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DocuSign Envelope ID:25652F75-AF12-4268-84EE-407518477C5B <br /> NATIONWIDE MUTUAL INSURANCE COMPANY <br /> ONE NATIONWIDE PLAZA <br /> COLUMBUS, OH 43216-2220 <br /> COMMERCIAL GENERAL LIABILITY FORMS AND ENDORSEMENTS <br /> Number: ACP GLO 2272994383 Period: From 02/22/16 To 02/22/17 <br /> Named Insured: PRO MET SYSTEMS INC <br /> ­­­..w.,,... _ w <br /> Form Date Title <br /> CG0001 0413 COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br /> CG2033 0413 ADDITIONAL INSURED- OWNERS, LESSEES OR CONTRACTORS-AUTOMATIC STATUS WHEN RE{ <br /> CG2106 0514 EXCLUSION-ACCESS OR DISCLOSURE OF CONFIDENTIAL OR PERSONAL INFORMATION <br /> CG2147 1207 EMPLOYMENT- RELATED PRACTICES EXCLUSION <br /> CG2150 0413 AMENDMENT OF LIQUOR LIABILITY EXCLUSION <br /> CG2156 0999 TOTAL POLLUTION EXCLUSION WITH A HOSTILE FIRE EXCEPTION <br /> CG2167 1204 FUNGI OR BACTERIA EXCLUSION <br /> CG2170 0108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM <br /> CG2186 1204 EXCLUSION- EXTERIOR INSULATION AND FINISH SYSTEMS <br /> CG2196 0305 SILICA OR SILICA-RELATED DUST EXCLUSION <br /> CG2279 0413 EXCLUSION-CONTRACTORS- PROFESSIONAL LIABILITY <br /> CG2426 0413 AMENDMENT OF INSURED CONTRACT DEFINITION <br /> CG7023 1096 EXCL-ASBESTOS, ELECTRO-MAGNETIC RADIATION, LEAD AND RADON <br /> CG7033 0393 TWO OR MORE COVERAGE FORMS OR POLICIES ISSUED BY US <br /> (k_ 10137280 1111 CONTRACTORS ENHANCEMENT ENDORSEMENT <br /> GC2187 0107 CONDITIONAL EXCLUSION OF TERRORISM (RELATING TO DISPO$TION OF FEDERAL TERRORISM <br /> 11-0017 1198 COMMON POLICY CONDITIONS <br /> I L0021 0908 NUCLEAR ENERGY LIABILITY EXCLUSION <br /> IL0269 0908 NORTH CAROLINA CHANGES-CANCELLATION AND NONRENEWAL <br /> 13614 1185 SPECIAL CONTINUATION PROVISION <br /> IMPORTANT NOTICES <br /> IN5017 0593 IMPORTANT NOTICE FOR RENEWAL POLICIES <br /> IN7300 0114 NOTICE TO POLICY HOLDERS POTENTIAL RESTRICTIONS OF TERRORISM COVERAGE <br /> IN7759 0514 NOTICE TO POLICYHOLDERS COMMERCIAL GENERAL LIABILITY EXCLUSION-ACCESS OR DISC <br /> GLDF 102-93) <br /> DIRECT BILL L6VQ 15009 AGENT COPY ACP GLO 2272994393 837701911 22 000T236 <br />