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 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 07 98 EXCLUSION-CONTRACTORS-PROFESSIONAL LIABILITY - WATERMARKED M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) 
CG 02 00 (12-07) Illinois Changes - Cancellation and Nonrenewal M(IL) 
IL 01 46 08 10 WASHINGTON COMMON POLICY CONDITIONS M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) 
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 43 (09-07) Montana Changes M(MT) 
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 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 79 09 08 OREGON CHANGE - CANCELLATION AND NONRENEWAL M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,WA) 
49-0109 (07-11) Independent Contractors M(VA) O(CT,LA,ME,RI) 
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) 
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 03 00 01 96 DEDUCTIBLE LIABILITY INSURANCE M(AR,AZ,CA,CO,ID,NM,NV,OK,OR,TX,UT,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 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 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) 
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.