# Allianz

**Policy Number:** USL00197724  
**Effective Date:** May 21, 2024

## DEFINITION OF POLLUTANT(S) (INDIANA) ENDORSEMENT  
M-AGRL XS ASF 5002 01 21

This endorsement modifies insurance provided under the following:

### EXCESS LIABILITY FOLLOWING FORM COVERAGE – SHORT FORM

In the event that the laws of the State of Indiana apply and/or a claim or suit is brought within the State of Indiana, this Policy is amended to include the following definition:

#### POLLUTANT OR POLLUTANTS:
a. mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and Waste. Waste includes materials to be recycled, reconditioned or reclaimed; or  
b. include but are not limited to any substance or material identified in the Schedule below, as well as any derivative, degradation, decomposition or synergistic combination of such substance or material with each other.

This definition of "Pollutant" or "Pollutants" applies regardless of whether the substance or material:  
i. is specifically identified or described in the Schedule below;  
ii. has or had any function, including beneficial or commercial function, in any of the Insured's business, operations, premises, sites or locations;  
iii. represents a major source of potential liability to the Insured; or  
iv. is considered a "Pollutant" or "Pollutants" by the Insured.

All references to the words "Pollutant" and "Pollutants" under this Policy and any endorsement made a part of this Policy shall have the meaning provided under this provision.

#### Schedule
- ACETATES, including n-butyl acetate  
- ACIDS, including mineral acids, sulfonic acids, and carboxylic acids (examples include hydrochloric acid, sulfuric acid, nitric acid, phosphoric ethanesulfonic acid, benzenesulfonic acid, toluenesulfonic acid, formic acid, hydrofluoric acid, and acetic acid)  
- ACRYLATES, including methyl methacrylate, ethyl methacrylate, and isobutyl ethacrylate  
- ACRYLIC NAIL PRODUCTS, including N,N dimethyl-p-toluidine, methacrylic acid, 2-hydroxy ethyl methacrylate, acrylic acid, and 2-ethylhexyl methacrylate  
- AMIDES, including acrylamide, acetamide, and propanamide  
- ALDEHYDES, including formaldehyde, acetaldehyde, benzaldehyde, and gluteraldehyde

M-AGRL XS ASF 5002 01 21  
Copyright © 2020 Allianz Global Risks US Insurance Company. All rights reserved.  
Page 1 of 6