINSURED MOTOR VEHICLE COVERAGE OFFER - WEST VIRGINIA (P) CL1045 AAIS 01.15 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE WV, 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 CU0402 AAIS 07.13 POLLUTANT -- AMENDED DEFINITION IN, MO CL0155 AAIS 02.08 PUNITIVE DAMAGES REQUEST GA (R) CL0351 AAIS 06.09 REGISTERED DOMESTIC PARTNERSHIP AMENDMENT - NEDA (S) CL0343 AAIS 06.08 STATE REGISTERED DOMESTIC PARTNERSHIP AMENDMENT - SHINGTON NV PAGE 27 of 27 WOLTERS KLUWER FINANCIAL SERVICES Customer Care: 800-382-2424