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Agmt26 Dasbierhauz (830 Middlefield Road)
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Agmt26 Dasbierhauz (830 Middlefield Road)
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Last modified
2/25/2026 12:50:50 PM
Creation date
2/25/2026 12:49:44 PM
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Agreement
RMP File Number
304.5
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SCHEDULE OF POLICY FORMS AND ENDORSEMENTS <br />These Declarations, together with the Common Policy Conditions, and the Coverage Form(s) and <br />endorsement(s), complete the above numbered policy. <br />Listed below are the forms and endorsements attached to this policy at the time of issue: <br />Title <br />Commercial General Liability Declarations <br />Commercial General Liability Coverage Form <br />Exclusion -Access or Disclosure of Confidential or Personal Information <br />and Data -Related Liability - With Limited Bodily Injury Exception <br />Exclusion - Unmanned Aircraft <br />Limitation Of Coverage To Designated Premises, Project Or Operation <br />Employment -Related Practices Exclusion <br />Total Pollution Exclusion Endorsement <br />Amendment Of Liquor Liability Exclusion <br />Exclusion of Certified Acts of Terrorism <br />Exclusion - Exterior Insulation and Finish Systems <br />Silica or Silica -Related Dust Exclusion <br />Exclusion - Damage to Work Performed by Subcontractors on Your Behalf <br />Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of <br />Subrogation) <br />Products Completed Operations Hazard Redefined <br />Liquor Liability <br />Cross Suits Exclusion <br />Exclusion -Asbestos Exclusion <br />Professional Services Liability Exclusion <br />Blanket Additional Insured <br />Unintentional E&O, Knowledge of Occurrence, Notice of Occurrence <br />Additional Insured Automatic Status <br />Exclusion - Assault and Battery <br />Exclusion - Lead Exclusion <br />Sports and Entertainment Devices SLE Exclusion <br />Notice of Terrorism <br />OFAC Notice <br />Trade or Economic Sanctions <br />Form Number and Edition Date <br />NXT-0337 BM GL 0619 <br />CG 00 01 04 13 <br />CG 21 06 05 14 <br />CG 21 09 06 15 <br />CG 21 44 04 17 <br />CG 21 471207 <br />CG 21 49 09 99 <br />CG 21 50 04 13 <br />CG 21 7301 15 <br />CG 21 861204 <br />CG 21 96 03 05 <br />CG 22 94 10 01 <br />CG 24 04 12 19 <br />CG 24 07 01 96 <br />CG 24 08 10 93 <br />NXT-0077 BM GL 0218 <br />NXT-0080 BM GL 0218 <br />NXT-0086 BM GL 0218 <br />NXT-0115 BM GL 0218 <br />NXT-0235 BM GL 0218 <br />NXT-0308 BM GL 0619 <br />NXT-0053 BM GL 0318 <br />NXT-0079 BM GL 0218 <br />NXT-0336 BM GL 0218 <br />NXT-0073 BM GL 0418 <br />SNC-IL-0719-OFAC-N (SNIC) <br />SNC -IL -0719 -TOES -E (SNIC) <br />NXT-0337 BM GL 0619 Includes copyrighted material of Insurance Services Office, Inc., <br />with its permission. <br />ATTY/AGR.2026.035/DASBI LLC (830 Middlefield Rd) (Page 20 of 54) <br />Page 3 of 3 <br />
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