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Interline Forms (Common Policy Forms)

43 forms available for IL

Coverage (2 forms)

Form Code Title Latest Edition States
IL 00 03Calculation Of Premium 07 02 All States
IL 00 17Common Policy Conditions 11 98 All States

Declaration (1 forms)

Form Code Title Latest Edition States
IL DS 00Common Policy Declarations 01 06 All States

Endorsement (30 forms)

Form Code Title Latest Edition States
IL 00 01Agreement Of Reinsurance 05 01 All States
IL 00 02Additional Insured - Manager Or Lessor Of Premises 11 85 All States
IL 00 09Additional Insured - (Engineers, Architects Or Surveyors) 11 85 All States
IL 00 30Exclusion Of Terrorism 01 06 All States
IL 00 31Exclusion Of Terrorism Involving Nuclear, Biological Or Chemical Terrorism 01 06 All States
IL 00 32Limitation Of Coverage For Terrorism - Sub-Limit On Annual Aggregate Basis 01 06 All States
IL 01 03Notice Of Cancellation To Designated Additional Insured Or Mortgagee 11 85 All States
IL 01 20Pennsylvania Changes - Defense Costs Outside Policy Limits 05 15 PA
IL 02 46Pennsylvania Changes - Cancellation And Nonrenewal 06 99 PA
IL 04 15Protective Safeguards 07 87 All States
IL 09 00Retrospective Premium Endorsement - One Year Plan - Standard Premium Basis 07 02 All States
IL 09 03Retrospective Premium Endorsement - Three Year Plan - Standard Premium Basis 07 02 All States
IL 09 10Pennsylvania Notice Product Liability Claims 10 90 PA
IL 09 11Supplement to Retrospective Premium Endorsement - Final Premium Computation 04 98 All States
IL 09 17Resident Agent Countersignature Endorsement 11 85 All States
IL 09 18Retrospective Premium Endorsement - One Year Plan - Multiple Lines 04 98 All States
IL 09 19Retrospective Premium Endorsement - Three Year Plan - Multiple Lines 04 98 All States
IL 09 20Retrospective Premium Endorsement - Long Term Construction Project - Multiple Lines 04 98 All States
IL 09 21Retrospective Premium Endorsement - Short Form 04 84 All States
IL 09 22Retrospective Premium Endorsement - Exclusion Of Aviation Exposures 04 98 All States
IL 09 23Retrospective Premium Endorsement - Exclusion Of Retrospective Development Factors 04 98 All States
IL 09 52Exclusion Of Certified Acts Of Terrorism And Other Acts Of Terrorism Committed Outside The United States; Cap On Losses From Certified Acts Of Terrorism 12 07 All States
IL 09 53Exclusion Of Certified Acts Of Terrorism 01 15 All States
IL 09 60Cap On Losses From Certified Acts Of Terrorism (Relating To Deductible) 01 15 All States
IL 09 68EXCLUSION OF CERTIFIED ACTS OF TERRORISM AND EXCLUSION OF OTHER ACTS OF TERRORISM COMMITTED OUTSIDE THE UNITED STATES (RELATING TO OTHER THAN WORKERS COMPENSATION INSURANCE) 11 02 All States
IL 09 86Exclusion Of Certified Acts Of Terrorism Involving Nuclear, Biological, Chemical Or Radiological Terrorism; Cap On Covered Certified Acts Losses 03 08 All States
IL 09 87Limitation Of Coverage For Certified Acts Of Terrorism (Sub-Limit On Annual Aggregate Basis) 03 08 All States
IL 09 95Conditional Exclusion Of Terrorism (Relating To Disposition Of Federal Terrorism Risk Insurance Act) 05 04 All States
IL 09 97Conditional Limitation Of Coverage For Terrorism - Sub-Limit On Annual Aggregate Basis (Relating To Disposition Of Federal Terrorism Risk Insurance Act) 01 07 All States
IL 09 98Disclosure Of Premium Through End Of Year For Certified Acts Of Terrorism Coverage (Pursuant To Terrorism Risk Insurance Act) 01 15 All States

Exclusion (7 forms)

Form Code Title Latest Edition States
IL 00 21Nuclear Energy Liability Exclusion Endorsement (Broad Form) 04 86 All States
IL 02 75Exclusion Of Certified Acts Of Terrorism 04 02 All States
IL 02 80Exclusion - War, Military Action And Terrorism 11 01 All States
IL 02 90Fungi Or Bacteria Exclusion 09 01 All States
IL 02 93Communicable Disease Exclusion 07 02 All States
IL 09 78Alaska - Exclusion of Certified Acts Of Terrorism 01 15 AK
IL 09 96Conditional Exclusion of Terrorism Involving Nuclear, Biological or Chemical Terrorism (Relating to Disposition of Federal Terrorism Risk Insurance Act) 01 07 All States

Other (3 forms)

Form Code Title Latest Edition States
IL 09 85Disclosure Pursuant to Terrorism Risk Insurance Act 01 03 All States
IL 09 99Disclosure Of Premium And Estimated Premium For Certified Acts Of Terrorism Coverage (Pursuant To Terrorism Risk Insurance Act) 05 04 All States
IL 12 01Policy Changes 05 86 All States