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POLICY NUMBER: 680-0R370053-20-42 <br /> EFFECTIVE DATE: 06/01/2020 <br /> ISSUE DATE: 10/14/2020 <br /> COMMERCIAL GENERAL LIABILITY (CONTINUED) <br /> CG T3 56 07 86 AMENDMENT OF COVERAGE C - MEDICAL PAYMENTS (LIMITED <br /> PRODUCTS HAZARD INCLUSION) <br /> CG F2 66 02 19 WASHINGTON CHANGES - EMPLOYMENT-RELATED PRACTICES <br /> EXCLUSION <br /> CG F4 66 01 08 WASHINGTON CHANGES - WHO IS AN INSURED <br /> CYBERFIRST ESSENTIALS LIABILITY ENDORSEMENTS <br /> PR TO 22 02 12 CYBERFIRST ESSENTIALS COVERAGE PART DECLARATIONS <br /> PR T1 13 02 12 CYBERFIRST ESSENTIALS GENERAL PROVISIONS FORM <br /> PR T1 14 02 12 CYBERFIRST ESSENTIALS INFORMATION SECURITY LIABILITY <br /> COVERAGE FORM <br /> PR T5 21 03 15 COVG FOR FINANCIAL INTEREST IN FOREIGN INSURED <br /> ORGANIZATIONS-CYBERFIRST ESSENTIALS <br /> PR T4 97 03 15 BREACH ESSENTIALS ENDORSEMENT <br /> PR T5 14 01 15 AMEND OF AI AND PI DEFINITIONS - INFORMATION SECURITY <br /> LIABILITY <br /> PR F3 19 02 12 AGGREGATE LIMIT IF NO AMOUNT IS SHOWN IN THE <br /> DECLARATIONS - WASHINGTON <br /> EMPLOYMENT PRACTICES LIABILITY <br /> * PR TO 07 02 15 EMPLOYMENT PRACTICES LIAB COVG PART DEC <br /> PR T1 10 04 09 EMPLOYMENT PRACTICES LIABILITY COVERAGE FORM <br /> PR T5 23 03 15 COVG FOR FINANCIAL INTEREST IN FOREIGN <br /> ORGANIZATIONS-EMPLOYMENT PRACTICES LIABILITY <br /> PR Fl 55 04 09 WASHINGTON MANDATORY ENDORSEMENT <br /> MULTIPLE SUBLINE ENDORSEMENTS <br /> CG T3 33 11 03 LIMITATION WHEN TWO OR MORE POLICIES APPLY <br /> INTERLINE ENDORSEMENTS <br /> IL T3 68 01 15 FEDERAL TERRORISM RISK INSURANCE ACT DISCLOSURE <br /> IL T4 12 03 15 AMNDT COMMON POLICY COND-PROHIBITED COVG <br /> IL T4 14 01 15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM <br /> IL T3 82 05 13 EXCLUSION OF LOSS DUE TO VIRUS OR BACTERIA <br /> IL 01 23 11 13 WASHINGTON CHANGES - DEFENSE COSTS <br /> IL 01 57 07 02 WASHINGTON CHANGES - ACTUAL CASH VALUE <br /> IL 01 73 07 02 WASHINGTON CHANGES - EXCLUDED CAUSES OF LOSS <br /> IL 01 98 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD <br /> FORM) <br /> IL T4 00 05 19 DESIG PERSON, ORG-NOTICE PROVIDED BY US <br /> *TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. <br /> IL T8 01 01 01 PAGE: 2 OF 3 <br />