Admitted AmTrust Artisan Forms List (01-01-2014)
 FORM NUMBERFORM TITLETYPENotes
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) 
ADDITIONAL(INSURED)
• ALL Additional Insured Endorsements must be requested by your agent on the Website.
• All requests related to work that is outside program guidelines will be rejected.