Upload
others
View
0
Download
0
Embed Size (px)
Citation preview
(New)Denotes change.PAGE SC 1 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
Crime
Policy Forms and Endorsements
IT IS WOLTERS KLUWER POLICY TO LIMIT THE SALE OF BUREAU FORMS TO THE MEMBERS AND SUBSCRIBERS OF THOSERESPECTIVE BUREAUS. PURCHASE AND USE OF BUREAU FORMS BY ENTITIES THAT ARE NOT MEMBERS OR SUBSCRIBERS TO THATRESPECTIVE BUREAU COULD BE A VIOLATION OF THEIR COPYRIGHT.
ALPHABETICAL INDEX
Forms are listed alphabetically by form title.
Users are cautioned that because of occasional long delays in adoption of new or revised programs in some areas, they must be guided in the use of all forms andendorsements by their Manual and State requirements.
Crime
(New)Denotes change.PAGE SC 2 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
--------------------------------------------------------GENERAL USE/STATE SPECIFIC
--------------------------------------------------------(A)
CC515 03/00 CR25310300(HI) ADD BLANKET EXCESS LIMIT OFINSURANCE FOR SPECIFIED JOINTINSURED
HI
CR2531 08/07 CR25310807 ADD BLANKET EXCESS LIMIT OFINSURANCE FOR SPECIFIED JOINTINSURED
AK , TX
CR2531 10/10 CR25311010 ADD BLANKET EXCESS LIMIT OFINSURANCE FOR SPECIFIED JOINTINSURED
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CC504 03/00 CR25200300(HI) ADD CREDIT, DEBIT OR CHARGE CARDFORGERY
HI
CR2520 08/07 CR25200807 ADD CREDIT, DEBIT OR CHARGE CARDFORGERY
AK , TX
CR2520 10/10 CR25201010 ADD CREDIT, DEBIT OR CHARGE CARDFORGERY
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR2519 03/00 CR25190300 ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR GOVERNMENTEMPLOYEES
AK
CC503 03/00 CR25190300(HI) ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR GOVERNMENTEMPLOYEES
HI
CR2519 05/06 CR25190506 ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR GOVERNMENTEMPLOYEES
TX
CR2519 08/13 CR25190813 ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR GOVERNMENTEMPLOYEES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IL , IN , KS , KY , LA , MA , MD , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR2519 10/10 CR25191010 ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR GOVERNMENTEMPLOYEES
MD
CR2543 05/06 CR25430506 ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR SPECIFIEDGOVERNMENT EMPLOYEES ORPOSITIONS
MD , TX
CR2543 07/02 CR25430702 ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR SPECIFIEDGOVERNMENT EMPLOYEES ORPOSITIONS
AK , CT
CC629 07/02 CR25430702(HI) ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR SPECIFIEDGOVERNMENT EMPLOYEES ORPOSITIONS
HI
CR2543 08/13 CR25430813 ADD FAITHFUL PERFORMANCE OFDUTY COVERAGE FOR SPECIFIEDGOVERNMENT EMPLOYEES ORPOSITIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IL , IN , KS , KY , LA , MA , MD , MI ,MN , MO , MS , MT , NC , ND , NE ,
Crime
(New)Denotes change.PAGE SC 3 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NH , NJ , NM , NV , NY , OH , OK ,OR , PA , PR , RI , SC , SD , TN , TX ,
UT , VA , VI , VT , WA , WI , WV , WYCR2543 10/10 CR25431010 ADD FAITHFUL PERFORMANCE OF
DUTY COVERAGE FOR SPECIFIEDGOVERNMENT EMPLOYEES ORPOSITIONS
MD
CC502 03/00 CR25180300(HI) ADD FAITHFUL PERFORMANCE ONDUTY COVERAGE
HI
CR2518 08/07 CR25180807 ADD FAITHFUL PERFORMANCE ONDUTY COVERAGE
AK , TX
CR2518 10/10 CR25181010 ADD FAITHFUL PERFORMANCE ONDUTY COVERAGE
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC545 03/00 CR35200300(HI) ADD PROPERTY OF OTHERS HICR3520 08/07 CR35200807 ADD PROPERTY OF OTHERS AK , TXCR3520 10/10 CR35201010 ADD PROPERTY OF OTHERS AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , GU , HI , IA , ID ,IN , KS , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CC534 03/00 CR35090300(HI) ADD PROTECTIVE DEVICES ORSERVICES
HI
CR2028 08/07 CR20280807 ADD PROTECTIVE DEVICES ORSERVICES
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR0147 08/07 CR01470807 ADD PROTECTIVE DEVISES OR SERVICES MNCC518 03/00 CR25340300(HI) ADD SCHEDULE EXCESS LIMIT OF
INSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS
HI
CR2534 08/07 CR25340807 ADD SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS
AK , TX
CR2534 10/10 CR25341010 ADD SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC519 03/00 CR25350300(HI) ADD SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS FOR EMPLOYEE THEFTONLY
HI
CR2535 08/07 CR25350807 ADD SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS FOR EMPLOYEE THEFTONLY
AK , TX
CR2535 10/10 CR25351010 ADD SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS FOR EMPLOYEE THEFTONLY
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CC500 03/00 CR25160300(HI) ADD TRADING COVERAGE HI
Crime
(New)Denotes change.PAGE SC 4 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR2516 08/07 CR25160807 ADD TRADING COVERAGE AK , TXCR2516 10/10 CR25161010 ADD TRADING COVERAGE AK , AL , AZ , CA , CO , DC , DE , FL ,
HI , IA , ID , IN , KS , LA , MA , MD ,ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC501 03/00 CR25170300(HI) ADD WAREHOUSE RECEIPTS COVERAGE HICR2517 08/07 CR25170807 ADD WAREHOUSE RECEIPTS COVERAGE AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC505 03/00 CR25210300(HI) ADD WAREHOUSE RECEIPTS FORGERY HICR2521 08/07 CR25210807 ADD WAREHOUSE RECEIPTS FORGERY AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC630 07/02 CRDS010702(HI) ADVISORY COMMERCIAL CRIMECOVERAGE PART DECLARATIONS
HI
CC573 09/02 ADVISORY NOTICE TO POLICYHOLDERS(CRIME AND FIDELITY INSURANCE)BROADENINGS, RESTRICTIONS ANDCLARIFICATIONS OF COVERAGE (2001PROGRAM REVISION)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC183 06/95 ADVISORY NOTICE TO POLICYHOLDERS
COMMERCIAL CRIME INSURANCEAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC572 07/00 ADVISORY NOTICE TO POLICYHOLDERS
—BROADENINGS, RESTRICTIONS ANDCLARIFICATIONS OF COVERAGE (JULY 1,2000)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC184 05/98 ADVISORY NOTICE TO POLICYHOLDERS
—COMMERCIAL CRIME INSURANCE(EDITION 04-97)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR0140 04/15 CR01400415 ALABAMA CHANGES - ACTUAL CASH
VALUEAL
CR0188 10/10 CR01881010 ALABAMA CHANGES - LEGAL ACTIONAGAINST US
AL
CR0136 08/13 CR01360813 ALASKA CHANGES AKCR0272 10/10 CR02721010 ALASKA CHANGES - BINDING
ARBITRATIONAK
CR0274 10/10 CR02741010 ALASKA CHANGES - EXCLUSION OFCERTAIN COMPUTER - RELATED LOSSES
AK
CR0271 10/10 CR02711010 ALASKA CHANGES - IDENTITY FRAUDEXPENSE
AK
Crime
(New)Denotes change.PAGE SC 5 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR0273 10/10 CR02731010 ALASKA CHANGES - NONBINDINGARBITRATION
AK
CC499 03/00 CR25150300(HI) AMEND DEFINITION OF EMPLOYEE TOCOMPLY WITH LABOR-MANAGEMENTREPORTING AND DISCLOSURE ACT OF1959
HI
CR2515 08/07 CR25150807 AMEND DEFINITION OF EMPLOYEE TOCOMPLY WITH LABOR-MANAGEMENTREPORTING AND DISCLOSURE ACT OF1959
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR2032 08/13 CR20320813 AMEND DEFINITION OF FINANCIALINSTITUTION
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR3532 08/07 CR35320807 AMEND OUTSIDE THE PREMISESINSURING AGREEMENT TO PROVIDEROBBERY OF MONEY AND SECURITIESCOVERAGE
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , RI , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCC472 03/00 CR20090300(HI) AMEND TERRITORIAL LIMITS HICR2009 08/07 CR20090807 AMEND TERRITORIAL LIMITS AK , MD , TXCR2009 10/10 CR20091010 AMEND TERRITORIAL LIMITS MNCR2009 08/13 CR20090813 AMEND TERRITORY CONDITION
- INCLUDE SPECIFIED FOREIGNTERRITORIES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , PR , RI , SC , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR2030 08/13 CR20300813 AMEND TERRITORY CONDITION -INCLUDE WORLDWIDE COVERAGE
AL , AR , AZ , CA , CO , CT , DC , DE ,GA , HI , IA , ID , IN , KS , KY , LA ,MA , MD , ME , MI , MO , MS , MT ,
NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , RI , SC , SD , TN ,
UT , VA , VT , WA , WI , WV , WYCC627 07/02 CR45050702(HI) AMEND TERRITORY CONDITION TO
SUSPEND COVERAGE FOR FOREIGNBUSINESS OPERATIONS
HI
CR0757 01/08 CR07570108 AMENDMENT - DELETE PROVISIONSREGARDING CERTAIN ACTS OFTERRORISM
NY
CR0750 03/06 CR07500306 AMENDMENT - DELETE PROVISIONSREGARDING CERTAIN ACTS OFTERRORISM (APPLICABLE TO CRIME/FIDELITY ONLY)
AL , AR , AZ , CA , CO , CT , DC , DE ,GU , HI , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MN , MO ,
MS , MT , NC , ND , NE , NH , NJ , NM ,NV , OH , OK , OR , PA , RI , SC , SD ,TN , TX , UT , VA , VT , WI , WV , WY
CR0750 08/08 CR07500808 AMENDMENT - DELETE PROVISIONSREGARDING CERTAIN ACTS OFTERRORISM (APPLICABLE TO CRIME/FIDELITY ONLY)
AL , AR , AZ , CA , CO , CT , DC , DE ,FL , GA , HI , IA , ID , IL , IN , KS , KY ,
LA , MA , MD , ME , MI , MN , MO , MS ,MT , NC , ND , NE , NH , NJ , NM , NV ,OH , OK , OR , PA , PR , RI , SC , SD ,
TN , UT , VA , VT , WA , WI , WV , WYCR0750 08/08 CR07508S AMENDMENT - DELETE PROVISIONS
REGARDING CERTAIN ACTS OFAL , AR , AZ , CA , CO , CT , DC , DE ,FL , GA , HI , IA , ID , IL , IN , KS , KY ,
Crime
(New)Denotes change.PAGE SC 6 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
TERRORISM (APPLICABLE TO CRIME/FIDELITY ONLY)
LA , MA , MD , ME , MI , MN , MO , MS ,MT , NC , ND , NE , NH , NJ , NM , NV ,OH , OK , OR , PA , PR , RI , SC , SD ,
TN , UT , VA , VT , WA , WI , WV , WYIL0983 01/08 IL09830108 AMENDMENT OF TERRORISM
EXCLUSIONSWA
CR0227 12/14 CR02271214 ARIZONA CHANGES AZIL0258 01/20 IL02580120 ARIZONA CHANGES - CANCELLATION
AND NONRENEWALAZ
IL0163 10/17 IL01631017 ARKANSAS CHANGES AR(B)
CC343 07/88 CR15340788 BANK EXCESS SECURITIES PRCR2530 03/00 CR25260300 BANKS FOR COOPERATIVES AND
FEDERAL INTERMEDIATE CREDITBANKS
CA , MN
CC514 03/00 CR25300300(HI) BANKS FOR COOPERATIVES ANDFEDERAL INTERMEDIATE CREDITBANKS
HI
CR2530 08/07 CR25300807 BANKS FOR COOPERATIVES ANDFEDERAL INTERMEDIATE CREDITBANKS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR2012 08/07 CR20120807 BINDING ARBITRATION AK , MD , TXCR2012 10/10 CR20121010 BINDING ARBITRATION AL , AZ , CA , CO , DC , DE , HI ,
IA , ID , IL , IN , KS , KY , MD , ME ,MI , MN , MO , MS , MT , ND , NJ ,NM , NV , NY , OH , OK , PA , RI ,
SC , SD , TN , TX , UT , WA , WI , WVCC626 07/02 CR45040702(HI) BUSINESS INCOME AND EXTRA EXPENSE HICR4504 08/07 CR45040807 BUSINESS INCOME AND EXTRA EXPENSE AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
(C)CC483 03/00 CR20200300(HI) CALCULATION OF PREMIUM HIIL0003 08/07 IL00030807 CALCULATION OF PREMIUM NECR2020 08/07 CR20200807 CALCULATION OF PREMIUM AK , MD , TXIL0003 09/08 IL00030908 CALCULATION OF PREMIUM AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , IA , ID , IL , IN , KS ,KY , LA , MD , ME , MI , MN , MO ,
MS , MT , NC , ND , NH , NJ , NM , NV ,OH , OK , OR , PA , RI , SC , SD , TN ,
UT , VA , VI , VT , WA , WI , WV , WYCR2020 10/10 CR20201010 CALCULATION OF PREMIUM AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IN , KS , LA ,MA , MD , ME , MI , MN , MO , MS ,
NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCC483 A 07/02 CR20200702(HI) CALCULATION OF PREMIUM HICR0249 09/12 CR02490912 CALIFORNIA CHANGES CAIL0270 07/20 IL02700720 CALIFORNIA CHANGES -
CANCELLATION AND NONRENEWALCA
CR0310 08/17 CR03100817 CALIFORNIA CHANGES - PREMIUM CACC276 A 03/89 CR10340389 CANCELLATION REQUIREMENT VAIL0952 01/15 IL09520115 CAP ON LOSSES FROM CERTIFIED ACTS
OF TERRORISM
Crime
(New)Denotes change.PAGE SC 7 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
AK , AL , AR , AZ , CA , CO , FL ,GU , HI , IA , MA , MD , ME , MI ,ND , NJ , SD , VI , WA , WV , WY
ILC006 12/11 ILC0061211 CERTIFICATE OF PROPERTY INSURANCE(COMMERCIAL RISKS)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC467 03/00 CR20040300(HI) CHANGE EXTENDED PERIOD TODISCOVER LOSS
HI
CR2004 07/02 CR20020702 CHANGE EXTENDED PERIOD TODISCOVER LOSS
AK
CR2004 08/07 CR20040807 CHANGE EXTENDED PERIOD TODISCOVER LOSS
AK , MD , TX
CR2004 10/10 CR20041010 CHANGE EXTENDED PERIOD TODISCOVER LOSS
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OK , OR , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR0255 08/07 CR02550807 CHANGE IN CONTROL OF THE INSURED -NOTICE TO THE COMPANY
NJ
CR0256 08/07 CR02560807 CHANGE IN CONTROL OF THE INSURED -NOTICE TO THE COMPANY
CA
CR2029 08/07 CR20290807 CHANGE IN CONTROL OF THE INSURED -NOTICE TO THE COMPANY
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NM , NV , NY , OH ,
OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR2536 08/07 CR25360807 CHANGE SCHEDULE (DISCOVERY FORM) AK , TXCR2536 10/10 CR25361010 CHANGE SCHEDULE (DISCOVERY FORM) AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , GU , HI , IA , ID ,IN , KS , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CR2537 08/07 CR25370807 CHANGE SCHEDULE (LOSS SUSTAINEDFORM)
AK , TX
CR2537 10/10 CR25371010 CHANGE SCHEDULE (LOSS SUSTAINEDFORM)
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC543 03/00 CR35180300(HI) CHANGE SCHEDULE COVERAGE HICC372 10/90 CR15181090 CHANGE SCHEDULE COVERAGE PRCC522 03/00 CR25380300(HI) CHANGE SCHEDULE EXCESS LIMIT OF
INSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (DISCOVERY FORM)
HI
CR2538 07/02 CR25360702 CHANGE SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (DISCOVERY FORM)
CA , MN
CR2538 08/07 CR25380807 CHANGE SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (DISCOVERY FORM)
AK , TX
CR2538 10/10 CR25381010 CHANGE SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (DISCOVERY FORM)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,
Crime
(New)Denotes change.PAGE SC 8 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NH , NJ , NM , NV , NY , OH , OK ,OR , PA , PR , SC , SD , TN , TX , UT ,
VA , VI , VT , WA , WI , WV , WYCC523 03/00 CR25390300(HI) CHANGE SCHEDULE EXCESS LIMIT OF
INSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (LOSS SUSTAINED FORM)
HI
CR2539 07/02 CR25370702 CHANGE SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (LOSS SUSTAINED FORM)
CA , MN
CR2539 08/07 CR25390807 CHANGE SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (LOSS SUSTAINED FORM)
AK , TX
CR2539 10/10 CR25391010 CHANGE SCHEDULE EXCESS LIMIT OFINSURANCE FOR SPECIFIED EMPLOYEESOR POSITIONS (LOSS SUSTAINED FORM)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CR0184 01/08 CR01840108 CHANGES ORCR0217 01/11 CR02170111 CHANGES OKCR0234 01/14 CR02340114 CHANGES NYCR0231 02/15 CR02310215 CHANGES GACR0218 02/20 CR02180220 CHANGES MTCR0246 04/17 CR02460417 CHANGES MICR0166 05/06 CR01660506 CHANGES VTCR0248 05/15 CR02480515 CHANGES NMCR0216 05/17 CR02160517 CHANGES ARCC375 05/97 CR10620597 CHANGES AZCC353 05/97 CR10610597 CHANGES AKCR0163 06/06 CR01630606 CHANGES CACR0155 07/17 CR01550717 CHANGES NYCR0223 07/19 CR02230719 CHANGES SCCR0233 07/21 CR02330721 CHANGES UTCR0125 08/07 CR01250807 CHANGES MNCR0127 08/07 CR01270807 CHANGES MOCR0105 08/07 CR01050807 CHANGES WVCR0160 08/07 CR01600807 CHANGES COCR0213 08/07 CR02130807 CHANGES NJCR0237 08/07 CR02370807 CHANGES RICR0239 08/07 CR02390807 CHANGES IACR0252 08/07 CR02520807 CHANGES GUCR0153 08/07 CR01530807 CHANGES VACR0179 08/07 CR01790807 CHANGES NJCR0211 08/07 CR02110807 CHANGES VACR0248 08/07 CR02480807 CHANGES NMCR0104 08/13 CR01040813 CHANGES KSCR0125 08/13 CR01250813 CHANGES MNCR0106 08/13 CR01060813 CHANGES WICR0121 08/13 CR01210813 CHANGES UTCR0222 08/13 CR02220813 CHANGES MECR0210 08/13 CR02100813 CHANGES WACR0220 08/13 CR02200813 CHANGES MNCR0243 08/13 CR02431010 CHANGES AKIL0243 09/07 IL02430907 CHANGES MTIL0172 09/07 IL01720907 CHANGES PACR0221 10/10 CR02211010 CHANGES PACR0222 10/10 CR02221010 CHANGES MECR0211 10/10 CR02111010 CHANGES VACR0215 10/10 CR02151010 CHANGES COCR0235 10/10 CR02351010 CHANGES NC
Crime
(New)Denotes change.PAGE SC 9 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR0236 10/10 CR02361010 CHANGES INCR0237 10/10 CR02371010 CHANGES RICR0241 10/10 CR02411010 CHANGES DCCR0242 10/10 CR02421010 CHANGES ORCR0224 10/10 CR02241010 CHANGES TNCR0219 10/10 CR02191010 CHANGES OHCR0220 10/10 CR02201010 CHANGES MNCR0225 10/10 CR02251010 CHANGES NVCR0232 10/10 CR02321010 CHANGES KYCR0244 10/10 CR02441010 CHANGES WVCR0226 10/10 CR02261010 CHANGES WYCR0250 10/10 CR02501010 CHANGES NDCR0193 11/09 CR01931109 CHANGES CTCR0138 11/15 CR01381115 CHANGES LACR0228 12/17 CR02281217 CHANGES NECR0247 12/19 CR02471219 CHANGES TXIL0190 04/15 IL01900415 CHANGES - ACTUAL CASH VALUE ALIL0103 09/07 IL01030907 CHANGES - ACTUAL CASH VALUE CAIL0122 09/07 IL01220907 CHANGES - ACTUAL CASH VALUE NEIL0166 09/07 IL01660907 CHANGES - ACTUAL CASH VALUE PAIL0176 06/11 IL01760611 CHANGES - APPRAISAL AKIL0176 07/02 IL01760702 CHANGES - APPRAISAL AKIL0121 03/00 IL01210300 CHANGES - ATTORNEYS FEES AKIL0121 07/02 IL01210702 CHANGES - ATTORNEYS FEES AKIL0121 09/00 IL01210900 CHANGES - ATTORNEYS FEES AKIL0121 09/08 IL01210908 CHANGES - ATTORNEYS FEES AKGU278 C 04/98 IL01210498 CHANGES - ATTORNEYS FEES AKCR0182 08/07 CR01820807 CHANGES - BINDING ARBITRATION MACR0175 10/10 CR01651010 CHANGES - BINDING ARBITRATION FLCR0182 10/10 CR01821010 CHANGES - BINDING ARBITRATION MAGU429 04/89 IL02810489 CHANGES - CANCELLATION WVIL0273 01/10 IL02730110 CHANGES - CANCELLATION AND
NONRENEWALRI
IL0135 01/19 IL01350119 CHANGES - CANCELLATION ANDNONRENEWAL
NH
IL0260 01/19 IL02600119 CHANGES - CANCELLATION ANDNONRENEWAL
CT
IL0247 02/11 IL02470211 CHANGES - CANCELLATION ANDNONRENEWAL
ME
IL0274 02/13 IL02740213 CHANGES - CANCELLATION ANDNONRENEWAL
MO
IL0262 02/15 IL02620215 CHANGES - CANCELLATION ANDNONRENEWAL
GA
IL0286 04/17 IL02860417 CHANGES - CANCELLATION ANDNONRENEWAL
MI
IL0298 05/15 IL02980515 CHANGES - CANCELLATION ANDNONRENEWAL
NM
IL0208 06/89 IL02080689 CHANGES - CANCELLATION ANDNONRENEWAL
NJ
IL0283 07/02 IL02830702 CHANGES - CANCELLATION ANDNONRENEWAL
WI
IL0265 07/02 IL02650702 CHANGES - CANCELLATION ANDNONRENEWAL
HI
IL0208 07/02 IL02080702 CHANGES - CANCELLATION ANDNONRENEWAL
NJ
IL0249 07/19 IL02490719 CHANGES - CANCELLATION ANDNONRENEWAL
SC
IL0266 07/21 IL02660721 CHANGES - CANCELLATION ANDNONRENEWAL
UT
IL0280 08/09 IL02800809 CHANGES - CANCELLATION ANDNONRENEWAL
AK
Crime
(New)Denotes change.PAGE SC 10 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
IL0208 09/00 IL02080900 CHANGES - CANCELLATION ANDNONRENEWAL
NJ
IL0265 09/01 IL02650901(HI) CHANGES - CANCELLATION ANDNONRENEWAL
HI
IL0251 09/07 IL02510907 CHANGES - CANCELLATION ANDNONRENEWAL
NV
IL0261 09/07 IL02610907 CHANGES - CANCELLATION ANDNONRENEWAL
KS
IL0252 09/07 IL02520907 CHANGES - CANCELLATION ANDNONRENEWAL
WY
IL0272 09/07 IL02720907 CHANGES - CANCELLATION ANDNONRENEWAL
IN
IL0228 09/07 IL02280907 CHANGES - CANCELLATION ANDNONRENEWAL
CO
IL0208 09/07 IL02080907 CHANGES - CANCELLATION ANDNONRENEWAL
NJ
IL0236 09/07 IL02360907 CHANGES - CANCELLATION ANDNONRENEWAL
OK
IL0244 09/07 IL02440907 CHANGES - CANCELLATION ANDNONRENEWAL
OH
IL0246 09/07 IL02460907 CHANGES - CANCELLATION ANDNONRENEWAL
PA
IL0245 09/08 IL02450908 CHANGES - CANCELLATION ANDNONRENEWAL
MN
IL0263 09/08 IL02630908 CHANGES - CANCELLATION ANDNONRENEWAL
KY
IL0276 09/08 IL02760908 CHANGES - CANCELLATION ANDNONRENEWAL
IA
IL0278 09/08 IL02780908 CHANGES - CANCELLATION ANDNONRENEWAL
DC
IL0269 09/08 IL02690908 CHANGES - CANCELLATION ANDNONRENEWAL
NC
IL0279 09/08 IL02790908 CHANGES - CANCELLATION ANDNONRENEWAL
OR
IL0204 09/08 IL02040908 CHANGES - CANCELLATION ANDNONRENEWAL
ID
IL0231 09/08 IL02310908 CHANGES - CANCELLATION ANDNONRENEWAL
AR
IL0250 09/08 IL02500908 CHANGES - CANCELLATION ANDNONRENEWAL
TN
IL0232 09/08 IL02320908 CHANGES - CANCELLATION ANDNONRENEWAL
SD
IL0234 09/17 IL02340917 CHANGES - CANCELLATION ANDNONRENEWAL
ND
IL0280 12/01 IL02801201 CHANGES - CANCELLATION ANDNONRENEWAL
AK
IL0259 12/17 IL02591217 CHANGES - CANCELLATION ANDNONRENEWAL
NE
IL0275 11/13 IL02751113 CHANGES - CANCELLATION ANDNONRENEWAL PROVISIONS FORCASUALTY LINES & COMMERCIALPACKAGE POLICIES
TX
IL0110 07/01 IL01100701 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
NV
IL0170 07/02 IL01700702 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
VT
IL0187 07/02 IL01870702 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
NH
IL0189 07/02 IL01890702 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
ME
CR0132 08/07 CR01320807 GA
Crime
(New)Denotes change.PAGE SC 11 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
CR0159 08/07 CR01590807 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
AZ
IL0110 09/07 IL01100907 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
NV
IL0170 09/07 IL01700907 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
VT
IL0189 09/07 IL01890907 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
ME
IL0187 09/07 IL01870907 CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
NH
IL0167 10/13 IL01671013 CHANGES - CONFORMITY WITHSTATUTES
MT
CR0110 08/07 CR01100807 CHANGES - DUTIES MICR0156 01/11 CR01560111 CHANGES - EFFECTIVE TIME CHANGE OKCR0150 10/11 CR01501011 CHANGES - ESCROW AGENT CAIL0165 09/08 IL01650908 CHANGES - EXAMINATION OF YOUR
BOOKS AND RECORDSND
CR0144 08/07 CR01440807 CHANGES - EXCLUSION OF A TRUSTORAS A NAMED INSURED
OK
CR0142 08/07 CR01420807 CHANGES - HEALTH MAINTENANCEORGANIZAITONS
TX
CR0151 08/07 CR01510807 CHANGES - LEGAL ACTION AGAINST US FLCR0108 08/07 CR01080807 CHANGES - LEGAL ACTION AGAINST US WYIL0171 09/07 IL01710907 CHANGES - LOSS PAYMENT TXCR0181 01/11 CR01810111 CHANGES - NON-BINDING ARBITRATION OKCR0183 08/07 CR01830807 CHANGES - NON-BINDING ARBITRATION MACR0178 08/07 CR01780807 CHANGES - NON-BINDING ARBITRATION LACR0176 10/10 CR01761010 CHANGES - NON-BINDING ARBITRATION FLCR0178 10/10 CR01781010 CHANGES - NON-BINDING ARBITRATION LACR0174 10/10 CR01741010 CHANGES - NON-BINDING ARBITRATION MOCR0183 10/10 CR01831010 CHANGES - NON-BINDING ARBITRATION MACC402 06/95 CR01310695 CHANGES - REPLACEMENT COST WACR0154 08/07 CR01540807 CHANGES - RIGHTS OF RECOVERY INCR0254 08/13 CR02540813 CHANGES - TERMINATION OF
EMPLOYEEAK
CR0253 10/10 CR02531010 CHANGES - TERMINATION OFEMPLOYEE
KY
CC350 05/88 CR01230588 CHANGES - VALUATION—SETTLEMENT ARCC351 B 04/97 CR01240497 CHANGES - VALUATION—SETTLEMENT NECC306 07/86 CR01090786 CHANGES-EFFECTIVE TIME CHANGES PRUG184 12/00 CIVIL UNION ENDORSEMENT VTCR0401 03/00 CR04010300 CLIENTS' PROPERTY AK , CTCC452 03/00 CR04010300(HI) CLIENTS' PROPERTY HICR0401 05/06 CR04010506 CLIENTS' PROPERTY CACR0401 08/13 CR04010813 CLIENTS' PROPERTY AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC474 03/00 CR20110300(HI) COINDEMNITY HICC408 04/97 CR50040497 COINDEMNITY AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
Crime
(New)Denotes change.PAGE SC 12 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR2011 08/07 CR20110807 COINDEMNITY AK , MD , TXCR2011 10/10 CR20111010 COINDEMNITY AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IN , KS , LA ,MA , MD , ME , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCC403 06/95 CR50040695 COINDEMNITY (FOR USE WITH ISO
FILING CR 94-094 MF)AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR0303 11/13 CR03031113 COLORADO CHANGES - CIVIL UNION COCR0020 11/15 CR00201115 COMMERCIAL CRIME COVERAGE FORM
(DISCOVERY FORM)AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC442 A 07/02 CR00200702(HI) COMMERCIAL CRIME COVERAGE FORM(DISCOVERY FORM)
HI
CR0021 11/15 CR00211115 COMMERCIAL CRIME COVERAGE FROM(LOSS SUSTAINED FORM)
AK , AL , AR , AZ , CA , CO , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CRDS01 03/00 CRDS010300 COMMERCIAL CRIME COVERAGE PARTDECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS01 07/02 CRDS010702 COMMERCIAL CRIME COVERAGE PART
DECLARATIONSAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS01 08/13 CRDS010813 COMMERCIAL CRIME COVERAGE PART
DECLARATIONSAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR0022 11/15 CR00221115 COMMERCIAL CRIME POLICY(DISCOVERY FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC444 A 07/02 CR00220702(HI) COMMERCIAL CRIME POLICY(DISCOVERY FORM)
HI
Crime
(New)Denotes change.PAGE SC 13 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR0023 11/15 CR00231115 COMMERCIAL CRIME POLICY (LOSSSUSTAINED FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC445 A 07/02 CR00230702(HI) COMMERCIAL CRIME POLICY (LOSSSUSTAINED FORM)
HI
CRDS02 07/02 CRDS020702 COMMERCIAL CRIME POLICYDECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC631 07/02 CRDS020702(HI) COMMERCIAL CRIME POLICY
DECLARATIONSHI
CRDS02 08/13 CRDS020813 COMMERCIAL CRIME POLICYDECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CRDS10 08/13 CRDS100813 COMMERCIAL CRIME POLICYDECLARATIONS (STATE OF FLORIDA)
FL
CC278 04/87 CR10420487 COMMON POLICY CONDITIONS AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYIL0146 08/10 IL01460810 COMMON POLICY CONDITIONS WAILDS00 07/02 ILDS000702 COMMON POLICY DECLARATIONS AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYILDS00 09/08 ILDS009S COMMON POLICY DECLARATIONS AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC167 10/90 CR00071090 COMPUTER FRAUD COVERAGE - FORM F PRCR2010 08/07 CR20100807 CONCURRENT INSURANCE AK , MD , TXCR2010 08/13 CR20100813 CONCURRENT INSURANCE AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR2010 10/10 CR20101010 CONCURRENT INSURANCE MN , TXCR0701 05/04 CR07010504 CONDITIONAL EXCLUSION OF
TERRORISM (RELATING TO DISPOSITIONAL , AR , AZ , CA , CO , CT , DC ,
DE , IA , IL , IN , KS , KY , LA , MA ,
Crime
(New)Denotes change.PAGE SC 14 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002)
MD , ME , MI , MN , MS , MT , NC ,ND , NE , NH , NJ , NM , NV , OH ,OK , OR , PA , PR , RI , SC , SD ,
TN , UT , VA , VT , WI , WV , WYIL0035 01/07 IL00350107 CONDITIONAL EXCLUSION OF
TERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT)
AK
IL0995 01/07 IL09950107 CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT)
AL , AR , AZ , CA , CO , CT , DC , DE ,GA , GU , HI , IA , IL , IN , KS , KY , LA ,MA , MD , ME , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , OH ,
OK , OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
IL0056 01/07 IL00560107 CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT) COVERAGE FORCERTAIN FIRE LOSSES
ID
IL0056 08/07 CRDS010807 CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT) COVERAGE FORCERTAIN FIRE LOSSES
ID
CR0755 01/07 CR07550107 CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSTIONOF FEDERAL TERRORISM RISKINSURANCE ACT)
AK
CR0752 01/07 CR07520107 CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSTIONOF FEDERAL TERRORISM RISKINSURANCE ACT)
AL , AR , AZ , CA , CO , CT , DC , DE ,GA , GU , HI , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MN , MO , MS ,MT , NC , ND , NE , NH , NJ , NM , NV ,OH , OK , OR , PA , PR , RI , SC , SD ,
TN , TX , UT , VA , VT , WI , WV , WYIL0996 01/07 IL09960107 CONDITIONAL EXCLUSION OF
TERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002)
AL , AR , AZ , CA , CO , CT , DC , DE ,GA , GU , HI , IA , IL , IN , KS , KY , LA ,MA , MD , ME , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , OH ,
OK , OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR0702 05/04 CR07020504 CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002)
AL , AR , AZ , CA , CO , CT , DC ,DE , IA , IL , IN , KS , KY , LA , MA ,MD , ME , MI , MN , MS , MT , NC ,ND , NE , NH , NJ , NM , NV , OH ,OK , OR , PA , PR , RI , SC , SD ,
TN , UT , VA , VT , WI , WV , WYIL0036 01/07 IL00360107 CONDITIONAL EXCLUSION OF
TERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT)
AK
IL0057 01/07 IL00570107 CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT) COVERAGE FOR CERTAIN FIRELOSSES
ID
CR0756 01/07 CR07560107 CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,
AK
Crime
(New)Denotes change.PAGE SC 15 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSTION OF FEDERALTERRORISM RISK INSURANCE ACT)
CR0753 01/07 CR07530107 CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSTION OF FEDERALTERRORISM RISK INSURANCE ACT)
AL , AR , AZ , CA , CO , CT , DC , DE ,GA , GU , HI , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MN , MO , MS ,MT , NC , ND , NE , NH , NJ , NM , NV ,OH , OK , OR , PA , PR , RI , SC , SD ,
TN , TX , UT , VA , VT , WI , WV , WYIL0058 01/07 IL00580107 CONDITIONAL LIMITATION OF
COVERAGE FOR TERRORISM - SUB-LIMIT ON ANNUAL AGGREGATEBASIS (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT)
ID
IL0058 07/05 IL00580705 CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM - SUB-LIMIT ON ANNUAL AGGREGATEBASIS (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT)
ID
CR0229 01/19 CR02290119 CONNECTICUT CHANGES CTCR0167 10/10 CR01671010 CONNECTICUT CHANGES CTCR0141 08/07 CR01410807 CONNNECTICUT CHANGES—LEGAL
ACTION AGAINST USCT
CC473 03/00 CR20100300(HI) CONTRIBUTING INSURANCE HICC471 03/00 CR20080300(HI) CONVERT TO AN AGGREGRATE LIMIT
OF INSURANCEHI
CR2008 05/06 CR20050506 CONVERT TO AN AGGREGRATE LIMITOF INSURANCE
CA , MN
CR2008 08/07 CR20080807 CONVERT TO AN AGGREGRATE LIMITOF INSURANCE
AK , MD , TX
CR2008 09/17 CR20080917 CONVERT TO AN AGGREGRATE LIMITOF INSURANCE
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VI , VT , WA , WI , WV , WY
CR2008 10/10 CR20081010 CONVERT TO AN AGGREGRATE LIMITOF INSURANCE
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , HI , IA , ID , IN , KS , LA , MA ,
MD , MI , MN , MO , MS , MT , ND , NE ,NH , NJ , NM , NV , NY , OK , OR , PA ,SC , SD , TN , UT , VT , WI , WV , WY
CC537 03/00 CR35120300(HI) CONVERT TO SCHEDULE COVERAGE HICC355 10/90 CR15121090 CONVERT TO SCHEDULE COVERAGE PRCRDS09 08/13 CRDS090813 CRIME AND FIDELITY COVERAGE
PART DECLARATIONS (COMMERCIALENTITIES) (STATE OF FLORIDA)
FL
CRDS11 08/13 CRDS110813 CRIME AND FIDELITY COVERAGEPART DECLARATIONS (GOVERNMENTENTITIES) (STATE OF FLORIDA)
FL
CRDS06 08/07 CRDS060807 CRIME AND FIDELITY COVERAGE PARTDECLARATIONS (KIDNAP / RANSOM ANDEXTORTION COVERAGE)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CRDS14 08/13 CRDS140813 CRIME AND FIDELITY COVERAGE PARTDECLARATIONS (KIDNAP/RANSOM AND
FL
Crime
(New)Denotes change.PAGE SC 16 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
EXTORTION COVERAGE) (STATE OFFLORIDA)
CC149 06/95 CR10000695 CRIME GENERAL PROVISIONS AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC164 10/90 CR10001090 CRIME GENERAL PROVISIONS PRCC432 04/97 CR11000497(HI) CRIME GENERAL PROVISIONS
(DISCOVERY FORM)HI
CC404 04/97 CR11000497 CRIME GENERAL PROVISIONS(DISCOVERY FORM)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC405 04/97 CR10000497 CRIME GENERAL PROVISIONS (LOSS
SUSTAINED FORM)AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC433 04/97 CR10000497(HI) CRIME GENERAL PROVISIONS (LOSS
SUSTAINED FORM)HI
(D)CR4502 03/00 CR35400300 DEATH AND DISMEMBERMENT CA , MNCC624 07/02 CR45020702(HI) DEATH AND DISMEMBERMENT HICR4502 08/07 CR45020807 DEATH AND DISMEMBERMENT AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IN , KS , KY , LA ,MA , MD , ME , MI , MO , MS , MT , NC ,ND , NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC373 10/90 CR15151090 DECREASE LIMIT OF INSURANCE PRCC540 03/00 CR35150300(HI) DECREASE LIMIT OF INSURANCE WHILE
PREMISES NOT OPEN FOR BUSINESSHI
CR3515 08/07 CR35150807 DECREASE LIMIT OF INSURANCE WHILEPREMISES NOT OPEN FOR BUSINESS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR0281 01/12 CR02810112 DELAWARE CHANGES - CIVIL UNION DECR0413 05/06 CR04130506 DESTRUCTION OF ELECTRONIC DATA
OR COMPUTER PROGRAMSCA
CR0413 07/02 CR04130702 DESTRUCTION OF ELECTRONIC DATAOR COMPUTER PROGRAMS
AK , CT
CR0413 08/13 CR04130813 DESTRUCTION OF ELECTRONIC DATAOR COMPUTER PROGRAMS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
IL0034 01/15 IL00340115 DISCLOSURE OF PREMIUM ANDESTIMATED PREMIUM FOR CERTIFIEDACTS OF TERRORISM COVERAGE
MO
Crime
(New)Denotes change.PAGE SC 17 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
(PURSUANT TO TERRORISM RISKINSURANCE ACT)
IL0033 01/15 IL00330115 DISCLOSURE OF PREMIUM THROUGHEND OF YEAR FOR CERTIFIED ACTS OFTERRORISM COVERAGE (PURSUANT TOTERRORISM RISK INSURANCE ACT)
MO
IL0990 01/15 IL09900115 DISCLOSURE PURSUANT TO TERRORISMRISK INSURANCE ACT
MO
IL0985 01/15 IL09850115 DISCLOSURE PURSUANT TO TERRORISMRISK INSURANCE ACT OF 2002
CA , DC , GA , NH , VI
(New) IL0985 12/20 IL09851220 DISCLOSURE PURSUANT TO TERRORISMRISK INSURANCE ACT OF 2002
AK , AL , AR , AZ , CO , CT , DE , FL ,GU , HI , IA , ID , IL , IN , KS , KY , LA ,
MA , MD , ME , MI , MN , MS , MT ,NC , ND , NE , NJ , NM , NV , NY , OH ,
OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
(E)GU287 11/85 IL00201185 EFFECTIVE TIME ENDORSEMENT CT , IA , PA , PR , WVCR0028 11/15 CR00281115 EMPLOYEE THEFT AND FORGERY
POLICY (DISCOVERY FORM)AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC450 A 07/02 CR002807029(HI) EMPLOYEE THEFT AND FORGERYPOLICY (DISCOVERY FORM)
HI
CR0029 11/15 CR00291115 EMPLOYEE THEFT AND FORGERYPOLICY (LOSS SUSTAINED FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC451 A 07/02 CR00290702(HI) EMPLOYEE THEFT AND FORGERYPOLICY (LOSS SUSTAINED FORM)
HI
CC634 07/02 CRDS050702(HI) EMPLOYEE THEFT AND FORGERYPOLICY DECLARATIONS
HI
CRDS05 07/02 CRDS050702 EMPLOYEE THEFT AND FORGERYPOLICY DECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS05 08/13 CRDS050813 EMPLOYEE THEFT AND FORGERY
POLICY DECLARATIONSAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CRDS13 08/13 CRDS130813 EMPLOYEE THEFT AND FORGERYPOLICY DECLARATIONS (STATE OFFLORIDA)
FL
CR0408 08/13 CR04080813 EMPLOYEE THEFT—NAME OR POSITIONSCHEDULE
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , HI , IA , ID , IL , IN , KS , LA , MA ,MD , MI , MN , MO , MS , MT , ND , NE ,NH , NJ , NM , NV , NY , OK , OR , PA ,
RI , SC , SD , TN , UT , VT , WI , WV , WYCR0408 09/17 CR04080917
Crime
(New)Denotes change.PAGE SC 18 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
EMPLOYEE THEFT—NAME OR POSITIONSCHEDULE
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IL , IN , KS , KY , LA , MA , MD , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VI , VT , WA , WI , WV , WY
CC517 03/00 CR25330300(HI) EMPLOYEE THEFT—PER LOSS EXCESSOVER EMPLOYEE THEFT—PEREMPLOYEE
HI
CR2533 08/07 CR25330807 EMPLOYEE THEFT—PER LOSS EXCESSOVER EMPLOYEE THEFT—PEREMPLOYEE
AK , TX
CR2533 10/10 CR25331010 EMPLOYEE THEFT—PER LOSS EXCESSOVER EMPLOYEE THEFT—PEREMPLOYEE
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR2544 10/10 CR25441010 ERISA INFLATION GUARD AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CC274 01/86 CR10300186 ESCROW AGENT CACC361 10/90 CR15331090 EXCESS BANK BURGLARY & ROBBERY PRCC507 03/00 CR25230300(HI) EXCLUDE CERTAIN RISKS INHERENT IN
INSURANCE OPERATIONSHI
CR2523 08/07 CR25230807 EXCLUDE CERTAIN RISKS INHERENT ININSURANCE OPERATIONS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC485 03/00 CR25010300(HI) EXCLUDE DESIGNATED PERSONS ORCLASSES OF PERSONS AS EMPLOYEES
HI
CR2501 08/07 CR25010807 EXCLUDE DESIGNATED PERSONS ORCLASSES OF PERSONS AS EMPLOYEES
AK , TX
CR2501 10/10 CR25011010 EXCLUDE DESIGNATED PERSONS ORCLASSES OF PERSONS AS EMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC538 03/00 CR35130300(HI) EXCLUDE DESIGNATED PREMISES HICR3513 08/07 CR35130807 EXCLUDE DESIGNATED PREMISES AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC341 10/90 CR15131090 EXCLUDE DESIGNATED PREMISES PRCC541 03/00 CR35160300(HI) EXCLUDE FROM EXTORTION COVERAGE
PERSONS OR PROPERTY AT DESIGNATEDPREMISES
HI
CR3516 08/07 CR35160807 EXCLUDE FROM EXTORTION COVERAGEPERSONS OR PROPERTY AT DESIGNATEDPREMISES
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
Crime
(New)Denotes change.PAGE SC 19 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CC508 03/00 CR25240300(HI) EXCLUDE HIGH-GRADING LOSS HICR2524 07/02 CR25220702 EXCLUDE HIGH-GRADING LOSS CA , MNCR2524 08/07 CR25240807 EXCLUDE HIGH-GRADING LOSS AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC215 01/86 CR15160186 EXCLUDE PERSONS DESIGNATEDPREMIUM
PR
CC526 03/00 CR35010300(HI) EXCLUDE SPECIFIED PROPERTY HICR3501 08/07 CR35010807 EXCLUDE SPECIFIED PROPERTY MDCR3501 08/13 CR35010813 EXCLUDE SPECIFIED PROPERTY AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC248 10/90 CR15011090 EXCLUDE SPECIFIED PROPERTY PRCC509 03/00 CR25250300(HI) EXCLUDE UNAUTHORIZED ADVANCES,
REQUIRE ANNUAL AUDITHI
CR2525 08/07 CR25250807 EXCLUDE UNAUTHORIZED ADVANCES,REQUIRE ANNUAL AUDIT
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
IL0965 11/02 IL09651102 EXCLUSION OF ACTS OF BIOLOGICAL ORCHEMICAL TERRORISM; CAP ON LOSSESFROM CERTIFIED ACTS OF TERRORISM
CA , ME , MO , OR , PA , WI
IL0975 11/02 IL09751102 EXCLUSION OF ACTS OF BIOLOGICAL ORCHEMICAL TERRORISM; CAP ON LOSSESFROM CERTIFIED ACTS OF TERRORISM
AZ , CT , IA , ID , IL , MA , NC ,ND , NJ , RI , VA , WA , WV
IL0980 12/02 IL09801202 EXCLUSION OF ACTS OF BIOLOGICAL ORCHEMICAL TERRORISM; CAP ON LOSSESFROM CERTIFIED ACTS OF TERRORISM
AK
IL0935 07/02 IL09350702 EXCLUSION OF CERTAIN COMPUTER-RELATED LOSSES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IL , IN , KS , KY , LA , MA , MD ,ME , MI , MN , MO , MS , MT , NC ,ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , RI , SC , SD , TN ,UT , VI , VT , WA , WI , WV , WY
GU520 08/98 IL09350898 EXCLUSION OF CERTAIN COMPUTER-RELATED LOSSES
PR
CR0137 10/10 CR01371010 EXCLUSION OF CERTAIN COMPUTER-RELATED LOSSES
VA
IL0966 11/02 IL09661102 EXCLUSION OF CERTIFIED ACTS ANDOTHER ACTS OF TERRORISM
CA , ME , MO , OR , PA , WI
IL0976 11/02 IL09761102 EXCLUSION OF CERTIFIED ACTS ANDOTHER ACTS OF TERRORISM
AZ , CT , IA , ID , IL , MA , NC ,ND , NJ , RI , VA , WA , WV
IL0981 12/02 IL09811202 EXCLUSION OF CERTIFIED ACTS ANDOTHER ACTS OF TERRORISM
AK
IL0994 12/03 IL09941203 EXCLUSION OF CERTIFIED ACTSAND OTHER ACTS OF TERRORISMINVOLVING NUCLEAR, BIOLOGICALOR CHEMICAL TERRORISM; CAP ONCOVERED CERTIFIED ACTS LOSSES
AK
IL0978 01/15 IL09780115 EXCLUSION OF CERTIFIED ACTS OFTERRORISM
AK
Crime
(New)Denotes change.PAGE SC 20 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
IL0977 11/02 IL09771102 EXCLUSION OF CERTIFIED ACTS OFTERRORISM AND BIOLOGICAL ORCHEMICAL ACTS OF TERRORISM
AZ , CT , IA , ID , IL , MA , NC ,ND , NJ , RI , VA , WA , WV
IL0967 11/02 IL09671102 EXCLUSION OF CERTIFIED ACTS OFTERRORISM AND BIOLOGICAL ORCHEMICAL ACTS OF TERRORISM
CA , ME , MO , OR , PA , WI
IL0982 12/02 IL09821202 EXCLUSION OF CERTIFIED ACTS OFTERRORISM AND BIOLOGICAL ORCHEMICAL ACTS OF TERRORISM
AK
IL0986 01/15 IL09860115 EXCLUSION OF CERTIFIED ACTS OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM;CAP ON COVERED CERTIFIED ACTSLOSSES
AL , AR , AZ , CA , CO , CT , DC ,DE , GA , GU , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , OH , OK , OR ,
PA , PR , RI , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
IL0993 01/15 IL09930115 EXCLUSION OF CERTIFIED ACTS OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM;CAP ON COVERED CERTIFIED ACTS OFLOSSES
AK
IL0953 01/15 IL01030115 EXCLUSION OF CERTIFIED ACTS OFTERRORISM; COVERAGE FOR CERTAINFIRE LOSSES
AL , AR , AZ , CA , CO , FL , GU ,HI , IA , MA , MD , ME , MI ,
ND , NJ , SD , VI , WA , WV , WYIL0953 11/02 IL09531102 EXCLUSION OF CERTIFIED ACTS OF
TERRORISM; COVERAGE FOR CERTAINFIRE LOSSES
CA , ME , MI , MN , MO ,NH , OR , PA , RI , VI , WI
CC484 03/00 CR20210300(HI) EXCLUSION OF CETAIN COMPUTER-RELATED LOSSES
HI
CR2021 07/02 CR20200702 EXCLUSION OF CETAIN COMPUTER-RELATED LOSSES
CA , MN
CR2021 08/07 CR20210807 EXCLUSION OF CETAIN COMPUTER-RELATED LOSSES
AK , MD , TX
CR2021 10/10 CR20211010 EXCLUSION OF CETAIN COMPUTER-RELATED LOSSES
AL , AZ , CA , CO , DC , DE , FL , HI ,IA , ID , IN , KS , LA , MA , MD , ME ,MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR ,
SC , SD , TN , TX , UT , VA , WI , WVIL0030 01/06 IL00300106 EXCLUSION OF TERRORISM DC , GU , VIIL0037 01/06 IL00370106 EXCLUSION OF TERRORISM AKCR0730 03/06 CR07300306 EXCLUSION OF TERRORISM HI , MD , TXCR0730 07/02 CR04120702 EXCLUSION OF TERRORISM PRCR0730 10/10 CR07301010 EXCLUSION OF TERRORISM AK , AL , AZ , CA , CO , DC , DE , GA ,
HI , IA , ID , IN , KS , LA , MA , MD ,ME , MI , MN , MO , MS , MT , ND ,
NH , NM , NV , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR0732 10/10 CR07321010 EXCLUSION OF TERRORISM AKIL0031 01/06 IL00310106 EXCLUSION OF TERRORISM INVOLVING
NUCLEAR, BIOLOGICAL OR CHEMICALTERRORISM
AL , AR , AZ , CA , CO , CT , DC , DE ,GA , GU , HI , IA , IL , IN , KS , KY , LA ,MA , MD , ME , MI , MN , MO , MS , NC ,ND , NE , NH , NJ , NM , NV , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
IL0038 01/06 IL00380106 EXCLUSION OF TERRORISM INVOLVINGNUCLEAR, BIOLOGICAL OR CHEMICALTERRORISM
AK
CR0731 03/06 CR07310306 EXCLUSION OF TERRORISM INVOLVINGNUCLEAR, BIOLOGICAL OR CHEMICALTERRORISM
HI , MD , TX
CR0731 10/10 CR07311010
Crime
(New)Denotes change.PAGE SC 21 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
EXCLUSION OF TERRORISM INVOLVINGNUCLEAR, BIOLOGICAL OR CHEMICALTERRORISM
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , GA , HI , IA , ID , IN , KS , LA ,MA , MD , ME , MI , MN , MO , MS ,
MT , NC , ND , NE , NH , NJ , NM , NV ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCR0733 10/10 CR07331010 EXCLUSION OF TERRORISM INVOLVING
NUCLEAR, BIOLOGICAL OR CHEMICALTERRORISM
AK
IL0054 01/06 IL00540106 EXCLUSION OF TERRORISM INVOLVINGNUCLEAR, BIOLOGICAL OR CHEMICALTERRORISM; COVERAGE FOR CERTAINFIRE LOSSES
ID
IL0053 01/06 IL00530106 EXCLUSION OF TERRORISM; COVERAGEFOR CERTAIN FIRE LOSSES
ID
IL0193 09/07 IL01930907 EXCLUSION OF TRUSTOR AS NAMEDINSURED
OK
GU557 01/02 IL09420102(HI) EXCLUSION OF WAR, MILITARY ACTIONAND TERRORISM
HI
CC548 03/00 CR35230300(HI) EXTEND DEFINITION OF PREMISESTO INCLUDE PORTION OF GROUNDSENCLOSED BY FENCE OR WALL
HI
CC367 10/90 CR15231090 EXTEND DEFINITION OF PREMISESTO INCLUDE PORTION OF GROUNDSENCLOSED BY FENCE OR WALL
PR
CR3523 11/09 CR35231109 EXTEND DEFINITION OF PREMISESTO INCLUDE PORTION OF GROUNDSENCLOSED BY FENCE OR WALL
AK , AL , AR , AZ , CA , CO , CT , DC ,HI , IA , ID , IL , IN , KS , KY , LA ,MA , MD , MI , MO , MS , MT , ND ,NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , PR , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC366 10/90 CR15261090 EXTEND PREMISES TO ENTIRE PLOT OFGROUND
PR
CC551 03/00 CR35260300(HI) EXTEND PREMISES TO ENTIRE PLOT OFGROUND UNDER YOUR CONTROL
HI
CR3526 07/02 CR35240702 EXTEND PREMISES TO ENTIRE PLOT OFGROUND UNDER YOUR CONTROL
CA , MN
CR3526 11/09 CR35261109 EXTEND PREMISES TO ENTIRE PLOT OFGROUND UNDER YOUR CONTROL
AK , AL , AR , AZ , CO , CT , DC , HI ,IA , ID , IL , IN , KS , KY , LA , MA ,MD , ME , MI , MO , MS , MT , ND ,
NE , NH , NJ , NM , NV , NY , OH , OK ,OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC454 03/00 CR04030300(HI) EXTORTION - COMMERCIAL ENTITIES HICR0403 07/02 CR00410702 EXTORTION - COMMERCIAL ENTITIES CA , MNCR0403 08/07 CR04030807 EXTORTION - COMMERCIAL ENTITIES GU , PRCR0403 08/13 CR04030813 EXTORTION - COMMERCIAL ENTITIES AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC455 03/00 CR04040300(HI) EXTORTION - GOVERNMENT ENTITIES HICR0404 08/07 CR04040807 EXTORTION - GOVERNMENT ENTITIES GUCR0404 08/13 CR04040813 EXTORTION - GOVERNMENT ENTITIES AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
Crime
(New)Denotes change.PAGE SC 22 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC161 10/90 CR00081090 EXTORTION COVERAGE - FORM G PR(F)
UG178 05/00 FLOOD EXCLUSION NOTICE (STICKER) VACR0206 02/12 CR02060212 FLORIDA CHANGES FLIL0255 03/16 IL02550316 FLORIDA CHANGES – CANCELLATION
AND NONRENEWALFL
CC535 03/00 CR35100300(HI) FORCIBLE ENTRY INTO PREMISESREQUIREMENT
HI
CR3510 08/07 CR35100807 FORCIBLE ENTRY INTO PREMISESREQUIREMENT
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC258 10/90 CR15101090 FORCIBLE ENTRY INTO PREMISESREQUIREMENT
PR
CR0417 11/15 CR04171115 FRAUDULENT IMPERSONATION AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR0402 03/00 CR04020300 FUNDS TRANSFER FRAUD AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY(G)
CR0024 11/15 CR00241115 GOVERNMENT CRIME COVERAGE FORM(DISCOVERY FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC446 A 07/02 CR00240702(HI) GOVERNMENT CRIME COVERAGE FORM(DISCOVERY FORM)
HI
CR0025 11/15 CR00251115 GOVERNMENT CRIME COVERAGE FORM(LOSS SUSTAINED FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC447 A 07/02 CR00250702(HI) GOVERNMENT CRIME COVERAGE FORM(LOSS SUSTAINED FORM)
HI
CRDS03 03/00 CRDS030300 GOVERNMENT CRIME COVERAGE PARTDECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS03 07/02 CRDS030702 GOVERNMENT CRIME COVERAGE PART
DECLARATIONSAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,
Crime
(New)Denotes change.PAGE SC 23 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC632 07/02 CRDS030702(HI) GOVERNMENT CRIME COVERAGE PART
DECLARATIONSHI
CRDS03 08/13 CRDS030813 GOVERNMENT CRIME COVERAGE PARTDECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR0026 11/15 CR00261115 GOVERNMENT CRIME POLICY(DISCOVERY FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC448 A 07/02 CR00260702(HI) GOVERNMENT CRIME POLICY(DISCOVERY FORM)
HI
CC449 03/00 CR00270300(HI) GOVERNMENT CRIME POLICY (LOSSSUSTAINED FORM)
HI
CR0027 11/15 CR00271115 GOVERNMENT CRIME POLICY (LOSSSUSTAINED FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC449 A 07/02 CR00270702(HI) GOVERNMENT CRIME POLICY (LOSSSUSTAINED FORM)
HI
CRDS04 07/02 CRDS040702 GOVERNMENT CRIME POLICYDECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC633 07/02 CRDS040702(HI) GOVERNMENT CRIME POLICY
DECLARATIONSHI
CRDS04 08/13 CRDS040813 GOVERNMENT CRIME POLICYDECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CRDS12 08/13 CRDS120813 GOVERNMENT CRIME POLICYDECLARATIONS (STATE OF FLORIDA)
FL
CRDS08 08/13 CRDS080813 GOVERNMENT EMPLOYEE THEFT ANDFORGERY
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , GA , HI , IA , ID , IL , IN , KS , KY ,LA , MA , ME , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CRDS08 10/10 CRDS081010 GOVERNMENT EMPLOYEE THEFT ANDFORGERY
MD
CR0030 11/15 CR00301115 GOVERNMENT EMPLOYEE THEFT ANDFORGERY POLICY (DISCOVERY FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
Crime
(New)Denotes change.PAGE SC 24 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR0031 11/15 CR00311115 GOVERNMENT EMPLOYEE THEFT ANDFORGERY POLICY (LOSS SUSTAINEDFORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CRDS16 08/13 CRDS160813 GOVERNMENT EMPLOYEE THEFT ANDFORGERY POLICY DECLARATIONS(STATE OF FLORIDA)
FL
CR0411 08/07 CR04110807 GUESTS' PROPERTY GUCR0157 08/13 CR01570813 GUESTS' PROPERTY LACR0411 08/13 CR04110813 GUESTS' PROPERTY AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
(H)CR0279 05/12 CR02790512 HAWAII CHANGES - CIVIL UNION HI
(I)CR0212 10/10 CR02121010 IDAHO CHANGES IDCR0415 08/13 CR04150813 IDENTITY FRAUD EXPENSE AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR0415 10/10 CR04151010 IDENTITY FRAUD EXPENSE MN , PR , TXCR0202 01/18 CR02020118 ILLINOIS CHANGES ILCR0278 09/11 CR02780911 ILLINOIS CHANGES - CIVIL UNION ILCR2031 08/13 CR20310813 INCLUDE AS JOINT INSURED(S) AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC532 03/00 CR35070300(HI) INCLUDE AUTOMOTIVE PRODUCTS INOUTSIDE CONTAINERS
HI
CC295 10/90 CR15071090 INCLUDE AUTOMOTIVE PRODUCTS INOUTSIDE CONTAINERS
PR
CC229 01/86 CR15300186 INCLUDE BULKY PROPERTY PRCC555 03/00 CR35300300 INCLUDE BULKY PROPERTY HICR3530 08/07 CR35300807 INCLUDE BULKY PROPERTY AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC490 03/00 CR25060300(HI) INCLUDE CHAIRPERSON AND MEMBERSOF SPECIFIED COMMITTEES ASEMPLOYEES
HI
CR2506 08/07 CR25060807 AK , TX
Crime
(New)Denotes change.PAGE SC 25 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
INCLUDE CHAIRPERSON AND MEMBERSOF SPECIFIED COMMITTEES ASEMPLOYEES
CR2506 10/10 CR25061010 INCLUDE CHAIRPERSON AND MEMBERSOF SPECIFIED COMMITTEES ASEMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR2542 05/06 CR25420506 INCLUDE COMPUTER SOFTWARECONTRACTORS AS EMPLOYEES
MD , TX
CC628 07/02 CR25420702[HI] INCLUDE COMPUTER SOFTWARECONTRACTORS AS EMPLOYEES
HI
CR2542 07/02 CR25420702 INCLUDE COMPUTER SOFTWARECONTRACTORS AS EMPLOYEES
AK , CT
CR2542 10/10 CR25421010 INCLUDE COMPUTER SOFTWARECONTRACTORS AS EMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,MI , MN , MO , MS , MT , ND , NH ,
NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC552 03/00 CR35270300(HI) INCLUDE COVERED PROPERTY INCUSTODY OF DESIGNATED AGENTS
HI
CR3527 08/07 CR35270807 INCLUDE COVERED PROPERTY INCUSTODY OF DESIGNATED AGENTS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC376 10/90 CR15271090 INCLUDE COVERED PROPERTY INCUSTODY OF DESIGNATED AGENTS
PR
CC237 01/86 CR30030186 INCLUDE DAMAGE FROM FOOD ORLIQUID
PR
CC559 03/00 CR35340300(HI) INCLUDE DAMAGE FROM FOOD ORLIQUID
HI
CR3534 07/02 CR35320702 INCLUDE DAMAGE FROM FOOD ORLIQUID
CA , MN
CR3534 08/07 CR35340807 INCLUDE DAMAGE FROM FOOD ORLIQUID
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR2502 03/00 CR25020300 INCLUDE DESIGNATED AGENTS ASEMPLOYEES
AK , CT
CC486 03/00 CR25020300(HI) INCLUDE DESIGNATED AGENTS ASEMPLOYEES
HI
CR2502 05/06 CR25020506 INCLUDE DESIGNATED AGENTS ASEMPLOYEES
MD , TX
CR2502 10/10 CR25021010 INCLUDE DESIGNATED AGENTS ASEMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,MI , MN , MO , MS , MT , ND , NH ,
NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR0309 11/16 CR03091116 INCLUDE DESIGNATED GOVERNMENTCONTRACTORS AS EMPLOYEES -INDIANA
IN
CR2022 08/07 CR20220807 INCLUDE DESIGNATED PERSONREQUIRED TO HAVE KNOWLEDGE OFLOSS (DISCOVERY FORM)
AK , MD , TX
CR2022 10/10 CR20221010 INCLUDE DESIGNATED PERSONREQUIRED TO HAVE KNOWLEDGE OFLOSS (DISCOVERY FORM)
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,MI , MN , MO , MS , MT , ND , NH ,
Crime
(New)Denotes change.PAGE SC 26 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR2023 08/07 CR20230807 INCLUDE DESIGNATED PERSONREQUIRED TO HAVE KNOWLEDGE OFLOSS (LOSS SUSTAINED FORM)
AK , MD , TX
CR2023 10/10 CR20231010 INCLUDE DESIGNATED PERSONREQUIRED TO HAVE KNOWLEDGE OFLOSS (LOSS SUSTAINED FORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IN , KS , LA ,
MA , MD , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCC525 03/00 CR25410300(HI) INCLUDE DESIGNATED PERSONS OR
CLASSES OF PERSONS AS EMPLOYEESHI
CR2541 08/07 CR25410807 INCLUDE DESIGNATED PERSONS ORCLASSES OF PERSONS AS EMPLOYEES
AK , TX
CR2541 10/10 CR25411010 INCLUDE DESIGNATED PERSONS ORCLASSES OF PERSONS AS EMPLOYEES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CC524 03/00 CR25400300(HI) INCLUDE EXPENSES INCURRED TOESTABLISH AMOUNT OF COVERED LOSS
HI
CR2540 08/07 CR25400807 INCLUDE EXPENSES INCURRED TOESTABLISH AMOUNT OF COVERED LOSS
AK , TX
CR2540 08/13 CR25400813 INCLUDE EXPENSES INCURRED TOESTABLISH AMOUNT OF COVERED LOSS
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR2540 10/10 CR25401010 INCLUDE EXPENSES INCURRED TOESTABLISH AMOUNT OF COVERED LOSS
MD
CC235 01/86 CR30010186 INCLUDE FIRE DAMAGE PRCC553 03/00 CR35280300(HI) INCLUDE GUESTS' PROPERTY ACCEPTED
FOR SAFEKEEPINGHI
CR3528 08/07 CR35280807 INCLUDE GUESTS' PROPERTY ACCEPTEDFOR SAFEKEEPING
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC324 10/90 CR15281090 INCLUDE GUESTS' PROPERTY ACCEPTEDFOR SAFEKEEPING
PR
CC481 03/00 CR20180300(HI) INCLUDE JOINT VENTURE ORPARTNERSHIP AS INSURED(S)
HI
CR2018 08/07 CR20180807 INCLUDE JOINT VENTURE ORPARTNERSHIP AS INSURED(S)
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR2505 03/00 CR25050300 INCLUDE LEASED WORKERS ASEMPLOYEES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
Crime
(New)Denotes change.PAGE SC 27 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CC489 03/00 CR25050300(HI) INCLUDE LEASED WORKERS ASEMPLOYEES
HI
CC334 10/90 CR15051090 INCLUDE LOSS DURING FIRE INSIDEPREMISES
PR
CC488 03/00 CR25040300(HI) INCLUDE MEMBERS OF A LIMITEDLIABILITY COMPANY AS EMPLOYEES
HI
CR2504 08/07 CR25040807 INCLUDE MEMBERS OF A LIMITEDLIABILITY COMPANY AS EMPLOYEES
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GU , IA , ID , IL , IN , KS , LA , MA ,MD , MI , MO , MS , MT , ND , NE , NH ,NJ , NM , NV , NY , OK , OR , PA , RI ,SC , SD , TN , UT , VT , WI , WV , WY
CR2504 09/17 CR25040917 INCLUDE MEMBERS OF A LIMITEDLIABILITY COMPANY AS EMPLOYEES
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VI , VT , WA , WI , WV , WY
CC243 01/86 CR40030186 INCLUDE MONEY FOR FULL OR PARTIALLIMIT OF INSURANCE
PR
CC563 03/00 CR35380300(HI) INCLUDE MONEY FOR FULL OR PARTIALLIMIT OF INSURANCE
HI
CR3538 08/07 CR35380807 INCLUDE MONEY FOR FULL OR PARTIALLIMIT OF INSURANCE
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC498 03/00 CR25140300(HI) INCLUDE OFFICERS AND EMPLOYEESOF FEDERAL RESERVE BANK ACTING ASEFTS AGENT AS EMPLOYEES
HI
CR2514 08/07 CR25140807 INCLUDE OFFICERS AND EMPLOYEESOF FEDERAL RESERVE BANK ACTING ASEFTS AGENT AS EMPLOYEES
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC536 03/00 CR35110300(HI) INCLUDE OUTSIDE SHOWCASES ORSHOW WINDOWS AS PREMISES
HI
CC290 10/90 CR15111090 INCLUDE OUTSIDE SHOWCASES ORSHOW WINDOWS AS PREMISES
PR
CC487 03/00 CR25030300(HI) INCLUDE PARTNERS AS EMPLOYEES HICR2503 08/07 CR25030807 INCLUDE PARTNERS AS EMPLOYEES AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GU , IA , ID , IL , IN , KS , LA , MA ,MD , MI , MO , MS , MT , ND , NE , NH ,NJ , NM , NV , NY , OK , OR , PA , RI ,SC , SD , TN , UT , VT , WI , WV , WY
CR2503 09/17 CR25030917 INCLUDE PARTNERS AS EMPLOYEES AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , RI , SC , SD , TN , TX ,UT , VI , VT , WA , WI , WV , WY
CR2522 08/07 CR25220807 INCLUDE PERSONAL ACCOUNTS OFSPECIFIED PERSONS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC216 01/86 CR15170186 PR
Crime
(New)Denotes change.PAGE SC 28 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
INCLUDE PERSONAL EXTORTION FORNAMED INDIVIDUALS
CC542 03/00 CR35170300(HI) INCLUDE PERSONAL EXTORTION FORNAMED INDIVIDUALS
HI
CR3517 08/07 CR35170807 INCLUDE PERSONAL EXTORTION FORNAMED INDIVIDUALS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC238 01/86 CR30040186 INCLUDE PROPERTY IN CUSTODY OFLAUNDRY OR CLEANERS
PR
CC560 03/00 CR35350300(HI) INCLUDE PROPERTY IN CUSTODY OFLAUNDRY OR CLEANERS
HI
CR3535 08/07 CR35350807 INCLUDE PROPERTY IN CUSTODY OFLAUNDRY OR CLEANERS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC561 03/00 CR35360300(HI) INCLUDE PROPERTY OF GUESTSOCCUPYING LEASED LODGINGACCOMMODATIONS
HI
CR3536 08/07 CR35360807 INCLUDE PROPERTY OF GUESTSOCCUPYING LEASED LODGINGACCOMMODATIONS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC239 01/86 CR30050186 INCLUDE PROPERTY OF PERSONSOCCUPYING LEASED LODGINGACCOMMODATIONS
PR
CR2005 08/07 CR20050807 INCLUDE RETROACTIVE DATE AK , MD , TXCR2005 10/10 CR20051010 INCLUDE RETROACTIVE DATE AK , AL , AZ , CA , CO , DC , DE , FL ,
HI , IA , ID , IN , KS , LA , MA , MD ,ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR2007 03/00 CR20070300 INCLUDE RETROACTIVE DATE FORAN ENTITY ACQUIRED THROUGHCONSOLIDATION OR MERGER
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC470 03/00 CR20070300(HI) INCLUDE RETROACTIVE DATE FORAN ENTITY ACQUIRED THROUGHCONSOLIDATION OR MERGER
HI
CC468 03/00 CR20050300(HI) INCLUDE RETROACTIVE DATE FORNAMED INSURED
HI
CC410 04/97 CR50060497 INCLUDE RETROACTIVE DATE FORNAMED INSURED
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR2006 03/00 CR20060300 INCLUDE RETROACTIVE DATE FOR
SPECIFIED JOINT INSUREDAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,
Crime
(New)Denotes change.PAGE SC 29 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NH , NJ , NM , NV , NY , OH , OK ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC469 03/00 CR20060300(HI) INCLUDE RETROACTIVE DATE FOR
SPECIFIED JOINT INSUREDHI
CC412 04/97 CR50080497 INCLUDE RETROSPECTIVE DATE FORAN ENTITY ACQUIRED THROUGHCONSOLIDATION OR MERGER
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC411 04/97 CR50070497 INCLUDE RETROSPECTIVE DATE FOR
SPECIFIED JOINT INSUREDAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC527 03/00 CR35020300(HI) INCLUDE ROBBERY OF A JANITOR HICC240 01/86 CR30060186 INCLUDE SAMPLES AND ARTICLES FOR
SALE OR DELIVERYPR
CC562 03/00 CR35370300(HI) INCLUDE SAMPLES OR ARTICLESCARRIED OR HELD FOR SALE ORDELIVERY
HI
CR3537 08/07 CR35370807 INCLUDE SAMPLES OR ARTICLESCARRIED OR HELD FOR SALE ORDELIVERY
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC228 01/86 CR15290186 INCLUDE SECURITIES HELD BY ADEPOSITORY IN TRUST
PR
CC554 03/00 CR35290300(HI) INCLUDE SECURITIES HELD BY ADEPOSITORY IN TRUST
HI
CR3529 08/07 CR35290807 INCLUDE SECURITIES HELD BY ADEPOSITORY IN TRUST
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC550 03/00 CR35250300(HI) INCLUDE SELLING PRICE ORPROCESSING CHARGE
HI
CR3525 08/07 CR35250807 INCLUDE SELLING PRICE ORPROCESSING CHARGE
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC365 10/90 CR15251090 INCLUDE SELLING PRICE ORPROCESSING CHARGE
PR
CC491 03/00 CR25070300(HI) INCLUDE SPECIFIED DIRECTORSOR TRUSTEES ON COMMITTEES ASEMPLOYEES
HI
CC492 03/00 CR25080300(HI) INCLUDE SPECIFIED NON-COMPENSATED OFFICERS ASEMPLOYEES
HI
CR2508 08/07 CR25080807 INCLUDE SPECIFIED NON-COMPENSATED OFFICERS ASEMPLOYEES
AK , TX
CR2508 10/10 CR25081010
Crime
(New)Denotes change.PAGE SC 30 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
INCLUDE SPECIFIED NON-COMPENSATED OFFICERS ASEMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC497 03/00 CR25130300(HI) INCLUDE STUDENTS AS EMPLOYEES HICR2513 08/07 CR25130807 INCLUDE STUDENTS AS EMPLOYEES AK , TXCR2513 10/10 CR25131010 INCLUDE STUDENTS AS EMPLOYEES AK , AL , AZ , CA , CO , DC , DE , FL ,
HI , IA , ID , IN , KS , LA , MA , MD ,ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR0185 01/08 CR01850108 INCLUDE THE FAMILY OF BUILDINGMANAGER, SUPERINTENDENT ORJANITOR AS EMPLOYEES
OR
CR0180 08/07 CR01800807 INCLUDE THE FAMILY OF BUILDINGMANAGER, SUPERINTENDENT ORJANITOR AS EMPLOYEES
NJ
CR0152 05/06 CR01520506 INCLUDE THE FAMILY OF BUILDINGMANAGER, SUPERINTENDENT, ORJANITOR AS EMPLOYEES
VT
CR0162 05/06 CR01620506 INCLUDE THE FAMILY OF BUILDINGMANGER, SUPERINTENDENT ORJANITOR AS EMPLOYEES
CT
CR0164 05/17 CR01640517 INCLUDE THE FAMILY OF BUILDINGMANGER, SUPERINTENDENT ORJANITOR AS EMPLOYEES
CA
CR2511 03/00 CR25110300 INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES
AK
CC495 03/00 CR25110300(HI) INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES
HI
CR2511 05/06 CR25110506 INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES
AL , AR , AZ , CA , DC , DE , FL , GA ,IA , ID , IN , KS , KY , LA , MA , MD ,ME , MI , MN , MO , MS , MT , NC ,
ND , NE , NH , NJ , NM , NV , NY , OH ,OK , OR , PA , PR , RI , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCR0304 11/13 CR03041113 INCLUDE THE SPOUSE AND
CHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES - COLORADO
CO
CR0282 01/12 CR02820112 INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES – DELAWARE
DE
CR0280 05/12 CR02800512 INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES - HAWAII
HI
CR0277 09/11 CR02770911 INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES - ILLINOIS
IL
CR0198 01/11 CR01980111 INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES - NEW HAMPSHIRE
NH
Crime
(New)Denotes change.PAGE SC 31 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR0284 03/12 CR02840312 INCLUDE THE SPOUSE ANDCHILDREN OF BUILDING MANAGER,SUPERINTENDENT OR JANITOR ASEMPLOYEES - RHODE ISLAND
RI
CC546 03/00 CR35210300(HI) INCLUDE THEFT OF OUTDOOR SIGNS HICC496 03/00 CR25120300(HI) INCLUDE TREASURERS OR TAX
COLLECTORS AS EMPLOYEESHI
CR2512 08/07 CR25120807 INCLUDE TREASURERS OR TAXCOLLECTORS AS EMPLOYEES
AK , TX
CR2512 10/10 CR25121010 INCLUDE TREASURERS OR TAXCOLLECTORS AS EMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC354 10/90 CR15031090 INCLUDE VANDALISM PRCR2545 11/15 CR25451115 INCLUDE VIRTUAL CURRENCY AS
MONEYAK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR2546 11/15 CR25461115 INCLUDE VIRTUAL CURRENCY ASMONEY
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC493 03/00 CR25090300(HI) INCLUDE VOLUNTEER WORKERS ASEMPLOYEES
HI
CR2509 08/07 CR25090807 INCLUDE VOLUNTEER WORKERS ASEMPLOYEES
AK , TX
CR2509 10/10 CR25091010 INCLUDE VOLUNTEER WORKERS ASEMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC494 03/00 CR25100300(HI) INCLUDE VOLUNTEER WORKERS OTHERTHAN FUND SOLICITORS AS EMPLOYEES
HI
CR2510 08/07 CR25100807 INCLUDE VOLUNTEER WORKERS OTHERTHAN FUND SOLICITORS AS EMPLOYEES
AK , TX
CR2510 10/10 CR25101010 INCLUDE VOLUNTEER WORKERS OTHERTHAN FUND SOLICITORS AS EMPLOYEES
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CC529 03/00 CR35040300(HI) INCREASE LIMIT FOR SPECIFIEDPROPERTY SUBJECT TO SPECIAL LIMITOF INSURANCE
HI
CR3504 08/07 CR35040807 INCREASE LIMIT FOR SPECIFIEDPROPERTY SUBJECT TO SPECIAL LIMITOF INSURANCE
MD
CR3504 08/13 CR35040813 INCREASE LIMIT FOR SPECIFIEDPROPERTY SUBJECT TO SPECIAL LIMITOF INSURANCE
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC394 06/95 CR15240695
Crime
(New)Denotes change.PAGE SC 32 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
INCREASE LIMIT OF INSURANCE FORSPECIFIED PERIODS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR3524 08/07 CR35240807 INCREASE LIMIT OF INSURANCE FOR
SPECIFIED PERIODSAK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CC362 10/90 CR15241090 INCREASE LIMIT OF INSURANCE FORSPECIFIED PERIODS
PR
CC236 01/86 CR30020186 INCREASE LIMIT OF INSURANCE PERGUEST
PR
CC558 03/00 CR35330300(HI) INCREASE LIMIT OF INSURANCE PERGUEST
HI
CR3533 08/07 CR35330807 INCREASE LIMIT OF INSURANCE PERGUEST
AK , TX
CR3533 10/10 CR35331010 INCREASE LIMIT OF INSURANCE PERGUEST
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CC347 10/90 CR15041090 INCREASED LIMIT OF SPECIFIEDPROPERTY SUBJECT TO SPECIAL LIMITOF LIABILITY
PR
CR0407 08/07 CR04070807 INSIDE THE PREMISES - ROBBERY OFA CUSTODIAN OR SAFE BURGLARY OFMONEY AND SECURITIES
GU
CR0407 08/13 CR04070813 INSIDE THE PREMISES - ROBBERY OFA CUSTODIAN OR SAFE BURGLARY OFMONEY AND SECURITIES
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR0406 08/07 CR04060807 INSIDE THE PREMISES - ROBBERY OFA WATCHPERSON OR BURGLARY OFOTHER PROPERTY
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC457 03/00 CR04060300(HI) INSIDE THE PREMISES - ROBBERY ORBURGLARY OF OTHER PROPERTY
HI
CR0146 08/07 CR01460807 INSIDE THE PREMISES - ROBBERY ORBURLGARY OF OTHER PROPERTY
MN
CC458 03/00 CR04070300(HI) INSIDE THE PREMISES - ROBBERYOR SAFE BURGLARY OF MONEY ANDSECURITIES
HI
CC456 03/00 CR04050300(HI) INSIDE THE PREMISES - THEFT OF OTHERPROPERTY
HI
CR0145 08/07 CR01450807 INSIDE THE PREMISES - THEFT OF OTHERPROPERTY
MN
CR0405 08/07 CR04050807 INSIDE THE PREMISES - THEFT OF OTHERPROPERTY
GU
Crime
(New)Denotes change.PAGE SC 33 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR0145 08/13 CR01450813 INSIDE THE PREMISES - THEFT OF OTHERPROPERTY
MN
CR0405 08/13 CR04050813 INSIDE THE PREMISES - THEFT OF OTHERPROPERTY
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
GU510 04/98 IL09130498 INSURANCE INSPECTION SERVICESEXEMPTION FROM LIABILITY
ME
CC513 03/00 CR25290300(HI) INSURED AT MILITARY CENTER HICR2529 08/07 CR25290807 INSURED AT MILITARY CENTER AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
(J)CC478 03/00 CR20150300(HI) JOINT LOSS PAYABLE HICR2015 08/07 CR20150807 JOINT LOSS PAYABLE AK , MD , TXCR2015 10/10 CR20151010 JOINT LOSS PAYABLE AK , AL , AZ , CA , CO , DC , DE , FL ,
HI , IA , ID , IN , KS , LA , MA , MD ,ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
(K)CR0230 01/16 CR02300116 KANSAS CHANGES KSIL0160 01/16 IL01600116 KANSAS CHANGES – CONCEALMENT,
MISREPRESENTATION OR FRAUDKS
CR0161 10/10 CR01611010 KANSAS CHANGES BINDINGARBITRATION
KS
CR0275 02/11 CR02750211 KENTUCKY CHANGES - BINDINGARBITRATION
KY
CR0168 10/10 CR01681010 KENTUCKY CHANGES - OBLIGEE KYCRDS06-1 07/02 CRDS0610702(PT1) KIDNAP / RAMSOM AND EXTORTION
COVERAGE PART DECLARATIONS (PART1)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS06-2 07/02 CRDS060702(PT1) KIDNAP / RAMSOM AND EXTORTION
COVERAGE PART DECLARATIONS (PART2)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS07-1 07/02 CRDS070702(PT1) KIDNAP / RAMSOM AND EXTORTION
POLICY DECLARATIONS (PART 1)AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS07-2 07/02 CRDS070702(PT2) KIDNAP / RAMSOM AND EXTORTION
POLICY DECLARATIONS (PART 2)AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
Crime
(New)Denotes change.PAGE SC 34 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC618 07/02 CR00400702(HI) KIDNAP / RANSOM AND EXTORTIONCOVERAGE FORM
HI
CR0040 08/07 CR00400807 KIDNAP / RANSOM AND EXTORTIONCOVERAGE FORM
GU
CR0040 08/13 CR00400813 KIDNAP / RANSOM AND EXTORTIONCOVERAGE FORM
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR0041 07/02 CR00400702 KIDNAP / RANSOM AND EXTORTIONPOLICY
CA , MN
CC619 07/02 CR00410702(HI) KIDNAP / RANSOM AND EXTORTIONPOLICY
HI
CR0041 08/07 CR00410807 KIDNAP / RANSOM AND EXTORTIONPOLICY
GU
CR0041 08/13 CR00410813 KIDNAP / RANSOM AND EXTORTIONPOLICY
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CRDS07 07/02 KIDNAP / RANSOM AND EXTORTIONPOLICY DECLARATIONS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCRDS07 08/07 CRDS070807 KIDNAP / RANSOM AND EXTORTION
POLICY DECLARATIONSAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CRDS15 08/13 CRDS150813 KIDNAP/RANSOM AND EXTORTIONPOLICY DECLARATIONS (STATE OFFLORIDA)
FL
(L)CR0409 05/06 CR04080506 LESSEES OF SAFE DEPOSIT BOXES CA , MNCR0409 08/07 CR04090807 LESSEES OF SAFE DEPOSIT BOXES GUCR0409 08/13 CR04090813 LESSEES OF SAFE DEPOSIT BOXES AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC138 10/90 CR00101090 LESSEES OF SAFE DEPOSIT BOXES PRCC165 10/90 CR00131090 LIABILITY FOR GUESTS' PROPERTY
—PREMISES COVERAGE FORM(COVERAGE L)
PR
CC182 06/95 CR00130695 LIABILITY FOR GUESTS' PROPERTY—PREMISES COVERAGE FORM K
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,
Crime
(New)Denotes change.PAGE SC 35 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC160 10/90 CR00121090 LIABILITY FOR GUESTS' PROPERTY—
SAFE DEPOSIT BOX COVERAGE FORM KPR
CR0149 06/00 CR01490600 LIMIT COVERAGE FOR MONEY ANDSECURITIES OUTSIDE THE PREMISES TOROBBERY ONLY
VA
CC544 03/00 CR35190300(HI) LIMIT COVERAGE TO FIXTURES,FITTINGS OR APPLIANCES OR PROPERTYIN PUBLIC ENTRANCES, HALLWAYS ORSTOREROOMS
HI
CC371 10/90 CR15191090 LIMIT COVERAGE TO FIXTURES,FITTINGS OR APPLIANCES OR PROPERTYIN PUBLIC ENTRANCES, HALLWAYS ORSTOREROOMS
PR
CC531 03/00 CR35060300(HI) LIMIT COVERAGE TO OFFICEEQUIPMENT
HI
CC329 10/90 CR15061090 LIMIT COVERAGE TO OFFICEEQUIPMENT
PR
CC533 03/00 CR35080300(HI) LIMIT COVERAGE TO SPECIFIEDPORTION OF PREMISES
HI
CC293 10/90 CR15081090 LIMIT COVERAGE TO SPECIFIEDPORTION OF PREMISES
PR
IL0987 01/15 IL09870115 LIMITATION OF COVERAGE FORCERTIFIED ACTS OF TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATE BASIS)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , GA , GU , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , OH , OK , OR ,
PA , PR , RI , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
IL0055 01/06 IL00550106 LIMITATION OF COVERAGE FORTERRORISM (SUB-LIMIT ON ANNUALAGGREGATE BASIS)
ID
IL0032 01/06 IL00320106 LIMITATION OF COVERAGE FORTERRORISM (SUB-LIMIT ON ANNUALAGGREGATE BASIS)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , GA , GU , HI , IA , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MN , MO , MS ,MT , NC , ND , NE , NH , NJ , NM , NV ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
IL0964 11/02 IL09641102 LIMITED EXCLUSION OF ACTS OFTERRORISM (OTHER THAN CERTIFIEDACTS OF TERRORISM); CAP ON LOSSESFROM CERTIFIED ACTS OF TERRORISM
CA , ME , MO , OR , PA , WI
IL0974 11/02 IL09741102 LIMITED EXCLUSION OF ACTS OFTERRORISM (OTHER THAN CERTIFIEDACTS OF TERRORISM); CAP ON LOSSESFROM CERTIFIED ACTS OF TERRORISM
AZ , CT , IA , ID , IL , MA , NC ,ND , NJ , OK , RI , VA , WA , WV
CC477 03/00 CR20140300(HI) LOSS PAYABLE HICR2014 07/02 CR20130702 LOSS PAYABLE CA , MNCR2014 08/07 CR20140807 LOSS PAYABLE AK , MD , TXCR2014 10/10 CR20141010 LOSS PAYABLE AK , AL , AZ , CA , CO , DC , DE , FL ,
HI , IA , ID , IN , KS , LA , MA , MD ,ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR2025 08/07 CR20250807 LOSS REPORTING THRESHOLD AK , TXCR2025 08/13 CR20250813 LOSS REPORTING THRESHOLD AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,
Crime
(New)Denotes change.PAGE SC 36 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NH , NJ , NM , NV , NY , OH , OK ,OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR2025 10/10 CR20251010 LOSS REPORTING THRESHOLD MN , TXCR0240 11/15 CR02401115 LOUISIANA CHANGES LAIL0277 10/20 IL02771020 LOUISIANA CHANGES - CANCELLATION
AND NONRENEWALLA
(M)CR0286 08/13 CR02860813 MAINE CHANGES MECR0294 08/13 CR02940813 MAINE CHANGES - ADD FAITHFUL
PERFORMANCE OF DUTY COVERAGEFOR GOVERNMENT EMPLOYEES
ME
CR0293 08/13 CR02930813 MAINE CHANGES - ADD FAITHFULPERFORMANCE OF DUTY COVERAGEFOR SPECIFIED GOVERNMENTEMPLOYEES OR POSITIONS
ME
CR0287 09/17 CR02870917 MAINE CHANGES - EMPLOYEE THEFT -NAME OR POSITION SCHEDULE
ME
CR0292 08/13 CR02920813 MAINE CHANGES - INCLUDE COMPUTERSOFTWARE CONTRACTORS ASEMPLOYEES
ME
CR0296 08/13 CR02960813 MAINE CHANGES - INCLUDEDESIGNATED AGENTS AS EMPLOYEES
ME
CR0289 08/13 CR02890813 MAINE CHANGES - INCLUDEDESIGNATED PERSON REQUIREDTO HAVE KNOWLEDGE OF LOSS(DISCOVERY FORM)
ME
CR0290 08/13 CR02900813 MAINE CHANGES - INCLUDEDESIGNATED PERSON REQUIRED TOHAVE KNOWLEDGE OF LOSS (LOSSSUSTAINED FORM)
ME
CR0288 08/13 CR02880813 MAINE CHANGES - OBLIGEE MECR0295 08/13 CR02950813 MAINE CHANGES - RURAL UTILITIES
SERVICE JOINT INSUREDME
CR0291 08/13 CR02910813 MAINE CHANGES - RURAL UTILITIESSERVICE REGULATIONS
ME
IL0188 06/09 IL01880609 MAINE CHANGES POST-JUDGMENTINTEREST
ME
IL0136 02/96 IL01360296 MANDATORY PREMIUM & COVERAGECONDITIONS ENDORSEMENT
PR
IL0136 05/04 IL01360504 MANDATORY PREMIUM & COVERAGECONDITIONS ENDORSEMENT
PR
CR0270 04/11 CR02700411 MANDATORY PREMIUM AND COVERAGECONDITIONS ENDORSEMENT - PUERTORICO
PR
CR0103 12/17 CR01031217 MARYLAND CHANGES MDCR0169 05/16 CR01690516 MISSISSIPPI CHANGES MSCR0238 02/13 CR02380213 MISSOURI CHANGES MOCR0173 10/10 CR01731010 MISSOURI CHANGES - BINDING
ARBITRATIONMO
CC169 06/95 CR00190695 MONEY ORDERS AND COUNTERFEITPAPER CURRENCY COVERAGE FORM
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR0285 08/13 CR02850813 MONTANA - RURAL UTILITIES SERVICE
REGULATIONSMT
IL1208 11/12 IL12081112 MONTANA POLICY CHANGES MT(N)
Crime
(New)Denotes change.PAGE SC 37 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR0165 10/10 CR01651010 NEBRASKA CHANGES - ACTUAL CASHVALUE
NE
CR0171 10/10 CR01711010 NEBRASKA CHANGES - BINDINGARBITRATION
NE
CR0172 10/10 CR01721010 NEBRASKA CHANGES - NONBINDINGARBITRATION
NE
CR0305 03/14 CR03050314 NEVADA CHANGES - BINDINGARBITRATION
NV
CR0266 01/10 CR02660110 NEVADA CHANGES - DOMESTICPARTNERSHIP
NV
CR0306 03/14 CR03060314 NEVADA CHANGES - NONBINDINGARBITRATION
NV
CR0209 01/19 CR02090119 NEW HAMPSHIRE CHANGES NHCR0307 10/14 CR03071014 NEW HAMPSHIRE CHANGES - BINDING
ARBITRATIONNH
IL0185 08/08 IL01850808 NEW YORK CHANGES - CALCULATIONOF PREMIUM
NY
IL0268 01/14 IL02680114 NEW YORK CHANGES - CANCELLATIONAND NONRENEWAL
NY
CR0308 04/15 CR03080415 NEW YORK CHANGES - FRAUD NYCR2013 08/07 CR20130807 NON-BINDING ARBITRATION AK , AR , CT , FL , GA , GU , IL ,
KY , LA , MD , ME , NC , NE , NJ ,NM , NY , RI , TX , VA , VT , WY
CR2013 10/10 CR20131010 NON-BINDING ARBITRATION AL , AR , AZ , CA , CO , CT , DC ,DE , GA , GU , HI , IA , ID , IL , IN ,KS , KY , MD , ME , MI , MN , MO ,MS , MT , NC , ND , NH , NJ , NM ,NV , NY , OH , OK , PA , RI , SC ,SD , TN , TX , UT , VA , WI , WV
CC476 A 07/02 CR20130702(HI) NON-BINDING ARBITRATION HIIL0179 04/94 IL01790494 NOTICE OKIL0910 07/02 IL09100702 NOTICE PAIL0179 10/02 IL01791002 NOTICE OKIL0910 12/03 IL09101203 NOTICE PAGU211 A 08/00 NOTICE (STICKER FOR ATTACHMENT TO
POLICIES TO COMPLY WITH MINNESOTAPOLICY READABILITY REQUIREMENTS)
MN
UG106 D 04/16 NOTICE CONCERNING POLICYHOLDERRIGHTS IN AN INSOLVENCY UNDER THEMINNESOTA INSURANCE GUARANTYASSOCIATION LAW
MN
CC574 05/04 NOTICE OF POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS NO TERRORISMEXCLUSION AND NO CAP ON CERTIFIEDLOSSES)
AK
UG114 A 09/12 NOTICE OF RIGHT TO FILE A COMPLAINT WICRP001 05/06 CRP0010506 NOTICE TO POLICYHOLDERS - 2005
CRIME AND FIDELITY MULTISTATEFORMS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU212 04/98 NOTICE TO POLICYHOLDERS
(APPLICABLE TO COMMERCIAL INLANDMARINE, BOILER AND MACHINERY, ANDCRIME POLICIES)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC600 05/04
Crime
(New)Denotes change.PAGE SC 38 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NOTICE TO POLICYHOLDERS (FORUSE WITH CR 07 01) (CONTAINS''OTHER ACTS'' EXCLUSION LIMITEDTO NUCLEAR-BIOLOGICAL-CHEMICAL(NBC) EVENTS (IL 09 60, IL 09 65 OR IL 0975)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC598 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 01) CONTAINS CERTIFIEDACTS EXCLUSION (IL 09 58, IL 09 63 OR IL09 73)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC602 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 01) CONTAINS CERTIFIEDACTS OF EXCLUSION AND EXCLUSIONOF NBC DOMESTIC ACTS (IL 09 62, IL 0967 OR IL 09 77)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC601 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 01) CONTAINS EXCLUSIONOF CERTIFIED ACTS AND OTHER ACTS(IL 09 61, IL 09 66 OR IL 09 76)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC603 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 01) CONTAINS EXCLUSIONOF NBC CERTIFIED (IL 09 86)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC604 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 01) CONTAINS EXCLUSIONOF NBC CERTIFIED ACTS AND NBCOTHER ACTS (IL 09 91)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC596 05/04 NOTICE TO POLICYHOLDERS (FOR
USE WITH CR 07 01) CONTAINS NOTERRORISM EXCLUSION AND NO CAPON CERTIFIED LOSSES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC597 05/04 NOTICE TO POLICYHOLDERS (FOR
USE WITH CR 07 01) CONTAINS NOTERRORISM EXCLUSION BUT CAPSCERTIFIED LOSSES IN ACCORDANCEWITH FEDERAL ACT (IL0952)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC599 05/04 NOTICE TO POLICYHOLDERS (FOR
USE WITH CR 07 01) CONTAINS''OTHER ACTS'' (SO-CALLED DOMESTICEXCLUSION) (IL 09 59, IL 09 64, IL 09 74)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
Crime
(New)Denotes change.PAGE SC 39 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC605 05/04 NOTICE TO POLICYHOLDERS (FOR USEWITH CR 07 01) PLACES A SUB-LIMIT ONCERTIFIED ACTS (IL 09 87)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC606 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 01) PLACES A SUB-LIMIT ONCERTIFIED ACTS AND OTHER ACTS (IL 0992)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC613 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) CONTAINS CERTIFIEDACTS EXCLUSION AND EXCLUSION OFNBC DOMESTIC ACTS (IL 09 62, IL 09 67OR IL 09 77)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC609 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) CONTAINS CERTIFIEDACTS OF EXCLUSION (IL 09 58, IL 09 63OR IL 09 73)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC612 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) CONTAINS EXCLUSIONOF CERTIFIED ACTS AND OTHER ACTS(IL 09 61, IL 09 66 OR IL 09 76)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC614 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) CONTAINS EXCLUSIONOF NBC CERTIFIED ACTS (IL 09 86)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC615 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) CONTAINS EXCLUSIONOF NBC CERTIFIED ACTS AND NBC
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC607 05/04 NOTICE TO POLICYHOLDERS (FOR
USE WITH CR 07 02) CONTAINS NOTERRORISM EXCLUSION AND NO CAPON CERTIFIED
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC608 05/04 NOTICE TO POLICYHOLDERS (FOR
USE WITH CR 07 02) CONTAINS NOTERRORISM EXCLUSION BUT CAPS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,
Crime
(New)Denotes change.PAGE SC 40 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CERTIFIED LOSSES IN ACCORDANCEWITH FEDERAL ACT (IL 09 52)
MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC611 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) CONTAINS ''OTHER ACTS''EXCLUSION LIMITED TO NUCLEAR-BIOLOGICAL-CHEMICAL (NBC) EVENTS(IL 09 60, IL 09 65 OR IL 09 75)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC610 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) CONTAINS ''OTHER ACTS''SO CALLED DOMESTIC) EXCLUSION IL 0959,IL 09 64, OR IL 09 74
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC616 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) PLACES A SUB-LIMIT ONCERTIFIED ACTS (IL 09 87)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC617 05/04 NOTICE TO POLICYHOLDERS (FOR USE
WITH CR 07 02) PLACES A SUB-LIMIT ONCERTIFIED ACTS AND OTHER ACTS (IL 0992)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC580 05/04 NOTICE TO POLICYHOLDERS (USE WITH
CR 07 03)(CONTAINS CERTIFIED ACTSEXCLUSION AND EXCLUSION OF NBCACTS)
AK
CC591 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS CERTIFIED ACTSEXCLUSION AND EXCLUSION OF NBCDOMESTIC ACTS)
AK
CC576 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS CERTIFIED ACTSEXCLUSION)
AK
CC582 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS EXCLUSION OF NBCCERTIFIED ACTS AND OTHER NBC ACTS)
AK
CC581 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS EXCLUSION OF NBCCERTIFIED ACTS)
AK
CC579 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS EXCLUSIONS OFCERTIFIED ACTS AND OTHER ACTS)
AK
CC575 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS NO TERRORISMEXCLUSION BUT CAPS CERTIFIEDLOSSES IN ACCORDANCE WITHFEDERAL ACT)
AK
CC578 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS ''OTHER ACTS''EXCLUSION LIMITED TO NUCLEAR-BIOLOGICAL-CHEMICAL)
AK
Crime
(New)Denotes change.PAGE SC 41 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CC577 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(CONTAINS ''OTHER ACTS''(SO-CALLED DOMESTIC) EXCLUSION)
AK
CC584 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(PLACES A SUB-LIMIT ONCERTIFIED ACTS AND OTHER ACTS)
AK
CC583 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 03)(PLACES A SUB-LIMIT ONCERTIFIED ACTS)
AK
CC587 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS CERTIFIED ACTSEXCLUSION)
AK
CC593 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS EXCLUSION OF NBCCERTIFIED ACTS AND NBC OTHER ACTS)
AK
CC592 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS EXCLUSION OF NBCCERTIFIED ACTS)
AK
CC590 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS EXCLUSIONS OFCERTIFIED ACTS AND OTHER ACTS)
AK
CC585 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS NO TERRORISMEXCLUSION AND NO CAP ON CERTIFIEDLOSSES)
AK
CC586 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS NO TERRORISMEXCLUSION BUT CAPS CERTIFIEDLOSSES IN ACCORDANCE WITHFEDERAL ACT)
AK
CC588 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS ''OTHER ACTS'' (SO-CALLED DOMESTIC) EXCLUSION)
AK
CC589 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(CONTAINS ''OTHER ACTS''EXCLUSION LIMITED TO NUCLEAR-BIOLOGICAL-CHEMICAL (NBC) EVENTS)
AK
CC594 05/04 NOTICE TO POLICYHOLDERS (USE WITHCR 07 04)(PLACES A SUB-LIMIT ONCERTIFIED ACTS)
AK
CC595 05/04 NOTICE TO POLICYHOLDERS (USEWITH CR 07 04)(PLACES SUB-LIMIT ONCERTIFIED ACTS AND OTHER ACTS)
AK
CC620 07/02 CC6200702 NOTICE TO POLICYHOLDERS CRIME ANDFIDELITY INSURANCE
HI
GU616 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINSCERTIFIED ACTS EXCLUSION (IL0953,IL0958, IL0968 OR IL0973)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU620 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINS
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
Crime
(New)Denotes change.PAGE SC 42 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CERTIFIED ACTS EXCLUSION ANDEXCLUSION OF NBC DOMESTIC ACTS(IL0957, IL0962, IL0967, IL0972 OR IL0977)
GU621 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINSEXCLUSION OF NBC CERTIFIED ACTS(IL0986)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU622 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINSEXCLUSION OF NBC CERTIFIED ACTSAND NBC OTHER ACTS (IL0991)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU619 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINSEXCLUSIONS OF CERTIFIED ACTS ANDOTHER ACTS (IL0956, IL0961, IL0966,IL0971 OR IL0976)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU614 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINS NOTERRORISM EXCLUSION AND NO CAPON CERTIFIED LOSSES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU615 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINSNO TERRORISM EXCLUSION BUT CAPSCERTIFIED LOSSES IN ACCORDANCEWITH FEDERAL ACT (IL0952)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU617 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINS''OTHER ACTS'' (SO-CALLED DOMESTIC)EXCLUSION (IL0954, IL0959, IL0964, IL0969OR IL 0974)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU618 05/04
Crime
(New)Denotes change.PAGE SC 43 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINS''OTHER ACTS'' EXCLUSION LIMITEDTO NUCLEAR-BIOLOGICAL-CHEMICAL(NBC) EVENTS (IL0955, IL0960, IL0965,IL0970 OR IL0975)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU623 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) PLACES A SUB-LIMIT ON CERTIFIED ACTS (IL0987)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU624 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0995CONDITIONAL EXCLUSION OFTERRORISM (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) PLACES A SUB-LIMIT ON CERTIFIED ACTS AND OTHERACTS (IL0992)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU627 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS CERTIFIEDACTS EXCLUSION (IL0953, IL0958, IL0963,IL0964, IL0969, OR IL 0974)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU631 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS CERTIFIEDACTS EXCLUSION AND EXCLUSION OFNBC DOMESTIC ACTS (IL0957, IL0962,IL0967, IL0972, OR IL0977)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU630 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS EXCLUSION
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
Crime
(New)Denotes change.PAGE SC 44 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OF CERTIFIED ACTS AND OTHER ACTS(IL0956, IL0961, IL0966, IL0971, OR IL0976)
GU632 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS EXCLUSION OFNBC CERTIFIED ACTS (IL0986)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU633 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS EXCLUSION OFNBC CERTIFIED ACTS AND NBC OTHERACTS (IL0991)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU625 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS NO TERRORISMEXCLUSION AND NO CAP ON CERTIFIEDLOSSES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU626 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS NO TERRORISMEXCLUSION BUT CAPS CERTIFIEDLOSSES IN ACCORDANCE WITHFEDERAL ACT (IL0952)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU628 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS ''OTHER ACTS''EXCLUSION (IL0954, IL0959, IL0964, IL0969OR IL0974)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU629 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OF
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,
Crime
(New)Denotes change.PAGE SC 45 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
TERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS ''OTHER ACTS''EXCLUSION LIMITED TO NUCLEAR-BIOLOGICAL-CHEMICAL (NBC) EVENTS(IL0955, IL0960, IL0965, IL0970, OR IL0975)
NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU634 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) PLACES A SUB-LIMIT ONCERTIFIED ACTS (IL0987)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU635 05/04 GU635 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0996CONDITIONAL EXCLUSION OFTERRORISM INVOLVING NUCLEAR,BIOLOGICAL OR CHEMICAL TERRORISM(RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) PLACES A SUB-LIMIT ONCERTIFIED ACTS AND OTHER ACTS(IL0992)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU643 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) (IL0986)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU638 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS CERTIFIEDACTS EXCLUSION (IL0953, IL0963, IL0968,OR IL0973)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU641 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS EXCLUSIONSOF CERTIFIED ACTS AND OTHER ACTS(IL0956, IL0961, IL0966, IL0971, OR IL0976)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU642 05/04
Crime
(New)Denotes change.PAGE SC 46 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS EXCLUSIONSOF CERTIFIED ACTS EXCLUSION ANDEXCLUSION OF NBC DOMESTIC ACTS(IL0957, IL0962, IL0967, IL0972, OR IL0977)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU644 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS EXCLUSIONS OFNBC CERTIFIED ACTS AND NBC OTHERACTS (IL0991)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU636 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS NO TERRORISMEXCLUSION AND NO CAP ON CERTIFIEDLOSSES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU637 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) CONTAINS NO TERRORISMEXCLUSION BUT CAPS LOSSES INACCORDANCE WITH FEDERAL ACT(IL0952)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU639 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITIONOF FEDERAL TERRORISM RISKINSURANCE ACT OF 2002) CONTAINS''OTHER ACTS'' (SO-CALLED DOMESTICEXCLUSION) (IL0954, IL0959, IL0969 ORIL0974)
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU645 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,
Crime
(New)Denotes change.PAGE SC 47 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) PLACES A SUB-LIMIT ONCERTIFIED ACTS (IL0987)
MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU646 05/04 NOTICE TO POLICYHOLDERS POTENTIALRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL0997CONDITIONAL LIMITATION OFCOVERAGE FOR TERRORISM (SUB-LIMIT ON ANNUAL AGGREGATEBASIS) (RELATING TO DISPOSITION OFFEDERAL TERRORISM RISK INSURANCEACT OF 2002) PLACES A SUB-LIMIT ONCERTIFIED ACTS AND OTHER ACTS(IL0992
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY
GU581 11/02 NOTICE TO POLICYHOLDERSRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 54, IL 0959, IL 09 64, IL 09 69, IL 09 74
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU583 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 54, IL 0959, IL 09 64, IL 09 69, IL 09 74
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU584 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 54, IL 0959, IL 09 64, IL 09 69, IL 09 74
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU585 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 54, IL 0959, IL 09 64, IL 09 69, IL 09 74
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU586 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 54, IL 0959, IL 09 64, IL 09 69, IL 09 74
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU582 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 54, IL 0959, IL 09 64, IL 09 74
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU578 11/02
Crime
(New)Denotes change.PAGE SC 48 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
NOTICE TO POLICYHOLDERSRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 55, IL 0960, IL 09 70, IL 09 75
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU580 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 55, IL 0960, IL 09 70, IL 09 75
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU576 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 55, IL 0960, IL 09 70, IL 09 75
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU577 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 55, IL 0960, IL 09 70, IL 09 75
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU579 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 55, IL 0960, IL 09 70, IL 09 75
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU575 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 55, IL 0960, IL 09 75
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU587 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 56, IL 0961, IL 09 66, IL 09 71, IL 09 76
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU588 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 56, IL 0961, IL 09 66, IL 09 71, IL 09 76
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU591 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 56, IL 0961, IL 09 66, IL 09 71, IL 09 76
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
Crime
(New)Denotes change.PAGE SC 49 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
GU589 11/02 NOTICE TO POLICYHOLDERSRESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 56, IL 0961, IL 09 66, IL 09 71, IL 09 76
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU590 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 56, IL 0961, IL 09 66, IL 09 71, IL 09 76
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU592 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 56, IL 0961, IL 09 66, IL 09 71, IL 09 76
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU593 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 57, IL 0962, IL 09 67, IL 09 72, IL 09 77
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU594 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 57, IL 0962, IL 09 67, IL 09 72, IL 09 77
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU595 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 57, IL 0962, IL 09 67, IL 09 72, IL 09 77
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU596 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 57, IL 0962, IL 09 67, IL 09 72, IL 09 77
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU598 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMCOVERAGE FOR USE WITH IL 09 57, IL 0962, IL 09 67, IL 09 72, IL 09 77
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYGU597 11/02 NOTICE TO POLICYHOLDERS
RESTRICTIONS OF TERRORISMAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,
Crime
(New)Denotes change.PAGE SC 50 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
COVERAGE FOR USE WITH IL 09 57, IL 0962, IL 09 67, IL 09 72, IL 09 77
MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC635 05/04 NOTICE TO POLICYHOLDERS UPDATE
ON TERRORISM ENDORSEMENTSFOR USE WITH COMMERCIAL CRIME,EMPLOYEE THEFT AND FORGERYPOLICY AND GOVERNMENT CRIMEPOLICY
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , GU , HI , IA , ID , IL ,
IN , KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
GU558 01/02 NOTICE TO POLICYHOLDERS—RESTRICTIONS OF COVERAGE
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WY(O)
CR2019 03/00 CR20190300 OBLIGEE AKCC482 03/00 CR20190300(HI) OBLIGEE HICR2019 08/07 CR20190807 OBLIGEE AK , MD , TXCR2019 10/10 CR20191010 OBLIGEE AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IN , KS , LA ,MA , MD , MI , MN , MO , MS , MT ,
NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCR0301 03/12 CR03010312 OHIO CHANGES – LEGAL ACTION
AGAINST USOH
IL0177 10/10 IL01771010 OKLAHOMA CHANGES - CONCEALMENT,MISREPRESENTATION OR FRAUD
OK
CR0264 10/10 CR02641010 OREGON CHANGES - BINDINGARBITRATION
OR
IL0142 09/08 IL01420908 OREGON CHANGES - DOMESTICPARTNERSHIP
OR
CR0265 10/10 CR02651010 OREGON CHANGES - NONBINDINGARBITRATION
OR
(P)CR2003 03/00 CR20030300 POLICY BRIDGE - DISCOVERY
REPLACING LOSS SUSTAINEDAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC466 03/00 CR20030300(HI) POLICY BRIDGE - DISCOVERYREPLACING LOSS SUSTAINED
HI
CC409 04/97 CR50050497 POLICY BRIDGE - DISCOVERYREPLACING LOSS SUSTAINED
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR4501 03/00 CR35380300 POLICY CHANGE CA , MNCC623 07/02 CR45010702(HI) POLICY CHANGE HICR4501 08/07 CR45010807 POLICY CHANGE AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
Crime
(New)Denotes change.PAGE SC 51 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR2001 01/06 CR07310106 POLICY CHANGE (DISCOVERY FORM) CA , MNCR2001 03/00 CR20010300 POLICY CHANGE (DISCOVERY FORM) AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR2001 08/07 CR20010807 POLICY CHANGE (DISCOVERY FORM) AK , MD , TXCR2001 10/10 CR20011010 POLICY CHANGE (DISCOVERY FORM) AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IN , KS , LA ,MA , MD , ME , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCR2002 03/00 CR20020300 POLICY CHANGE (LOSS SUSTAINED
FORM)AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR2002 08/07 CR20020807 POLICY CHANGE (LOSS SUSTAINED
FORM)AK , MD , TX
CR2002 10/10 CR20021010 POLICY CHANGE (LOSS SUSTAINEDFORM)
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IN , KS , LA ,
MA , MD , ME , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYGU501 01/97 IL12020197 POLICY CHANGES KYIL1206 04/03 IL12060403 POLICY CHANGES TXIL1203 04/06 IL12030406 POLICY CHANGES LAIL1207 07/02 IL12070702 POLICY CHANGES FLIL1205 07/02 IL12050702 POLICY CHANGES SDGU269 11/85 IL12011185 POLICY CHANGES AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , GA , GU , HI , IA , ID , IN , KS ,MA , MD , ME , MI , MN , MO , MS ,
NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , RI , SC , TN ,
UT , VA , VI , VT , WA , WI , WV , WYGU524 12/98 IL12041298 POLICY CHANGES ILGU570 01/03 POLICYHOLDER DISCLOSURE NOTICE OF
TERRORISMTX
GU571 01/03 POLICYHOLDER DISCLOSURE NOTICE OFTERRORISM
TX
CC168 10/90 CR00061090 PREMISES BURGLARY COVERAGE -FORM E
PR
CC166 10/90 CR00091090 PREMISES THEFT AND ROBBERYOUTSIDE THE PREMISES COVERAGEFORM - PROPERTY OTHER THAN MONEYAND SECURITIES
PR
UG174 12/99 PREMIUM TAX NOTICE NVCC625 07/02 CR45030702(HI) PRODUCTS RECALL EXPENSES HICR4503 08/07 CR45030807 PRODUCTS RECALL EXPENSES AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
Crime
(New)Denotes change.PAGE SC 52 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC370 10/90 CR15201090 PROPERTY OF OTHERS PRCC357 10/90 CR15091090 PROTECTIVE DEVICES OR SERVICES
PROVISIONSPR
CR2026 08/07 CR20260807 PROVIDE AUTOMATIC COVERAGE FORACQUIRED ENTITIES
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC516 03/00 CR25320300(HI) PROVIDE EMPLOYEE THEFT COVERAGEEXCESS OVER A STATUTORY BONDREQUIREMENT
HI
CR2532 08/07 CR25320807 PROVIDE EMPLOYEE THEFT COVERAGEEXCESS OVER A STATUTORY BONDREQUIREMENT
AK , TX
CR2532 10/10 CR25321010 PROVIDE EMPLOYEE THEFT COVERAGEEXCESS OVER A STATUTORY BONDREQUIREMENT
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IN , KS , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
CR2024 08/07 CR20240807 PROVIDE LIMITED COVERAGE FOR LOSSOCCURRING BEFORE RETROACTIVEDATE
AK , TX
CR2024 10/10 CR20241010 PROVIDE LIMITED COVERAGE FOR LOSSOCCURRING BEFORE RETROACTIVEDATE
AK , AL , AR , AZ , CA , CO , CT , DC ,DE , FL , GA , HI , IA , ID , IN , KS , LA ,
MA , MD , ME , MI , MN , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,OH , OK , OR , PA , PR , SC , SD , TN ,
TX , UT , VA , VT , WA , WI , WV , WYCC479 03/00 CR20160300(HI) PROVIDE NOTICE OF CANCELLATION TO
ANOTHER ENTITYHI
CR2016 08/07 CR20160807 PROVIDE NOTICE OF CANCELLATION TOANOTHER ENTITY
AK , MD , TX
CR2016 10/10 CR20161010 PROVIDE NOTICE OF CANCELLATION TOANOTHER ENTITY
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR ,
SC , TN , TX , UT , VA , WA , WI , WVCC480 03/00 CR20170300(HI) PROVIDE REQUIRED NOTICE OF
CANCELLATION TO ANOTHER ENTITYHI
CR2017 08/07 CR20170807 PROVIDE REQUIRED NOTICE OFCANCELLATION TO ANOTHER ENTITY
AK , MD , TX
CR2017 10/10 CR20171010 PROVIDE REQUIRED NOTICE OFCANCELLATION TO ANOTHER ENTITY
AK , AL , AZ , CA , CO , DC , DE , FL ,HI , IA , ID , IN , KS , LA , MA , MD ,
ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR2027 08/07 CR20270807 PROVIDE VARYING DEDUCTIBLES AK , TXCR2027 10/10 CR20271010 PROVIDE VARYING DEDUCTIBLES AK , AL , AZ , CA , CO , DC , DE , FL ,
HI , IA , ID , IN , KS , LA , MA , MD ,ME , MI , MN , MO , MS , MT , ND , NH ,NM , NV , NY , OH , OK , PA , PR , SC ,SD , TN , TX , UT , VA , WA , WI , WV
CR0269 06/16 CR02690616 PUERTO RICO CHANGES PRCR0268 06/16 CR02680616 PUERTO RICO CHANGES PRCR0194 04/11 CR01940411 PUERTO RICO CHANGES - INCLUDE
BINDING ARBITRATIONPR
Crime
(New)Denotes change.PAGE SC 53 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
CR0195 11/17 CR01951117 PUERTO RICO CHANGES - INCLUDENONBINDING ARBITRATION
PR
(Q)CC566 03/00 QUICK REFERENCE INDEX—
COMMERCIAL CRIME POLICY(DISCOVERY FORM)
HI
CC567 03/00 QUICK REFERENCE INDEX—COMMERCIAL CRIME POLICY (LOSSSUSTAINED FORM)
HI
CC570 03/00 QUICK REFERENCE INDEX—EMPLOYEETHEFT AND FORGERY POLICY(DISCOVERY FORM)
HI
CC571 03/00 QUICK REFERENCE INDEX—EMPLOYEETHEFT AND FORGERY POLICY (LOSSSUSTAINED FORM)
HI
CC568 03/00 QUICK REFERENCE INDEX—GOVERNMENT CRIME POLICY(DISCOVERY FORM)
HI
CC569 03/00 QUICK REFERENCE INDEX—GOVERNMENT CRIME POLICY (LOSSSUSTAINED FORM)
HI
(R)CC539 03/00 CR35140300(HI) REDUCE LIMIT OF INSURANCE FOR
DESIGNATED PREMISESHI
CR3514 08/07 CR35140807 REDUCE LIMIT OF INSURANCE FORDESIGNATED PREMISES
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC279 10/90 CR15141090 REDUCE LIMIT OF INSURANCE FORDESIGNATED PREMISES, MESSENGERSOR ARMORED MOTOR VEHICLECOMPANIES
PR
CC564 03/00 CR35390300(HI) REDUCE LIMIT OF INSURANCE FORSPECIFIED PREMISES
HI
CC242 01/86 CR40020186 REDUCED LIMIT OF INSURANCE FORSPECIFIED PREMISES
PR
CR0751 03/06 CR07510306 REPLACE TERRORISM PROVISIONS(APPLICABLE TO CRIME/FIDELITY ONLY)
AL , AR , AZ , CA , CO , CT , DC , DE ,GU , HI , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MN , MO ,
MS , MT , NC , ND , NE , NH , NJ , NM ,NV , OH , OK , OR , PA , RI , SC , SD ,TN , TX , UT , VA , VT , WI , WV , WY
CR0751 08/08 CR07500808 REPLACE TERRORISM PROVISIONS(APPLICABLE TO CRIME/FIDELITY ONLY)
AL , AR , AZ , CA , CO , CT , DC , DE ,HI , IA , ID , IL , IN , KS , KY , LA ,
MA , MD , ME , MI , MN , MO , MS ,MT , NC , ND , NE , NH , NJ , NM , NV ,OH , OK , OR , PA , PR , RI , SC , SD ,
TN , UT , VA , VT , WA , WI , WV , WYCR0751 08/08 CR07518S REPLACE TERRORISM PROVISIONS
(APPLICABLE TO CRIME/FIDELITY ONLY)AL , AR , AZ , CA , CO , CT , DC , DE ,
HI , IA , ID , IL , IN , KS , KY , LA ,MA , MD , ME , MI , MN , MO , MS ,
MT , NC , ND , NE , NH , NJ , NM , NV ,OH , OK , OR , PA , PR , RI , SC , SD ,
TN , UT , VA , VT , WA , WI , WV , WYCC392 06/95 CR15370695 REPLACEMENT COST AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
Crime
(New)Denotes change.PAGE SC 54 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
OR , PA , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC547 03/00 CR35220300(HI) REQUIRE RECORD OF CHECKS HICC393 06/95 CR15220695 REQUIRE RECORD OF CHECKS AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCR3522 08/07 CR35220807 REQUIRE RECORD OF CHECKS AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CC368 10/90 CR15221090 REQUIRE RECORD OF CHECKS PRGU268 11/85 IL09171185 RESIDENT AGENT COUNTERSIGNATURE
ENDORSEMENTAL , AR , AZ , CA , CO , CT , DC ,
DE , GA , GU , HI , ID , IN , KS , KY ,LA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC ,TN , TX , UT , VI , VT , WA , WI
CR0283 03/12 CR02830312 RHODE ISLAND CHANGES - CIVIL UNION RICC159 10/90 CR00051090 ROBBERY AND SAFE BURGLARY
COVERAGE FORM D—PROPERTYPR
CC139 10/90 CR00181090 ROBBERY AND SAFE BURGLARYCOVERAGE FORM Q—MONEY ANDSECURITIES
PR
CC510 03/00 CR25260300(HI) RURAL UTILITIES SERVICE BORROWINGCORPORATIONS - LIMIT AMOUNT OFINSURANCE ON COLLECTION AGENTS
HI
CR2526 08/07 CR25260807 RURAL UTILITIES SERVICE BORROWINGCORPORATIONS - LIMIT AMOUNT OFINSURANCE ON COLLECTION AGENTS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR2527 03/00 CR25270300 RURAL UTILITIES SERVICE JOINTINSURED
AK , CT
CC511 03/00 CR25270300(HI) RURAL UTILITIES SERVICE JOINTINSURED
HI
CR2527 05/06 CR25270506 RURAL UTILITIES SERVICE JOINTINSURED
MD
CR2527 08/13 CR25270813 RURAL UTILITIES SERVICE JOINTINSURED
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , GU , HI , IA , ID ,
IL , IN , KS , KY , LA , MA , MD , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VI , VT , WA , WI , WV , WY
CR2528 03/00 CR25280300 RURAL UTILITIES SERVICE REGULATION AK , CTCC512 03/00 CR25280300(HI) RURAL UTILITIES SERVICE REGULATION HICR2528 05/06 CR25280506 RURAL UTILITIES SERVICE REGULATION MDCR2528 08/13 CR25280813 RURAL UTILITIES SERVICE REGULATION AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , GU , HI , IA , ID ,IL , IN , KS , KY , LA , MA , MD , MI ,MN , MO , MS , NC , ND , NE , NH ,NJ , NM , NV , NY , OH , OK , OR ,
PA , PR , RI , SC , SD , TN , TX , UT ,VA , VI , VT , WA , WI , WV , WY
Crime
(New)Denotes change.PAGE SC 55 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
(S)CC241 01/86 CR40010186 SAFE DEPOSIT BOX TRANSFER PRCC565 03/00 CR35400300(HI) SAFE DEPOSIT BOX TRANSFER HICR3540 08/07 CR35400807 SAFE DEPOSIT BOX TRANSFER AK , AL , AR , AZ , CO , CT , DC , DE ,
FL , GA , GU , IA , ID , IL , IN , KS , KY ,LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
CR0158 08/07 CR01580807 SAFE DEPOSITORY LACR0412 08/07 CR04120807 SAFE DEPOSITORY GUCR0158 08/13 CR01580813 SAFE DEPOSITORY LACR0190 08/13 CR01900813 SAFE DEPOSITORY MNCR0412 08/13 CR04120813 SAFE DEPOSITORY AK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR0191 08/13 CR01910813 SAFE DEPOSITORY MNCR0190 11/09 CR01901109 SAFE DEPOSITORY MNCR0191 11/09 CR01911109 SAFE DEPOSITORY MNCC148 06/95 CR00150695 SAFE DEPOSITORY DIRECT LOSS
COVERAGE FORMAK , AL , AR , AZ , CA , CO , CT ,
DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC146 10/91 CR00151091 SAFE DEPOSITORY DIRECT LOSS
COVERAGE FORMPR
CC162 10/90 CR40001090 SAFE DEPOSITORY GENERALPROVISIONS
PR
CC163 10/90 CR00141090 SAFE DEPOSITORY LIABILITYCOVERAGE FORM
PR
CC461 03/00 CR04100300(HI) SECURITIES DEPOSITED WITH OTHERS HICR0410 07/02 CR04090702 SECURITIES DEPOSITED WITH OTHERS CA , MNCR0410 08/07 CR04100807 SECURITIES DEPOSITED WITH OTHERS GUCR0410 08/13 CR04100813 SECURITIES DEPOSITED WITH OTHERS AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CC137 10/90 CR00111090 SECURITIES DEPOSITED WITH OTHERS PRCR0208 10/11 CR02081011 SOUTH DAKOTA CHANGES SDCR0170 10/10 CR01701010 SOUTH DAKOTA CHANGES -
NONBINDING ARBITRATIONSD
CC395 06/95 CR15360695 SUBLIMITS FOR MONEY ANDSECURITIES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,OR , PA , RI , SC , SD , TN , TX ,
UT , VA , VT , WA , WI , WV , WYCC556 03/00 CR35310300(HI) SUBLIMITS FOR MONEY, SECURITIES OR
CHECKSHI
CR3531 08/07 CR35310807 SUBLIMITS FOR MONEY, SECURITIES ORCHECKS
AK , AL , AR , AZ , CO , CT , DC , DE ,FL , GA , GU , IA , ID , IL , IN , KS , KY ,
Crime
(New)Denotes change.PAGE SC 56 of 56 WOLTERS KLUWER Customer Support: 800-382-2424
UNIFORM EDITION BUREAUNUMBER DATE NUMBER TITLE STATE
LA , MA , MD , ME , MI , MO , MS , MT ,NC , ND , NE , NH , NJ , NM , NV , NY ,
OH , OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VA , VT , WA , WI , WV , WY
(T)CR0416 08/13 CR04160813 TELEPHONE TOLL FRAUD AK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , HI , IA , ID , IL , IN ,KS , KY , LA , MA , MD , ME , MI ,MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
CR0416 10/10 CR04161010 TELEPHONE TOLL FRAUD MN , TXIL0288 12/19 IL02881219 TEXAS CHANGES - CANCELLATION AND
NONRENEWALTX
IL0168 03/12 IL01680312 TEXAS CHANGES - DUTIES TXCC369 10/90 CR15211090 THEFT OF OUTDOOR SIGNS PRCC136 10/90 CR00041090 THEFT, DISAPPEARANCE &
DESTRUCTION COVERAGE-FORM CPR
(U)CR2547 09/17 CR25470917 U.S. DEPARTMENT OF LABOR - ERISA
PLAN COVERAGE AMENDMENTSAK , AL , AR , AZ , CA , CO , CT , DC ,
DE , FL , GA , GU , HI , IA , ID , IL ,IN , KS , KY , LA , MA , MD , ME ,MI , MN , MO , MS , MT , NC , ND ,NE , NH , NJ , NM , NV , NY , OH ,
OK , OR , PA , PR , RI , SC , SD , TN ,TX , UT , VI , VT , WA , WI , WV , WY
CR0414 05/06 CR04140506 UNAUTHORIZED REPRODUCTION OFCOMPUTER SOFTWARE BY EMPLOYEES
CA
CR0414 07/02 CR04140702 UNAUTHORIZED REPRODUCTION OFCOMPUTER SOFTWARE BY EMPLOYEES
AK , CT
CC621 07/02 CR04130702(HI) UNAUTHORIZED REPRODUCTION OFCOMPUTER SOFTWARE BY EMPLOYEES
HI
CC622 07/02 CR04140702(HI) UNAUTHORIZED REPRODUCTION OFCOMPUTER SOFTWARE BY EMPLOYEES
HI
CR0414 08/13 CR04140318 UNAUTHORIZED REPRODUCTION OFCOMPUTER SOFTWARE BY EMPLOYEES
AK , AL , AR , AZ , CA , CO , CT ,DC , DE , FL , GA , HI , IA , ID , IL ,IN , KS , KY , MA , MD , ME , MI ,
MN , MO , MS , MT , NC , ND , NE ,NH , NJ , NM , NV , NY , OH , OK ,
OR , PA , PR , RI , SC , SD , TN , TX ,UT , VA , VT , WA , WI , WV , WY
(V)CR0214 06/15 CR02140615 VERMONT CHANGES VTCR0192 11/09 CR01921109 VERMONT CHANGES VTIL0219 06/15 IL02190615 VERMONT CHANGES - CANCELLATION
AND NONRENEWALVT
CR0153 01/12 CR01530112 VIRGINIA CHANGES VACR0211 01/12 CR02110112 VIRGINIA CHANGES VAIL0152 10/15 IL01521015 VIRGINIA CHANGES VA
(W)CR0135 08/13 CR01350813 WASHINGTON CHANGES WACR0302 09/13 CR03020913 WASHINGTON CHANGES - BINDING
ARBITRATIONWA
CR0197 10/10 CR01971010 WASHINGTON CHANGES - OBLIGEE WACR0148 10/10 CR01481010 WEST VIRGINIA CHANGES -
ARBITRATIONWV
CR0245 11/18 CR02451118 WISCONSIN CHANGES WIIL0283 11/18 IL02831118 WISCONSIN CHANGES - CANCELLATION
AND NONRENEWALWI