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ML Forms List

  Form #  Description

Edition Dates

 ML-1(R) Basic Perils Section

6/99

6/90

1/87
 ML-1F Causes of Loss Section-Coverage E, F and G

6/99

 ML-1T Basic Perils Section 6/99 6/90 1/87
 ML-2 Broad Form Perils Section 6/99 6/90 1/87
 ML-2F Causes of Loss Section-Coverage E, F and G

6/99

 ML-2T Broad Form - Downstate 6/99 6/90 1/87  
 ML-3 Special Form Perils Section 6/99 6/90 1/87           
 ML-3F Causes of Loss Section-Coverage F

6/99

 ML-3T Special Form - Downstate 6/99 6/90 1/87           
 ML-4 Renters Form 6/99 1/87           
 ML-4T Renters Form - Downstate 6/99 1/87           
 ML-5 Comprehensive Form 6/99 6/91           
 ML-5T Comprehensive Form - Downstate 6/99 6/91           
 ML-6 Coverage E & F - Farms 1/87           
 ML-6F Causes of Loss Section-Coverage E, F and G

6/99

 ML-7 Cov. E. Unsched. Farm Pers. Prop. 1/87           
 ML-8 Limited Form Perils Section 6/99 6/90 1/87           
 ML-9 Liability Coverage Section 1/87           
 ML-9A Personal Liability Coverage Section

6/99

 ML-10 Liability Coverage Section - Farm 1/87
 ML-10F Liability Coverage Section - Farm

6/99

 ML-11 Liability Coverage Section - Farm 6/99 1/87           
 ML-13 ACV Endorsement 6/99 11/90           
 ML-14 Punitive Damages Exclusion 6/99 6/91           
 ML-15 Condo/Shared Ownership Housing 6/99 4/95           
 ML-16 Comparable Value Homeowners 6/99 4/95           
 ML-16F Comparable Value Homeowners

1/14

 
 ML-17 Theft of Building Materials 6/99 5/95           
 ML-18 Supplemental Declarations

6/99

 ML-19ML Policy Endorsement 10/06      
 ML-19-DISCML Policyholder Disclosure Notice 11/06      
 ML-20 Agreement 6/99 1/87           
 ML-20C Agreement

7/08

 ML-20F General Policy Provisions - Agreement

6/99

 ML-21 Suit Against Us Amendatory Endorsement

5/10

 ML-21-DISC Disclosure Notice - Suit Against Us Amendatory Endorsement

11/10

 ML-23 Additional Household Members Coverage

9/07

 ML-24 Residence Special Loss Settlement 6/99 6/89           
 ML-24A Residence Special Loss Settlement 6/99 3/96           
 ML-24A DISC Policyholder Disclosure Notice 12/96           
 ML-25 Consent to Move Mobile Home 6/99 1/87           
 ML-25F Coverage F - Replacement Cost Provision

6/99

 ML-26 Collision or Upset Coverage 6/99 1/87           
 ML-27 Add'l Secured Party's Interest 6/99 1/87           
 ML-28 Add'l Secured Party's Interest 6/99 1/87           
 ML-29 Assisted Living Care Facility Resident Cov 9/07           
 ML-31 Condo Unit Owners Additions 6/99 1/87           
 ML-32 Condo Unit Owners Additions 6/99 1/87           
 ML-33 Unit Owners Rental to Other 7/08 6/99 1/87           
 ML-34 Related Private Structures & Condo 6/99 1/87           
 ML-35 Condo Loss Assessment 9/08 6/99 1/87           
 ML-35A Earthquake Loss Assessment 6/99 1/87           
 ML-36 Condo - Additional Ordinance or Law Coverage 4/10           
 ML-37 Glass Breakage Endorsement Condo 6/99 1/87           
 ML-39 Deductible Endorsement 1/87           
 ML-40 Related Private Structures Rented 6/99 1/87           
 ML-41 Additional Insured 6/99 7/98 1/87           
 ML-41A Additional Insured 6/99 4/92           
 ML-42 Office, Prof., School, Studio Use 12/00 6/99 1/87           
 ML-43 Office, Prof., School, Studio Use 12/00 6/99 1/87           
 ML-45 Change Endorsement 6/99 1/87           
 ML-45F Farmowners Change Endorsement 6/99 1/87           
 ML-45NP No Change in Premium End. 6/99 1/87           
 ML-46 Personal Injury Endorsement 12/00 6/99 1/87           
 ML-47 Incidental Business Pursuits 6/99           
 ML-48 Related Private Structures 6/99 1/87           
 ML-48C Related Private Structures

7/08

 ML-49 Outdoor Antennas Higher Limits 6/99 1/87           
 ML-50 Homeowner's Assoc. Loss Assess. 6/99 1/87           
 ML-51 Tenant's Improvements & Betterments 6/99 1/87           
 ML-52 Trampoline Exclusion 6/99             
 ML-52A Trampoline Exclusion 6/99 12/98           
 ML-53 Earthquake Loss Assess.-Homeowners 6/99 1/87           
 ML-54 Earthquake 6/99 1/87           
 ML-55 Replacement Value Coverage C 6/99 1/87           
 ML-56 Related Private Structures Exclusion End. 7/10             
 ML-57 Credit Card, Forgery & Counterfeit Money 12/00 6/99 1/87           
 ML-58 Residence Rental Theft 12/00 6/99 1/87           
 ML-59 Lead Exclusion 3/96 6/99           
 ML-59 DISC Policyholder Disclosure Notice 6/07      
 ML-59D DISC Policyholder Disclosure Notice 12/96           
 ML-60 Modification of Terminology 6/99 9/96           
 ML-61 Scheduled Personal Property End. 12/00 6/99 1/87           
 ML-62 Causes of Loss - Coverage E and/or G 6/99           
 ML-63H Higher Limit of Liability on Certain Property 7/08 6/9
 ML-64H Higher Limit of Liability on Certain Property 9/07           
 ML-65H Higher Limit of Liability on Certain Property 6/99 1/87           
 ML-66 Personal Prop. Higher Limit Away 6/99 1/87
 ML-67 Other Residence Coverage 12/00 6/99 1/87           
 ML-68 Scheduled Glass 6/99 1/87           
 ML-69 Physicians, Surgeons, Dentists, Vets 12/00 6/99 1/87           
 ML-70 Additional Residence Premises Rented 12/00 6/99 1/87           
 ML-70A Additional Residence Premises Rented 12/00           
 ML-70A DISC Policyholder Disclosure Notice 1/05           
 ML-71 Business Activities 12/00 6/99 1/87           
 ML-72 Added Water Damages Coverage 1/08               
 ML-72A Added Water Damages Coverage 5/13               
 ML-73 Earth Movement Exclusion Clarification 5/10               
 ML-74 Incidental Motorized Vehicle Coverage Amendatory Endorsement 3/12               
 ML-74-DISC Policyholder Disclosure Notice 5/12               
 ML-75 Watercraft-Liability 12/00 6/99 1/87           
 ML-77 Pollution Extension 10/02
 ML-78 Sudden/Accidental Pollution End. 8/03 8/88           
 ML-79 Storm Extender Endorsement 2/99           
 ML-82 Golf Cart Liability Extension 6/99 2/99           
 ML-83 Amendment of Policy Conditions 2/02 6/99 12/97           
 ML-84 New York Amendatory End. 11/91 10/87 10/02  8/07
 ML-84 DISC Policyholder Disclosure Notice 2/08           
 ML-84A New York Amendatory End. 1/88           
 ML-86 Secondary/Seasonal HO Cov. Limitation End. 7/10             
 ML-87 Exclusion-Asbestos, Dioxin, PCB 6/99 7/88           
 ML-89 Related Priv. Struct. Away From Prem. 6/99 9/96           
 ML-99 Calendar Date Exclusion 6/99 5/98           
 ML-117 Business Definition Clarification 5/12             
 ML-117-DISC Policyholder Disclosure Notice 7/12             
 ML-119 Incidental Property Cov. (Debris Removal) 3/13             
 ML-119-DISC Policyholder Disclosure Notice 7/13             
 ML-122 Birds, Vermin, Rodents, Insects, Raccoons, Skunks or Domestic Animals Exclusion        (For Use With ML-3 and ML-3T) 5/12             
 ML-123 Birds, Vermin, Rodents, Insects, Raccoons, Skunks or Domestic Animals Exclusion        (For Use With ML-5 and ML-5T) 5/12             
 ML-122/123-DISC Policyholder Disclosure Notice 8/12             
 ML-124 Roof Surface Actual Cash Value Loss Settlement 8/13             
 ML-124-DISC Policyholder Disclosure Notice 10/13             
 ML-147 Homeowners' Increased Cov. 1/02 6/99 1/87           
 ML-147F Farmowners' Increased Cov. 1/87           
 ML-148 Homeowners' Extra Cov. 1/02 6/99 1/87           
 ML-148F Farmowners' Increased Cov. 1/87           
 ML-150 Homeowners' Plus

3/08

1/02 6/99 6/91
 ML-150A Homeowners' Plus 1/02 6/99 6/91           
 ML-150B Homeowners' Plus 1/02 8/00           
 ML-151 Homeowners' Deluxe 1/02 6/99 6/91           
 ML-151A Homeowners' Deluxe 1/02 6/99 6/91           
 ML-152A Plus End. 7/08           
 ML-164 Snowmobile-Liability 12/00 6/99 1/87           
 ML-165 Storm/Hurricane Shutter End. 12/95           
 ML-165A Storm/Hurricane Shutter End. 6/99           
 ML-166 Hurricane Resistant Glass End. 1/99           
 ML-167 Dead Bolt Lock Endorsement 2/99           
 ML-171 Personal/Farm Computer End. 6/99             
 ML-178 Ins. By More Than One Co. 6/99 9/95 1/87           
 ML-181 Deferred Prem. Pay. Plan 6/99 1/87 1/87           
 ML-184 Inflation Guard 6/99 1/87           
 ML-185 Automatic Inflation Protection 12/05      
 ML-186 Limited Theft Coverage 6/99 1/87           
 ML-187 Extended Theft Coverage 6/99 1/87           
 ML-188 Special Theft Deductible 6/99 1/87           
 ML-189 Identity Fraud Endorsement 10/01           
 ML-200 Short Duration Policy End. 6/99 10/95           
 ML-209 Waterbed Liability 12/00 6/99 1/87           
 ML-216 Premises Alarm 6/99 1/87           
 ML-217 Intentional Acts Clarification 9/99           
 ML-243 Inflation Guard 6/99 1/87           
 ML-243A Inflation Guard 6/99 7/95           
 ML-244 Related Struct. Not Used for Business 9/94           
 ML-300 Sched. Farm Pers. Prop. Cov. E 6/99 1/87           
 ML-301 Coverage B - Scheduled Private Structures 6/99           
 ML-302 Farm Personal Property Not Covered - Cov. G 6/99           
 ML-303 Sched. Barns, Bldgs. Cov. F 6/99 1/87           
 ML-304 Restriction of Individual Policies 6/99             
 ML-305 Refrigerated Food Products 6/99 1/87           
 ML-305A Refrigerated Food Products 6/99 1/87           
 ML-309 Other Locations 6/99 1/87           
 ML-311 Farm Employers Liability Schedule 6/99 1/87           
 ML-313 Custom Farming Liability Only 6/99 1/87           
 ML-315 Additional Insured 6/99 7/98 1/87           
 ML-315A Additional Insured 6/99 7/98 1/87           
 ML-316 Additional Insured 6/99 7/98 1/87           
 ML-316A Additional Insured 6/99 7/98 1/87           
 ML-317 Property in Control of Insured 6/99 1/87           
 ML-319 Excl. Farm Emp's Illegally Employed 6/99 1/87           
 ML-320 Animal Care, Custody & Control 6/99 1/87           
 ML-321 Animal Boarding Coverage 6/99 1/87           
 ML-321A Animal Boarding End. 6/99 1/87 <="center">           
 ML-322 Fruit Vegetable Farming / U Pick 6/99 1/87           
 ML-323 Wt. of Ice, Snow or sleet Coverage 6/99 1/87           
 ML-324 Blizzard Coverage - Livestock 6/99 1/87           
 ML-325 Borrowed Farm Machinery 6/99 1/87           
 ML-326 Incidental Business Pursuits 6/99 1/87           
 ML-327 Incidental Business Pursuits 6/99 1/87           
 ML-330 Exclusion of Plastic/Fabric Coverings 6/99           
 ML-331 Redefinition of Residence 6/99           
 ML-337 Animal Collision 6/99 1/87           
 ML-339 Farmer's Med. Pay. 6/99 1/87           
 ML-340 Exclusion (Farm Animals) 5/00           
 ML-341 Raw Milk and Raw Milk Products Exclusion 5/13           
 ML-341-DISC Policyholder Disclosure Notice 8/13           
 ML-344 Additional Spoilage Options 6/05           
 ML-345 Mech., Electrical Or Pressure Sys.  Breakdown 7/04
 ML-346 Mech., Electrical Or Pressure Sys.  Breakdown 8/06      
 ML-346A Mech., Electrical Or Pressure Sys.  Breakdown 5/11 12/07    
 ML-346B Equipment Breakdown Enhancement End. 9/13      
 ML-346BG Equipment Breakdown Enhancement End. 9/13      
 ML-347 Capped Mold Remediation Endorsement 3/04      
 ML-347 DISC Disclosure Notice (Capped Mold Remediation) 6/05      
 ML-349 Falling Objects Coverage 6/99           
 ML-350 Glass Coverage 6/99 1/87           
 ML-351 Farm Ops. Records Expenses 6/99 1/87           
 ML-352 Peak Seasons Inventory 6/99 1/87           
 ML-355 Farm Extra Expense 6/99 1/87           
 ML-356 Added Animal Perils 6/99 1/87           
 ML-357 Private Structures Rented to Others 12/00 6/99 1/87           
 ML-358 Dairyman's Loss of Earnings 6/99 1/87           
 ML-359 Loss of Value - Dairy Cows 12/00           
 ML-360 Ordinance and Law Coverage 6/99 1/99           
 ML-361 Additional Acquired Property 6/99 1/87           
 ML-362 Bulk Milk Coverage 6/99 12/89           
 ML-363 Limited Professional Liability Co. 6/99 3/89 1/05           
 ML-364 Excl. of Intra-Familial Liability 6/99 3/89           
 ML-365 Modification of Definition of Insured 10/91           
 ML-366 Debris Removal Extensions 12/00 6/99 3/92           
 ML-367 Milk Contamination Deductible 6/99 11/93           
 ML-368 Windstorm Wrap-Around 12/00 6/99 12/93           
 ML-368S Wrap-Around Schedule 12/00 6/99 12/93           
 ML-369 Windstorm Wrap-Around 12/00 6/99 12/93           
 ML-369S Wrap-Around Schedule 12/00 6/99 12/93           
 ML-370 Windstorm Wrap-Around 12/00 6/99 12/93           
 ML-371 Windstorm Deductible 6/99 12/93           
 ML-372 Windstorm Deductible 6/99 12/93           
 ML-373 Exclusion of Canine Related Injuries or Damage 3/04 4/06
 ML-373 DISC Policyholder Disclosure Notice 3/04 8/06
 ML-373H Hurricane Deductible 12/98 11/05           
ML-373H DISC Disclosure Notice Hurricane Deductible 11/05      
 ML-374 Replacement Cost Provision 6/99 2/94
ML-375 Siding and/or Roofing Matching Coverage 12/05      
 ML-380 Coverage E and/or G - RC Endorsement 6/99           
 ML-390 Specific Property Deductible End. 6/99 1/87           
 ML-391 Farm Produce Seasonal Variation 6/99 1/87           
 ML-413 Farm Pollution Liability Endorsement 6/99           
 ML-414 Farm Pollution Liability 6/99 1/87           
 ML-415 Fruit or Vegetable Farm/U Pick 6/99 1/87           
 ML-416 Seasonal/Secondary Homeowners 6/99 2/92           
 ML-420 Farm Extender Endorsement 6/99 3/98           
 ML-421 Farm Extender Endorsement (Limited) 6/99           
 ML-422 Special Events Endorsement 6/99           
 ML-424 Commercial Conditions Provisions 6/99           
 ML-425 Personal Conditions Provisions 6/99           
 ML-426 Commercial Cancellations 1/87           
 ML-427 Windstorm/Hail Deductible 4/96           
 ML-430 Continuous Renewal End. 6/99 1/91           
 ML-430A Renewal Endorsement 2/08             
 ML-430B Renewal Endorsement 2/08             
 ML-511 Boat Pak Agreement 4/99           
 ML-512 Supplemental Declarations 2/99           
 ML-513 Uninsured Boaters Endorsement 2/99           
 ML-514 Personal Property Endorsement 2/99           
 ML-515 Stated Value Endorsement 12/99           
 COMM CANC Cancellation and Renewal Provisions 7/86           
 ML-DISC Disclosure Notice 6/99           
 ML-DISC2 Disclosure Notice (Trampoline Excl.) 12/00           
 FO-DISC 1/07           
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