2025-393-E-Emergency Svc-IEM-Comprehensive Emergency Operations Plan Contract

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Docusign Envelope ID: B576D624-E16E-4D9F-BC67-5703DE54A6F8 POLICY NUMBER: BA-3R329191-24-I3-G EFFECTIVE DATE: 10/01/2024 ISSUE DATE: 10/10/2024 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS IL TO 02 11 89 COMMON POLICY DECLARATIONS IL T8 01 01 01 FORMS ENDORSEMENTS AND SCHEDULE NUMBERS IL TO O1 01 07 COMMON POLICY CONDITIONS COMMERCIAL AUTO CA TO O1 02 15 BA- COVERAGE PART DECS (ITEMS 1 & 2) CA TO 03 02 15 BUS AUTO COV PART DECLARATIONS-4&5 CA TO 31 02 15 TABLE OF CONTENTS-BUSINESS AUTO COV FORM CA 00 01 10 13 BUSINESS AUTO COVERAGE FORM CA O1 26 10 13 NORTH CAROLINA CHANGES CA 20 54 10 13 EMPLOYEE HIRED AUTOS CA 99 33 10 13 EMPLOYEES AS INSUREDS CA T4 59 02 15 AMENDMENT OF EMPLOYEE DEFINITION CA T6 44 07 24 LONG TERM LEASED AUTOS COVERED AS OWNED AUTOS CA T3 01 02 15 ADDL INSD COVD AUTO LIAB COVG-DESGN PERS CA T3 40 02 15 BLANKET WAIVER OF SUBROGATION CA T3 69 02 15 ADDITIONAL CONDITION - UNINTENTIONAL ERRORS OR OMISSIONS CA T3 70 02 15 NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS CA T4 37 02 16 BLANKET ADDITIONAL INSURED CA T8 01 10 24 DESIGNATED ADDITIONAL INSURED - CONTRACT AGREEMENT - WITH NOTICE - CAT301 CA T8 02 10 24 DESIGNATED ADDITIONAL INSURED - CONTRACT AGREEMENT - WITH NOTICE - CAT301 CA T8 03 10 24 IL T4 05 DESIGNATED ENTITY - CANCEL INTERLINE ENDORSEMENTS IL T3 20 05 19 NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US IL T4 05 05 19 DESIGNATED PERSON OR ORGANIZATION - NOTICE OF CANCELLATION PROVIDED BY US IL T4 27 06 19 ADDITIONAL BENEFITS IL T8 00 10 24 GENERAL PURPOSE ENDORSEMENT IL T4 12 03 15 AMNDT COMMON POLICY COND-PROHIBITED COVG IL 00 21 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM) IL T8 01 01 01 PAGE: 1 OF 1