| Title | Form # | Edition | Restriction in Coverage from Prior Year | Comments |
|---|---|---|---|---|
| BOATS | CG2412 | 1185 | Description: Oil Spill Response Boat, NY Registration #: NY1654UM, Hull #: ESF02140G495. 1995 Alumiline 20 Aluminum hull, center consol open boat, full hull under deck flotation foam; Premium: Included |
| CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM | CG2170 | 0115 |  |
| COMBINED POLICY AGGREGATE | LD20031 | 0206 |  |
| CONTRACTUAL LIABILITY - RAILROADS | CG2417 | 1001 | Scheduled RR: Any railroad (RR) which you have agreed to indemnify pursuant to a written contract entered into with such RR that was signed prior to loss, in connection with an easement granted by such RR to you. Designated job site: all job sites where you are operating under an easement granted by a scheduled RR, and where you have agreed to indemnify such RR for your operations pursuant to such easement under a written contract entered into with such RR prior to loss. |
| DIFFERENCE IN CONDITIONS / DIFFERENCE IN LIMITS | ALL18845c | 0612 | Policy Issuing Company: Chubb Insurance Company of Canada; Policy Number: CGL 326131 |
| DIRECT ACTION EXPENSES | ALL44289c | 1116 |  |
| DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT | IL0985 | 1220 | Terrorism Premium: $2,060; Coverage Form: CG oo 01; Federal Share: 80% |
| EARLIER NOTICE OF CANCELLATION AND NON-RENEWAL | ALL10617b | 0614 | 90; 90 |
| EMPLOYMENT - RELATED PRACTICES EXCLUSION | CG2147 | 1207 |  |
| EXCLUSION - ASBESTOS | LD3R16 | 0387 |  |
| EXCLUSION - UNMANNED AIRCRAFT (COVERAGE B ONLY) | CG2111 | 0615 |  |
| FELLOW EMPLOYEE COVERAGE | LD5T92 | 9999 |  |
| FIRE, EXPLOSION, SMOKE AND WATER DAMAGE LEGAL LIABILITY | LD3T73 | 9999 |  |
| GPS GLOBAL PROGRAM SOLUTIONS ENDORSEMENT | LD34279a | 0116 |  |
| IN REM | LD20284 | 0606 |  |
| KNOWLEDGE OF OCCURRENCE | LD2X61 | 9999 | Vice President of IBM Risk & Insurance |
| KY LOCAL GOVERNMENT PREMIUM TAX SCHEDULE | ALL32677a | 0412 | Tax Code: 0404 Tax Amount:$ 19 |
| LIBERALIZATION CLAUSE | LD20285 | 0606 |  |
| LIMITED COVERAGE FOR DESIGNATED UNMANNED AIRCRAFT (COVERAGE A ONLY) | CG2451 | 0615 | Description Of Unmanned Aircraft: Any Unmanned Aircraft; Description Of Operation(s) Or Project(s): Any of your |