Laserfiche WebLink
SCHEDULE 3 <br /> Effective 11/2 9/2 0 2 3 ,this schedule forms apart of Policy No. 7 9 3-01-19-31-0 0 0 2 <br /> (At the time stated in the policy) <br /> issued to <br /> CONFLUENCE TECHNICAL SERVICES, INC. <br /> DBA CONFLUENCE <br /> Producer: VAN OPPEN & CO . 2, INC. <br /> by Atlantic Specialty Insurance Company <br /> Commercial Auto Coverage Part Declarations, ACA 01 03 10, <br /> Continued: <br /> Forms Applicable to the Auto Coverage Part: <br /> ACA 01 03 10 BUSINESS AUTO DEC (PART I) <br /> ACA 02 03 10 BUSINESS AUTO DEC (PART II) <br /> ACA 03 03 10 BUSINESS AUTO DEC (PART III) <br /> CA 00 01 10 13 BUSINESS AUTO COVERAGE FORM <br /> CA 01 43 05 17 CA CHANGES <br /> CA 04 24 10 13 CA AUTO MEDICAL PAYMENTS COVERAGE <br /> CA 20 01 10 13 LESSOR - ADDITIONAL INSURED AND LOSS PAYEE <br /> CA 21 54 10 13 CA UNINSURED MOTORISTS COVERAGE - BODILY <br /> INJURY <br /> CA 23 84 10 13 EXCLUSION OF TERRORISM <br /> CA 99 44 10 13 LOSS PAYABLE CLAUSE <br /> CA 99 48 10 13 POLLUTION LIABILITY-BROADENED COV FOR COVERED <br /> AUTOS <br /> IL 00 21 09 08 NUCLEAR ENERGY LIABILITY EXCL (n/a to NY or <br /> WA) <br /> OB IL 006 06 17 UNINTENTIONAL ERRORS OR OMISSIONS <br /> VCA 201 06 18 BROAD FORM AUTOMOBILE ENDORSEMENT <br /> VCA 210 04 13 NAMED DRIVER EXCLUSION ENDORSEMENT <br /> VCA 220 03 16 PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE <br /> CONDITION - SCHEDULED PERSON OR ORGANIZATI <br /> ASC 00 11 01 98 Schedule 3 - AUTO FORMS LIST <br /> ASC 00 11 01 98 Schedule 4 - UNINSURED MOTORIST <br /> ASC 00 11 01 98 Schedule 5 - AUTO LOSS PAYEE SCHEDULE <br /> 3 0-00-0000 11/27/2023 LFC CPW PR 1 . 000 <br /> ASC 00 11 01 98 POLICY SCHEDULE <br /> E-INSURED Page 1 of 1 <br />