Admitted AmTrust Artisan Forms List (01-01-2014)
| FORM NUMBER | FORM TITLE | TYPE | Notes |
| 49-0108 07 11 |
BLANKET ADDITIONAL INSUREDS - OWNERS, LESSEES OR CONTRACTORS WITH BLANKET WORDING
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| CG 00 01 (04-13) |
Commercial General Liability Coverage Form
| M(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 00 01 (12-07) |
Commercial General Liability Coverage Form
| M(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 00 68 (05-09) |
Recording/Distribution of Material/Information Exclusion
| M(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 01 03 (06-06) |
Texas Changes
| M(TX) | |
| CG 01 09 (11-85) |
Kansas and Oklahoma Changes - Transfer of Rights
| M(KS,OK) | |
| CG 01 12 (11-08) |
New Hampshire Changes
| M(NH) | |
| CG 01 18 (12-04) |
Louisiana Changes - Legal Action Against Us
| M(LA) | |
| CG 01 22 (12-07) |
Minnesota Changes - Contractual Liability Exclusion and Supplementary Payments
| M(MN) | |
| CG 01 23 (03-97) |
Indiana Changes - Pollution Exclusion
| M(IN) | |
| CG 01 24 (01-93) |
Wisconsin Changes - Amendment of Policy Conditions
| M(WI) | |
| CG 01 25 (03-03) |
Louisiana Changes - Insuring Agreement
| M(LA) | |
| CG 01 34 (08-03) |
Missouri Changes - Pollution Exclusion
| M(MO) | |
| CG 01 44 (10-11) |
South Dakota Changes
| M(SD) | |
| CG 01 60 (07-98) |
Wyoming Changes
| M(WY) | |
| CG 01 68 (10-09) |
Michigan Changes
| M(MI) | |
| CG 01 79 (07-10) |
Virginia Changes
| M(VA) | |
| CG 01 81 (05-08) |
Washington Changes
| M(WA) | |
| CG 01 85 (09-87) |
Wyoming Changes - Amendment of Your Right to Claim and Occurrence Information
| M(WY) | |
| CG 01 86 (12-04) |
Utah Changes
| M(UT) | |
| CG 02 37 (05-13) |
New Jersey Changes - Termination Provision
| M(NJ) | |
| CG 21 06 (05-14) |
Exclusion - Access or Disclosure of Confidential Personal Info
| M(DE,LA,ME,ND,NH,RI,TN) | |
| CG 21 34 CM (01-87) |
Exclusion - Designated Work
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 34 NH (01-87) |
Exclusion - Designated Work
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 47 (07-98) |
Employment-Related Practices Exclusion
| M(AL,AR,AZ,CA,CO,IA,ID,IN,KS,KY,MA,MI,MN,MO,MS,NE,NM,NV,OH,OK,OR,PA,SC,TX,UT,VA,WA,WI) | |
| CG 21 47 (12-07) |
Employment-Related Practices Exclusion
| M(CT,DE,GA,IL,LA,ME,MT,NC,ND,NH,NJ,RI,SD,TN,WV,WY) | |
| CG 21 49 (09-99) |
Texas - Total Pollution Exclusion Endorsement
| M(TX) | |
| CG 21 53 CM (01-96) |
Exclusion - Designated Ongoing Operations
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 53 NH (01-96) |
Exclusion - Designated Ongoing Operations
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 54A (07-05) |
Exclusion - Designated Operations
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 67 (12-04) |
Fungi or Bacteria Exclusion
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WI,WV,WY) | |
| CG 21 67 12 04 |
SILICA OR SILICA-RELATED DUST EDXCLUSION - WATERMARKED
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| CG 21 86 (12-04) |
Exclusion - Exterior Insulation and Finish Systems
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 96 (03-05) |
Silica or Silica-Related Dust Exclusion
| M(TX) | |
| CG 22 43 (04-13) |
Exclusion - Engineers, Architects or Surveyors Professional Liability
| M(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 22 43 (07-98) |
Exclusion - Engineers, Architects or Surveyors Professional Liability
| M(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 22 43 07 98 |
EXCLUSION-ENGINEERS, ARCHITECTS OR SURVEYORS PROFESSIONAL LIABILITY - WATERMARKED
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| CG 22 79 (04-13) |
Exclusion - Contractors - Professional Liability
| M(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 22 79 (07-98) |
Exclusion - Contractors - Professional Liability
| M(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 22 79 07 98 |
EXCLUSION-CONTRACTORS-PROFESSIONAL LIABILITY - WATERMARKED
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| CG 24 26 (07-04) |
Amendment of Insured Contract Definition
| M(TX,WA) | |
| CG 26 05 (02-07) |
Minnesota Changes
| M(MN) | |
| CG 26 20 (10-93) |
New Jersey Changes - Loss Information
| M(NJ) | |
| CG 26 32 (07-93) |
North Dakota Changes - Loss Information
| M(ND) | |
| CG 26 50 (12-98) |
Missouri Changes - Medical Payment
| M(MO) | |
| CG 26 55 (11-08) |
New Hampshire Changes - Amendment of Representations Condition
| M(NH) | |
| CG 26 61 (10-01) |
Montana Changes - Medical Payment
| M(MT) | |
| CG 26 77 (12-04) |
Washington - Fungi or Bacteria Exclusion
| M(WA) | |
| CG 26 81 (12-04) |
Minnesota Changes - Duties Condition
| M(MN) | |
| CG 32 34 (01-05) |
California Changes
| M(CA) | |
| CG 02 00 (12-07) |
Illinois Changes - Cancellation and Nonrenewal
| M(IL) | |
| IL 00 17 (11-98) |
Common Policy Conditions
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WI,WV,WY) | |
| IL 00 21 (09-08) |
Nuclear Energy Liability Exclusion Endorsement
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WI,WV,WY) | |
| IL 01 14 (09-08) |
Wyoming Changes - Defense Costs
| M(WY) | |
| IL 01 15 (01-10) |
Nevada Changes - Domestic Partnership
| M(NV) | |
| IL 01 17 (12-10) |
Indiana Changes - Workers Compensation Exclusion
| M(IN) | |
| IL 01 20 (05-11) |
Pennsylvania Changes - Defense Costs
| M(PA) | |
| IL 01 28 (09-08) |
Rhode Island Changes - Prejudgment Interest
| M(RI) | |
| IL 01 38 (11-11) |
Virginia Changes - Cancellation and Nonrenewal
| M(VA) | |
| IL 01 40 (09-08) |
Connecticut Changes - Civil Union
| M(CT) | |
| IL 01 41 (09-08) |
New Jersey Changes - Civil Union
| M(NJ) | |
| IL 01 42 (09-08) |
Oregon Changes - Domestic Partnership
| M(OR) | |
| IL 01 46 (08-10) |
Washington Common Policy Conditions
| M(WA) | |
| IL 01 46 08 10 |
WASHINGTON COMMON POLICY CONDITIONS
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| IL 01 47 (09-11) |
Illinois Changes - Civil Union
| M(IL) | |
| IL 01 51 (01-12) |
Delaware Changes - Civil Union
| M(DE) | |
| IL 01 58 (09-08) |
Indiana Changes
| M(IN) | |
| IL 01 61 (03-12) |
Rhode Island Changes - Civil Union
| M(RI) | |
| IL 01 62 (09-08) |
Illinois Changes - Defense Costs
| M(IL) | |
| IL 01 65 (09-08) |
North Dakota Changes - Examination of Your Books and Records
| M(ND) | |
| IL 01 67 (09-08) |
Montana Changes - Conformity with Statutes
| M(MT) | |
| IL 01 68 (09-08) |
Texas Changes - Duties
| M(TX) | |
| IL 01 79 (10-02) |
Oklahoma Notice
| M(OK) | |
| IL 01 97 (09-08) |
Rhode Island Changes
| M(RI) | |
| IL 01 98 (09-08) |
Nuclear Energy Liability Exclusion Endorsement
| M(WA) | |
| IL 01 99 (09-08) |
Arkansas Changes - Transfer of Rights of Recovery Against Others to Us
| M(AR) | |
| IL 02 04 (09-08) |
Idaho Changes - Cancellation and Nonrenewal
| M(ID) | |
| IL 02 04 09 08 |
IDAHO CHANGES - CANCEL AND NONRENEW
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| IL 02 08 (09-07) |
New Jersey Changes - Cancellation and Nonrenewal
| M(NJ) | |
| IL 02 28 (09-07) |
Colorado Changes - Cancellation and Nonrenewal
| M(CO) | |
| IL 02 31 (09-08) |
Arkansas Changes - Cancellation and Nonrenewal
| M(AR) | Applies to policies prior to 10/1/2022 |
| IL 02 32 (09-08) |
South Dakota Changes - Cancellation and Nonrenewal
| M(SD) | |
| IL 02 34 (09-08) |
North Dakota Changes - Cancellation and Nonrenewal
| M(ND) | |
| IL 02 36 (09-07) |
Oklahoma Changes - Cancellation and Nonrenewal
| M(OK) | |
| IL 02 37 (04-12) |
Delaware Changes - Termination Provisions
| M(DE) | |
| IL 02 43 (09-07) |
Montana Changes
| M(MT) | |
| IL 02 44 (09-07) |
Ohio Changes - Cancellation and Nonrenewal
| M(OH) | |
| IL 02 45 (09-08) |
Minnesota Changes - Cancellation and Nonrenewal
| M(MN) | |
| IL 02 46 (09-07) |
Pennsylvania Changes - Cancellation and Nonrenewal
| M(PA) | |
| IL 02 47 (02-11) |
Maine Changes - Cancellation and Nonrenewal
| M(ME) | |
| IL 02 49 (09-08) |
South Carolina Changes - Cancellation and Nonrenewal
| M(SC) | |
| IL 02 50 (09-08) |
Tennessee Changes - Cancellation and Nonrenewal
| M(TN) | |
| IL 02 51 (09-07) |
Nevada Changes - Cancellation and Nonrenewal
| M(NV) | |
| IL 02 51 09 07 |
IL 02 51 09 07 - NEVADA CHANGES - CANCEL AND NONRENEW - WATERMARKED VERSION
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| IL 02 52 (09-07) |
Wyoming Changes - Cancellation and Nonrenewal
| M(WY) | |
| IL 02 58 (09-08) |
Arizona Changes - Cancellation and Nonrenewal
| M(AZ) | |
| IL 02 59 (09-07) |
Nebraska Changes - Cancellation and Nonrenewal
| M(NE) | |
| IL 02 60 (02-10) |
Connecticut Changes - Cancellation and Nonrenewal
| M(CT) | |
| IL 02 61 (09-07) |
Kansas Changes - Cancellation and Nonrenewal
| M(KS) | |
| IL 02 62 (09-08) |
Georgia Changes - Cancellation and Nonrenewal
| M(GA) | |
| IL 02 63 (09-08) |
Kentucky Changes - Cancellation and Nonrenewal
| M(KY) | |
| IL 02 66 (09-08) |
Utah Changes - Cancellation and Nonrenewal
| M(UT) | |
| IL 02 66 09 08 |
IL 02 66 09 08 - UTAH CHANGES - CANCEL AND NONRENEW - WATERMARKED VERSION
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| IL 02 69 (09-08) |
North Carolina Changes - Cancellation and Nonrenewal
| M(NC) | |
| IL 02 70 (12 19) |
California Changes - Cancellation and Nonrenewal
| M(CA) | |
| IL 02 72 (09-07) |
Indiana Changes - Cancellation and Nonrenewal
| M(IN) | |
| IL 02 73 (01-10) |
Rhode Island Changes - Cancellation and Nonrenewal
| M(RI) | |
| IL 02 74 (09-08) |
Missouri Changes - Cancellation and Nonrenewal
| M(MO) | |
| IL 02 75 (09-07) |
Texas Changes - Cancellation and Nonrenewal
| M(TX) | For Casualty Lines and Commercial Package Policies. |
| IL 02 76 (09-08) |
Iowa Changes - Cancellation and Nonrenewal
| M(IA) | |
| IL 02 79 (09-08) |
Oregon Change - Cancellation and Nonrenewal
| M(OR) | |
| IL 02 79 09 08 |
OREGON CHANGE - CANCELLATION AND NONRENEWAL
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| IL 02 81 (04-89) |
West Virginia Changes - Cancellation
| M(WV) | |
| IL 02 82 (09-08) |
Mississippi Changes - Cancellation and Nonrenewal
| M(MS) | |
| IL 02 83 (09-07) |
Wisconsin Changes - Cancellation and Nonrenewal
| M(WI) | |
| IL 02 86 (09-08) |
Michigan Changes - Cancellation and Nonrenewal
| M(MI) | |
| IL 02 98 (09-08) |
New Mexico Changes - Cancellation and Nonrenewal
| M(NM) | |
| IL 09 10 (07-02) |
Pennsylvania Notice
| M(PA) | |
| IL 09 13 (04-98) |
Insurance Inspection Services Exemption From Liability
| M(ME) | |
| IL 99 0044 (10 17) |
Exclusion - Asbestos (ASP,BP,CA,CU,GL)
| M(AR,AZ,CA,CT,IA,IL,KY,LA,MA,MI,MN,MS,MT,ND,NE,NH,NJ,NM,NV,OH,OR,PA,SC,SD,TN,TX,UT,VA,WI,WV,WY) | |
| 30-0923 (09-12) |
Michigan Commercial Policyholder Disclaimer
| M(MI) | |
| 33-0664 (12-03) |
Texas - Asbestos Exclusion Endorsement
| M(TX) | |
| 33-0668 (12-03) |
Texas - Lead Contamination Exclusion
| M(TX) | |
| 33-0860 (07-06) |
Texas - Policyholder Disclosure - Lead and Asbestos Exclusion
| M(TX) | |
| 49-0100 (07-11) |
Earth Movement Exclusion
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0101 (07-11) |
Changes in Commercial General Liability
| M(AL,AR,AZ,CA,CO,CT,DE,IA,ID,IN,KS,KY,LA,MA,MI,MN,MO,MS,MT,NC,ND,NE,NM,NV,PA,RI,SC,SD,TN,UT,VA,WI,WV,WY) | |
| 49-0101 (11 18) |
Changes in Commercial General Liability
| M(OH,OK,OR) | |
| 49-0101 (12 18) |
Changes in Commercial General Liability
| M(GA) | |
| 49-0102 (07-11) |
Service of Suit
| M(AL,AR,CA,CO,GA,IA,ID,IL,IN,KS,KY,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,WA,WI,WV,WY) | |
| 49-0103 (07-11) |
Amendment - Employers Liability Exclusion
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WI,WV,WY) | |
| 49-0104 (07-11) |
Amendment to Other Insurance Condition
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0107 (07-11) |
Exclusion - Condos, Townhouses, Timeshares and Tracts
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0108 (07-11) |
Blanket AI - Owners, Lessees or Contractors
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0109 (07-11) |
Independent Contractors
| M(VA) O(CT,LA,ME,RI) | |
| 49-0110 (07-11) |
Continuous or Progressive Injury and Damage Exclusion
| M(AL,AR,AZ,CA,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,UT,VA,WA,WI,WV,WY) | |
| 49-0115 (07-11) |
Exclusion - Prior Completed or Abandoned Work
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0118 (07-11) |
Commercial General Liability Coverage Part Declarations
| M(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0120 (07-11) |
Common Policy Declarations
| M(AL,AR,CA,CO,GA,IA,ID,IL,IN,KS,KY,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI,WV,WY) | Applies to policies effective 7/20/2014 and later. |
| 49-0121 (08-11) |
Washington - Changes in Commercial General Liability
| M(WA) | |
| 49-0122 (08-11) |
Washington Rider - Policy Fee
| M(WA) | |
| 49-0123 (07-11) |
Washington Rider - Flat Rated Endorsement
| M(WA) | |
| 49-0124 (07-11) |
Texas - Advisory Notice - Exclusion - Earth Movement
| M(TX) | |
| 49-0127 (07-11) |
Texas - Advisory Notice - Total Pollution Exclusion Disclosure
| M(TX) | |
| 49-0129 (07-11) |
Texas - Advisory Notice - Silica Exclusion Disclosure
| M(TX) | Silica, Silica Dust or Mixed Dust. |
| 49-0130 (07-11) |
Texas - Advisory Notice - Subsidence Exclusion Disclosure
| M(TX) | |
| 49-0132 (10-11) |
Advisory Notice - Texas Notice of Loss Control Services
| M(TX) | |
| 49-0133 (07-11) |
Texas - Advisory Notice - What to Do if You Have a Claim
| M(TX) | |
| 49-0155 (06-13) |
Illinois - Changes in Commercial General Liability
| M(IL) | |
| 49-0160 (09-13) |
Virginia - Service of Suit
| M(VA) | |
| 49-0165 (04-14) |
Service of Suit
| M(AZ,CT,DE,LA,NJ,RI,TN) | Applies to policies effective 7/20/2014 and later. |
| 49-0165 (04-14) |
Service of Suit
| M(AZ,CT,DE,LA,NJ,RI,TN) | Applies to policies effective prior to 07/20/14. |
| 49-0166 (04-14) |
Common Policy Declarations
| M(AZ,CT,DE,LA,NH,NJ,RI,TN) | Applies to policies effective 7/20/2014 and later. |
| 49-0167 (05-14) |
Changes in Commercial General Liability
| M(ME,NJ) | |
| 49-0168 (06-14) |
Maine - Lead Exclusion
| M(ME) | |
| 49-0172 (07-14) |
Changes in Commercial General Liability
| M(NH) | |
| 49-0173 (09-14) |
Limitation of Coverage to Business Description
| O(NH) | |
| 49-0174 (12-14) |
Independent Contractors Limitation Endorsement
| M(NH) | |
| CG 21 86 12 04 |
EXCLUSION-EXTERIOR INSULATION AND FINISH SYSTEMS - WATERMARKED
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| DN990029TX (05 20) |
Texas Consumer Complaint Notice
| M(TX) | |
| GL 990260 (10-17) |
Changes in Commercial General Liability
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,UT,VA,WA,WI,WV,WY) | |
| IL 00 21 09 08 |
NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM) - WATERMARKED
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| IL 02 70 09 08 |
CALIFORNIA CHANGES - CANCELLATION AND NONRENEWAL - WATERMARKED
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| CG 02 24 (10-93) |
Texas - Earlier Notice of Cancellation Provided By Us
| O(TX) | |
| CG 03 00 (01-96) |
Deductible Liability Insurance
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) O(AL,CT,DE,GA,IA,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,OH,PA,RI,SC,SD,TN,VA,WI,WV,WY) | |
| CG 03 00 01 96 |
DEDUCTIBLE LIABILITY INSURANCE
| M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) | |
| CG 04 35 (12-07) |
Employee Benefits Liability Coverage
| O(AL,AR,AZ,CA,CO,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,WA,WI,WV,WY) | |
| CG 04 42 (11-03) |
Stop Gap - Employers Liability Coverage Endorsement - Washington
| O(WA) | |
| CG 20 07 (04-13) |
AI - Engineers, Architects or Surveyors
| O(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 20 07 (07-04) |
AI - Engineers, Architects or Surveyors
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 20 11 (01-96) |
AI - Managers or Lessors of Premises
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 20 11 (04-13) |
AI - Managers or Lessors of Premises
| O(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 20 12 (04-13) |
AI - State Permits/Authorizations
| O(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | For State/Governmental Agency/Subdivision or Political Subdivision permits/authorizations. |
| CG 20 12 (05-09) |
AI - State Permits/Authorizations
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | For State/Governmental Agency/Subdivision or Political Subdivision permits/authorizations. |
| CG 20 12 (05-09) |
AI - State Permits/Authorizations
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 20 18 (04-13) |
AI - Mortgagee, Assignee or Receiver
| O(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 20 18 (11-85) |
AI - Mortgagee, Assignee or Receiver
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 20 28 (04-13) |
AI - Lessor of Leased Equipment
| O(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 20 28 (07-04) |
AI - Lessor of Leased Equipment
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 20 32 (07-04) |
AI - Engineers, Architects or Surveyors not Engaged by the Named Insured
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NM,NV,OH,OK,OR,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 20 37 (04-13) |
AI - Owners, Lessees or Contractors - Completed Ops
| O(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |
| CG 20 37 (07-04) |
AI - Owners, Lessees or Contractors - Completed Ops
| O(AR,AZ,CA,CO,IA,ID,IL,IN,KS,KY,MA,MI,MN,MO,NC,NE,NV,OH,OK,PA,SC,SD,TX,UT,VA,WA,WI) | |
| CG 21 34 (01-87) |
Exclusion - Designated Work
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 34 NR (01-87) |
Exclusion - Designated Work
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | Applies to new residential work. |
| CG 21 53 (01-96) |
Exclusion - Designated Ongoing Operations
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 53 NR (01-96) |
Exclusion - Designated Ongoing Operations
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | Applies to new residential work. |
| CG 21 70 (01-15) |
Cap on Losses from Certified Acts of Terrorism
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 21 73 (01-15) |
Exclusion of Certified Acts of Terrorism
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| CG 27 19 (07-09) |
New Hampshire - Employee Benefits
| O(NH) | |
| CG 27 21 (04-13) |
Connecticut - Employee Benefits
| O(CT) | |
| CG 32 12 (12-04) |
New Mexico AI - Owners, Lessees or Contractors - Completed Operations
| O(NM) | Applies to policies effective prior to 08/01/14. |
| CG 32 63 (10-05) |
Oregon AI - Owners, Lessees or Contractors - Completed Operations
| O(OR) | |
| CG 32 98 (07-10) |
Virginia Employee Benefits Liability Coverage
| O(VA) | |
| CG 33 78 (05-10) |
Colorado Changes - Employee Benefits Liability Coverage
| O(CO) | |
| IL 09 85 (01-15) |
Disclosure Pursuant to Terrorism Risk Insurance Act
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0113 (07-11) |
Sunset Provision
| O(AL,AR,AZ,CA,CO,DE,GA,IA,ID,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,SC,SD,TN,UT,WA,WI,WV,WY) | Three year reporting period. |
| 49-0114 (07-11) |
Contractors Amendatory Endorsement
| O(CA,NV,OR,WA) | |
| 49-0116 (07-11) |
Scheduled AI Endorsement
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | Excludes Residential. |
| 49-0117 (07-11) |
Limitation of Coverage to Business Description
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | |
| 49-0119 (07-11) |
Amendment - Aggregate Limits of Insurance
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NH,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WA,WI,WV,WY) | Per project. |
| 49-0136 (07-11) |
Stop Gap - Employers Liability Coverage Endorsement - Oregon
| O(OR) | |
| 49-0138 (07-11) |
Contractors Errors and Omissions (Without Labor)
| O(AL,AZ,CA,CO,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,NC,ND,NE,NJ,NM,NV,OK,OR,PA,RI,SC,TN,TX,UT,WI,WV,WY) | $500 Deductible. |
| 49-0139 (07-11) |
Extended Reporting Period
| O(AL,AR,AZ,CA,CO,DE,GA,IA,ID,IL,IN,KS,KY,LA,MA,ME,MI,MN,MO,MS,ND,NE,NJ,NM,NV,OK,OR,PA,RI,SC,SD,TN,TX,UT,VA,WI,WV,WY) | |
| 49-0140 (12-12) |
Extended Reporting Period - North Carolina
| O(NC) | |
| 49-0142 (12-12) |
Contractors Errors and Omissions (Without Labor) - South Dakota
| O(SD) | $500 Deductible. |
| 49-0146 (07-11) |
Contractors Errors and Omissions (Without Labor) - Ohio
| O(OH) | $500 Deductible. |
| 49-0147 (12-12) |
Extended Reporting Period - Ohio
| O(OH) | |
| 49-0149 (07-11) |
Contractors Errors and Omissions (Without Labor) - Arkansas
| O(AR) | $500 Deductible. |
| 49-0157 (06-13) |
Independent Contractors Limitation Endorsement
| O(AL,AR,AZ,CA,CO,CT,DE,GA,IA,ID,IL,IN,KS,KY,MA,ME,MI,MN,MO,MS,MT,NC,ND,NE,NJ,NM,NV,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,WA,WI,WV,WY) | Applies to policies effective (and later): CT - 12/15/14, DE - 10/16/14, IL - 05/21/13, ME - 07/28/14, MS - 05/01/14, MT - 01/01/14, ND - 08/27/14, NJ - 09/01/14, RI - 02/06/15, SD - 12/01/12, TN - 05/28/14, TX - 06/15/14, WY - 01/01/14 and
All Other States - 07/20/14 |
| 49-0162 (09-13) |
Contractors Errors and Omissions (Without Labor) - Virginia
| O(VA) | $500 Deductible. |
| 49-0169 (06-14) |
New Jersey - Lead Exclusion
| O(NJ) | |
| CG 20 32 (04-13) |
AI - Engineers, Architects or Surveyors not Engaged by the Named Insured
| O(AL,CT,DE,GA,LA,ME,MS,MT,ND,NH,NJ,RI,TN,WV,WY) | |