Forms & Endorsements Certificate NMA 2868 SLC-3 (USA) Coverage Part Declarations BP SARPG 004 02 24 Schedule of Forms & Endorsements BP SARPG 003 02 24 Commercial General Liability Coverage Form SARPG-GL-02-17 Common Policy Conditions IL 00 17 11 98 Additional Insured – Owners, Lessees or Contractors – Automatic Status when Required in Construction Agreement with You CG 20 33 04 13 Additional Insured - Owners, Lessees or Contractors - Completed Operations CG 20 37 04 13 Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization CG 20 10 04 13 Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) CG 24 04 12 19 Addition of Fire Damage Limit Coverage SARPG-CGL-PL FD 02 17 Addition of Professional Liability Coverage and Amendment of Limits of Insurance Amendatory Endorsement SARPG-PL 02 17 Cancellation by Us CG 02 12 11 85 Care, Custody and Control Enhancement SARPG-CGL-PL CCC 07 16 Lost Key Liability Amendatory Endorsement SARPG-CGL-PL LKL 07 16 Primary and Non-Contributory Endorsement SARPG-CGL-PNC 07 14 Florida Surplus Lines Notice (Rates and Forms) LMA 9038 Florida Surplus Lines Notice (Guaranty Act) LMA 9037 Applicable Law (U.S.A.) LMA5021 Biological or Chemical Materials Exclusion NMA2962 Lloyd's Privacy Policy Statement LSW1135B Nuclear Incident Exclusion Clause-Liability-Direct (Broad) (U.S.A.) NMA1256 Radioactive Contamination Exclusion Clause – Physical Damage – Direct NMA1191 Sanctions Limitation Clause LMA3100A Service of Suit Clause (USA) LMA5020 Several Liability Notice LSW1001 U.S. Terrorism Risk Insurance Act of 2002 as Amended Not Purchased Clause LMA5390 Exclusion – Access or Disclosure of Confidential or Personal Information and Data-Related Liability – Limited Bodily Injury Exception Not Included CG 33 59 05 14 Employment-Related Practices Exclusion CG 21 47 12 07 Fungi or Bacteria Exclusion CG 21 67 12 04 Communicable Disease Exclusion LMA5396 Perfluorinated Compounds, Perfluoroalkyl and Polyfluoroalkyl Substances (PFAS) Exclusion No. 2 LMA5596A War and Civil War Exclusion NMA464 War and Terrorism Exclusion Endorsement NMA2918 Asbestos and Silica Exclusion SARPG-CGL-PL ASB SIL 07 16 Exclusion – Armed Guard Services SARPG-CGL-PL AG 07 16 Exclusion-AMPS Based Cellular Alarm Communication Systems SARPG-CGL-PL AMPS 07 16 Punitive Damages Exclusion SARPG-CGL-PL PDE 07 16 Participation Schedule BP SARPG 001 02 24 Beazley Breach Response Declarations Page F00654 072019 ed. Beazley Breach Response Policy F00653 112017 ed. Catastrophic First Party Loss Amendatory Endorsement E15628 012023 ed. First Party Loss Exclusion Amendatory Endorsement E15627 012023 ed. War and Cyber War Exclusion E15626 012023 ed. Participation Schedule BP SARPG 002 02 24 Note: This forms list may not be a complete listing as additional state and carrier required forms may be applicable to this account. 10/22/24 Page 11 of 25