Orange County NC Website
Browse       Search
INDEX OF FORMS ATTACHED TO THE POLICY <br />POLICY NUMBER: 2020-35634 <br />Voices TogetherNAME OF INSURED:Page: 1 <br />LIABILITY FORMS AND ENDORSEMENTS FORM NUMBER / EDITION DATE <br />Member Criteria ANI-E003 GL 08 20 <br />Fiscal Sponsor Limitation ANI-E069 GL 02 19 <br />Fiscal Sponsor Limitation ANI-E069 ISC 02 19 <br />Fiscal Sponsor Limitation ANI-E069 SSP 02 19 <br />Professional Services Exclusion ANI-E078 12 18 <br />Lead Liability - Exclusion ANI-E120 09 19 <br />Firearms Sublimit Endorsement ANI-E123 09 19 <br />Disciplinary Action ANI-E125 11 19 <br />AI - Designated Person or Organization (ET)ANI-E131 ISC 05 20 <br />Business Auto Coverage Part Declarations ANI-RRG-AL 04 01 <br />Additional Insured - Primary and Non-Contributory - for Designated Person or Organization ANI-RRG-E02 01 17 <br />Fireworks Exclusion ANI-RRG-E11 GL 09 19 <br />Fireworks Exclusion ANI-RRG-E11 SSP 09 19 <br />Blood Testing Exclusion ANI-RRG-E15 01 17 <br />Asbestos Exclusion ANI-RRG-E22 09 19 <br />Additional Insured - Designated Person or Organization ANI-RRG-E25 12 15 <br />Waiver of Transfer of Rights of Recovery Against Others ANI-RRG-E26 11 17 <br />Property Damage to Personal Property in the Care, Custody or Control of the Insured ANI-RRG-E28 01 99 <br />Employee Personal Auto Reimbursement ANI-RRG-E29 12 09 <br />Social Service Professional Liability Coverage Form ANI-RRG-E32 01 17 <br />Mold, Fungus Exclusion ANI-RRG-E33 GL 09 19 <br />Mold, Fungus Exclusion ANI-RRG-E33 SSP 09 19 <br />Construction and Conversion Exclusion ANI-RRG-E34 09 18 <br />Nuclear, Chemical and Biological Hazard Exclusion ANI-RRG-E42 GL 09 19 <br />Nuclear, Chemical and Biological Hazard Exclusion ANI-RRG-E42 SSP 09 19 <br />Trampoline Bounce House Exclusion ANI-RRG-E5 07 15 <br />Liberalization - GL, SSP, EBL ANI-RRG-E56 01 17 <br />Liberalization - ISC ANI-RRG-E57 02 12 <br />Liberalization - LL ANI-RRG-E59 02 12 <br />Volunteer Medical Payments ANI-RRG-E60 07 12 <br />Additional Insured - Primary and Non-Contributory Endorsement for Public Entities ANI-RRG-E61 02 19 <br />Additional Insured - Managers or Lessors of Premises ANI-RRG-E67 08 17 <br />Fundraiser and Event Endorsement ANI-RRG-E70 03 19 <br />Other Insurance - Coverage C ANI-RRG-E72 01 17 <br />Mental Anguish Endorsement ANI-RRG-E74 03 14 <br />Commercial General Liability Coverage Part Declarations ANI-RRG-GL 04 01 <br />Improper Sexual Conduct and Physical Abuse Liability Coverage Form ANI-RRG-ISCET 05 20 <br />Commercial Liquor Liability Coverage Part Declarations ANI-RRG-LL 04 01 <br />Nonprofits' OWN Enhancement Endorsement ANI-RRG-NPO-001 05 20 <br />Improper Sexual Conduct Liability Coverage Part Declarations ANI-RRG-SC 04 01 <br />Improper Sexual Conduct and Physical Abuse Exclusion - GL ANI-RRG-X1 06 18 <br />Commercial General Liability Coverage Form CG 00 01 04 13 <br />This list of forms is not part of the actual policy, but is for your information only. <br />Please refer to the policy(s) for actual limits, coverages and exclusions. <br />DocuSign Envelope ID: 81A61471-345A-47F9-8A2D-36F7929A6637