LS Forms DMIC LS - 76B (05/98) - EXCLUSION (CERTAIN SKIN CARE SERVICES) DMIC LS -98 (05/98) - TANNING BED LIABILITY LS - 1 (01/88) - PREMISES/OPS. LIABILITY INSURANCE LS - 1S (01/88) - PREM/OPS. LIABILITY INS. SCHEDULE LS - 2 (01/88) - COVERAGE M - PREMISES MED. PAY LS - 3 (01/88) - MANUFACTURERS & CONTRACTORS LIABILITY LS - 3S (01/88) - M & C LIABILITY INSURANCE SCHEDULE LS - 4 (01/88) - STOREKEEPERS LIABILITY INSURANCE LS - 4S (01/88) - STOREKEEPERS LIAB. INS. SCHEDULE LS -5 (01/88) - BUSINESS GENERAL LIABILITY INS. LS -5 (03/93) - BUSINESS GENERAL LIABILITY INS. LS - 5S ( 01/88) - BUS. GEN. LIABILITY INS. SCHEDULE LS - 6 ( 01/88) - BUS. GEN. LIAB. (EXTRA COVERAGE) LS - 8 (01/88) - OWNERS & CONTRACTORS PORT. LIAB. INS. LS - 8S (01/88) - OWN. & CONTR. PROT. LIAB. SCHEDULE LS - 10 (01/88) - AMENDMENT OF LIMITS OF LIABILITY LS - 11 (01/88) - REAL ESTATE AGENTS LS - 14 (01/88) - EXCLUSION (ATHLETIC PARTCIPANTS) LS - 15 (01/88) - EXCLUSION (LAUNDRY & DRY CLEANING) LS - 16 (01/88) - EXCLUSION (NAMED INSURED'S PRODUCTS) LS - 16B (01/88) - EXCLUSION (PRODUCTS/COMP. OPS. HAZ.) LS - 16D (01/88) - EXCLUSION (NAMED INSURED'S PRODUCTS) LS - 16E (01/88) - EXCLUSION (COMPLETED OPERATIONS) LS - 18 (01/88) - OPERATIONS EXCLUSION LS - 19 (01/88) - ADD'L INSURED (PREM. LEASED TO INS.) LS - 19 (07/98) - ADD'L INSURED (PREM. LEASED TO INS. ) LS - 21 (01/88) - ADDITIONAL INSURED (EMPLOYEE) LS - 22 (01/88) - ADDITIONAL INSURED LS - 23 (01/88) - ADDITIONAL INSURED (CLUB MEMBERS) LS - 25 (01/88) - ADD'L INSURED (STATE OR POLITICAL SUBDIV.) LS - 25 (07/98) - ADD'L INSURED (STATE OR POLITICAL SUBDIV.) LS - 26 (01/88) - EXPLOSION, COLLAPSE, U/G PROP. DAM. LS - 27 (01/88) - PRODUCTS - DESIGNATED OPERATIONS LS - 29 (01/88) - BOATS (DESCRIBED WATERCRAFT) LS - 32 (01/88) - CLUBS LS - 33 (01/88) - HOTELS AND MOTELS LS - 37 (01/88) - COLLEGES OR SCHOOLS LS - 38 (01/88) - MANUFACTURED HOME PARKS LS - 42 (01/88) - PROD/COMP. OPS. (FOOD/BEV.) LS-1 & LS-3 LS - 42A (01/88) - PROD/COMP. OPS. (FOOD/BEV.) LS-5 & LS-6 LS - 43 (01/88) - PROD/COMP. OPS. (NO FOOD/BEV.) LS-1 & LS-3 LS - 44 (01/88) - BARBER/BEAUTY SHOP LIABILITY LS - 45 (01/88) - CLERGYPERSON PROF. LEGAL LIAB. COV. LS -46 (01/88) - MORTICIANS' OR CEMETERY COVERAGE LS -47 (01/88) - DURGGISTS' LIABILITY COVERAGE LS - 48 (01/88) - FIRE LEGAL LIABILITY LS -48A (12/98) - FIRE LEGAL LIABILITY LS - 49 (01/88) - PERSONAL INJURY LS - 49 (09/95) - PERSONAL INJURY LS - 50 ( 01/88) - EMPLOYERS NON-OWNERSHIP LIABILITY LS -50A (04/95) - HIRED & NON-OWNED AUTO COVERAGE LS - 55 (01/88) - DEDUCTIBLE LIABILITY COVERAGE LS - 56 (01/88) - DEDUCTIBLE LIAB. COV. (PROP. DAM.) LS - 59 (11/92) - LEAD EXCLUSION LS-70 (09/02) - BUSINESS PREMISES EXCLUSION OTHER THAN DESIGNATED PREMISES (FOR USE WITH LS-5 & LS-6) LS - 70A (09/02) - COVERAGE APPLICABLE TO DESIGNATED PREMISES OR PROJECT ONLY LS - 71 (03/89) - ADD'L INS. - VENDORS BROAD FORM LS - 72 (03/89) - EXCLUSION (SADDLE ANIMALS) LS - 73 (11/89) - ASSAULT & BATTERY EXCLUSION LS - 76 (07/91) - EXCLUSION (CERTAIN SKIN CARE SERVICES) LS - 76A (05/97) - EXCLUSION (CERTAIN SKIN CARE SERVICES) LS - 76B (05/98) - EXCLUSION (CERTAIN SKIN CARE SERVICES) LS - 78 (03/96) - EXCL. OF CERTAIN ROOFING OPERATIONS LS - 79 (05/97) - EXCLUSION OF SNOW/ICE CONTROL OPERATIONS LS - 80 (7/96) - REDEFINITION OF INSURED LS - 84 (10797) - NEW YORK AMENDATORY ENDORSEMENT LS - 99 (5/98) - CALENDER DATE EXCLUSION LS - 114 (12/07) - TERRORISM EXCULSION LS - 116 (1/08) - TERRORISM DISCLOSURE ENDORSEMENT LS - 415 (01/88) - ADDITIONAL INSURED
Dryden Mutual Insurance Company l 12 Ellis Drive l Dryden, NY 13053 Phone: 800-724-0560 l Fax: 607-257-0312 l mail@drydenmutual.com NAIC Company Code: 13919
