# Ohio Casualty Policy Forms and Endorsements

## Coverage Provided by:
- **The Ohio Casualty Insurance Company**
- **9450 Seward Road, Fairfield, Ohio 45014**

## Policy Number:
ECO (09) 53 62 96 13

## Policy Forms and Endorsements

This section lists all the Forms and Endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage.

| FORM NUMBER | TITLE |
|-------------|-------|
| CE 65 04 03 98 | New York State Amendatory Endorsement for Excess Liability |
| CE 65 15 06 97 | Limits of Liability Amendment - Quota Share Endorsement |
| CE 65 19 04 99 | Amendment of Pollution Exclusion - Following Form |
| CE 65 24 06 97 | Excess Liability Coverage Form |
| CE 65 27 04 99 | Following Form Endorsement |
| CE 65 30 01 03 | Cap on Losses from Certified Acts of Terrorism |
| CE 66 10 06 05 | New York Excess Changes Amendatory Endorsement |
| CE 66 54 11 04 | Exclusion - Electronic Distribution of Unsolicited Material |
| CU 60 05 06 97 | Named Insured |
| CU 60 53 06 97 | Cancellation Amendment |
| CU 62 05 08 04 | New York Changes Cancellation and Nonrenewal |

## Signature Section

In witness whereof, we have caused this policy to be signed by our authorized officers.

**Edmund C. Kenealy**  
**Secretary**

**Gary Gregg**  
**President**

## Contact Information

To report a claim, call your Agent or 1-800-366-6446

**DS 70 23 01 08**  
Agency Bill  
182 NC 32-6024  
05/12/2008  
AGENT COPY  
RHL1  
RENEWAL