# Commercial General Liability Declarations

**CHUBB**

**ACE American Insurance Company**
436 Walnut Street
Philadelphia PA

**POLICY NUMBER:** HDO G71237606

| Endt. No. | Form No. | Description |
|-----------|----------|-------------|
| 36        | MS136300517 | Aircraft Products Exclusion And Grounding Endorsement |
| 37        | MS136280518 | Amendment Of Other Insurance |
| 38        | MS136250513 | Architect Endorsement |
| 39        | MS136320513 | Blended Pollution Exclusion |
| 40        | MS136230517 | Bodily Injury Definition Extension |
| 41        | MS136210714 | Broad Form Named Insured |
| 42        | MS379580517 | Electronic Chat Rooms Or Bulletin Boards Endorsement |
| 43        | MS300450518 | Employee Benefits Liability Endorsement |
| 44        | MS136260513 | Personal And Advertising Injury Definition Extension |
| 45        | MS136270518 | Property Damage |
| 46        | MS136310518 | Recall Of Products, Work Or Impaired Property |
| 47        | MS136220513 | Waiver Of Government Immunity |
| 48        | MS136290518 | Who Is An Insured Amendment |
| 49        | IL09850115 | Disclosure Pursuant To Terrorism Risk Insurance Act |
| 50        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 51        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 52        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 53        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 54        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 55        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 56        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 57        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 58        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 59        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 60        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 61        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 62        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 63        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 64        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 65        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 66        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 67        | CG20260413 | Additional Insured – Designated Person Or Organization |
| 68        | CG20280413 | Additional Insured – Lessor Of Leased Equipment |
| 69        | CG20110413 | Additional Insured – Managers Or Lessors Of Premises |
| 70        | CG20370413 | Additional Insured – Owners, Lessees Or Contractors – Completed Operations |
| 71        | CG20370413 | Additional Insured – Owners, Lessees Or Contractors – Completed Operations |

**LD-25211 (10/08)**
Copyright, Insurance Services Office, Inc. 2000
Page 5 of 10