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CACM0000022305 <br />Forms and Endorsements <br />It is hereby understood and agreed, in consideration of the premium charged, that the following endorsements are attached to and <br />form part of the aforementioned policy. <br />Form <br />- MCY EB 00 0120 Mercury Equipment Breakdown Tech Advantage Endorsement <br />- BP 04 48 07 13 Additional Insured - Designated Person or Organization <br />- MC BOP 50 07 19 "Two or More Policies Issued By Us" Provision <br />- MC BOP RES BROADEND 07 19 Mercury Restaurant Broadening Endorsement <br />- MC BOP 04 93 07 19 Total Pollution Exclusion <br />- MC BOP 33 07 19 Amendatory Endorsement <br />- MBP 04 39 07 19 Sexual Harassment, Abuse or Molestation Exclusion <br />- MBP 99 0109 21 Trade or Economic Sanctions <br />- MBP 0102 09 21 Tenants Improvements and Betterments including Restaurant Equipment <br />- MBP 04 37 07 19 Exclusion - Building Conversions <br />- BP 15 32 09 19 Cannabis Liability Exclusion <br />- BP IN 0107 13 Businessowners Coverage Form Index <br />- BP 15 1112 16 Exclusion - Unmanned Aircraft <br />- BP 15 30 09 19 Cannabis Property Exclusion <br />- BP 05 77 0106 Fungi or Bacteria Exclusion (Liability) <br />- BP 15 04 05 14 Exclusion - Access or Disclosure of Confidential or Personal Information and Data -Related Liability - With Limited <br />Bodily Injury Exception <br />- BP 05 42 01 15 Exclusion of Punitive Damages Related to a Certified Act of Terrorism <br />- BP 05 67 0106 Exclusion of Terrorism <br />- BP 05 17 0106 Exclusion - Silica or Silica -Related Dust <br />- BP 05 24 0115 Exclusion of Certified Acts of Terrorism <br />- BP 04 89 0110 Liquor Liability Coverage <br />- BP 05 0107 02 Calculation of Premium <br />- BP 04 53 07 13 Water Back-up and Sump Overflow <br />- BP 04 88 07 02 Liquor Liability <br />- BP 04 15 07 13 Spoilage Coverage <br />- BP 04 17 0110 Employment -Related Practices Exclusion <br />- BP 04 02 07 13 Additional Insured - Managers or Lessors of Premises <br />- BP 04 12 04 17 Limitation of Coverage to Designated Premises, Project or Operation <br />- BP 00 03 07 13 Businessowners Coverage Form <br />- BP 0155 07 20 California Changes <br />Additional Insureds <br />LOC Form Description Premium <br />1 BP0402 MARDITH AND VICTOR MCKEEVER $50 <br />P.O. Box 392 <br />Redwood City CA 94064 <br />Relationship/Interest: Landlord <br />BP0448 CITY OF REDWOOD CITY <br />P.O. Box 391 <br />Redwood City CA 94064 <br />Relationship/Interest: Other <br />Discounts <br />LOC BLDG <br />All <br />CACMDEC 09 21 <br />Loss Free, Years In Business <br />ATTY/AGR.2025.207/A Pa Pe, Inc. (2616 Broadway) (Page 18 of 55) <br />Page 3 of 4 <br />