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City Of Decatur <br /> Program Details (Cont.) <br /> Incident or Claim Reporting Provision: <br /> REPORTING • • DESCRIPTION <br /> Notice to Third Party Administrator As soon as practical <br /> Extended Reporting Period(ERP)Options*: <br /> DESCRIPTION PREMIUM PREMIUM DUE LENGTH % OF <br /> AMOUNTDATE PREMIUM <br /> Refer to attached policy 30 days One 100% <br /> form Year <br /> *If ERP coverage is desired, then that request must be in writing to the carrier. <br /> Endorsements include, but are not limited to: <br /> DESCRIPTION <br /> Common Declarations Page <br /> Signatures <br /> Protected Self-Insurance Package Coverage Form <br /> Statutory Requirement Endorsement <br /> Service of Process-IL Endorsement <br /> Endorsement-Contingent Tax Interruption Coverage <br /> ............ ....... <br /> If You Choose to Purchase TRIPRA Coverage Per the Premium Quoted Above and the Attached Disclosure Notice: <br /> Cap on Losses from Certified Acts of Terrorism <br /> Exclusions include, but are not limited to: <br /> COVERAGE • <br /> General Liability Bodily Injury and Property Damage from pollutants-Absolute Exclusion <br /> -- -- --- <br /> General Liability Losses arising from the ownership maintenance or use of aircraft,autos,or watercraft, <br /> with some minor exceptions including certain contractual obligations <br /> ------------------111- ------- <br /> General Liability Employment Related Practices Exclusion <br /> General Liability Liquor Liability Exclusion <br /> --- — — <br /> General Liability Aircraft Products Exclusion <br /> General Liability Professional Liability Exclusion <br /> ...._- _.. <br /> General Liability Real Property in Your Care,Custody,and Control Exclusion <br /> General Liability Absolute Asbestos Exclusion <br /> ......... ---- .........--- _ _ _.._ _.. __._ _ <br /> General Liability Absolute Lead Exclusion <br /> General Liability War and Nuclear Hazard <br /> General Liability Mold/Fungus <br /> EBL Dishonest,fraudulent,criminal or malicious act or omission <br /> Arthur J.Gallagher Risk Management Services,Inc. <br /> 17 <br />