Orange County NC Website
Docusign Envelope ID: B576D624-E16E-4D9F-BC67-5703DE54A6F8 <br /> TRAVELERS <br /> POLICY NUMBER: H-630-3R329314-PHX-24 <br /> EFFECTIVE DATE: 10-01-24 <br /> ISSUE DATE: 10-15-24 <br /> LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br /> THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS <br /> BY LINE OF BUSINESS. <br /> IL TO 02 11 89 COMMON POLICY DECLARATIONS <br /> IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br /> IL T3 18 05 11 COMMON POLICY CONDITIONS-DELUXE <br /> IL TO 03 04 96 LOCATION SCHEDULE <br /> IL T8 00 GENERAL PURPOSE ENDORSEMENT <br /> IL T8 03 GENERAL PURPOSE ENDORSEMENT <br /> IL T3 20 05 19 NOTICE - CANC, NONRENEWAL PROVIDED BY US <br /> DELUXE PROPERTY <br /> DX TO 00 11 12 DELUXE PROP COV PART DECLARATIONS <br /> DX 00 03 07 94 DELUXE PROP COV PART SCHED-SPECIF LIMITS <br /> DX TO 04 09 17 DELUXE PROP SUPP DEC (VA) <br /> DX 00 04 11 12 TABLE OF CONTENTS - DELUXE PROP COV PART <br /> DX T1 00 11 12 DELUXE PROPERTY COVERAGE FORM <br /> DX T1 01 11 12 DELUXE BI (AND EE) COVERAGE FORM <br /> DX T4 15 11 12 CRIME ADDITIONAL COVERAGE <br /> DX T4 16 11 12 TECH INDUSTRY DD AND COL EXTENSION <br /> DX T4 17 11 12 TECH INDUSTRY BI AND EE EXTENSIONS <br /> DX T4 29 11 12 ROYALTIES <br /> DX T4 59 02 11 UNINTENTIONAL E&O - FAILURE TO REPORT <br /> DX T4 75 11 12 PUBLIC RELATIONS CRISIS MANAGEMENT <br /> DX T3 01 11 12 CAUSES OF LOSS-EARTHQUAKE <br /> DX T3 79 11 12 LOSS PAYABLE PROVISIONS <br /> DX T4 02 01 21 FEDERAL TERRORISM RISK INSURANCE ACT DIS <br /> DX T5 21 01 23 DIGITAL ASSETS EXCLUSIONS <br /> DX 10 54 11 12 WINDSTORM OR HAIL EXCLUSION <br /> DX O1 16 02 24 LOUISIANA CHANGES <br /> DX O1 18 06 23 NORTH CAROLINA CHANGES <br /> DX O1 60 10 15 VIRGINIA CHANGES <br /> DX T3 98 01 23 ELECTRONIC VANDALISM LIMIT & OTHER CHANG <br /> COMMERCIAL GENERAL LIABILITY <br /> CG TO O1 11 03 COML GENERAL LIABILITY COV PART DEC <br /> CG D4 68 02 19 TOTAL AGG LMT & DESIG PROJ/LOC AGG LMTS <br /> CG TO 07 09 87 DECLARATIONS PREMIUM SCHEDULE <br /> CG TO 08 11 03 KEY TO DECLARATIONS PREMIUM SCHEDULE <br /> CG TO 34 02 19 TABLE OF CONTENTS - COM GEN LIAB COV <br /> CG T1 00 02 19 COMMERCIAL GENERAL LIABILITY COV FORM <br /> CG T8 00 GENERAL PURPOSE ENDORSEMENT <br /> CG D4 37 09 21 AOCB-LIMTD PERS AND ADV INJ LIAB-TECH <br /> CG 20 28 11 85 ADD'L INS-LESSOR OF LEASED EQUIPMENT <br /> CG D2 03 12 97 AMEND-NON CUMULATION OF EACH OCC <br /> IL T8 01 10 93 PAGE: 1 OF 2 <br />