Oregon Mutual Insurance Company

California Commercial Umbrella
Sample Contract & Support Forms

close window

 

Locate a form by using your web browser's FIND feature listed under the Edit Menu or type Ctrl-F to open the pop-up window. Type the form's name or number and press enter.

Coverage Forms

CU 00 01 04 13 Commercial Liability Umbrella Coverage Form

Declarations and Schedules

M2070 (1-04) Common Policy Declarations - Oregon, Washington, Idaho, California
M2116U (9-04) Schedule of Underlying Insurance - Oregon, Washington, Idaho, California
M2053U (9-18) Commercial Umbrella Liability Policy Declaration - Oregon, Washington, Idaho, California

Endorsements and Other Forms

CU 21 12 09 00 Abuse or Molestation Exclusion
CU 21 70 12 07 Abuse or Molestation Exclusion - Specified Professional Services
CU 24 19 12 01 Additional Insured - Lessor and Loss Payee
CU 21 55 06 08 Amended Terrorism Coverage - Covered Autos
M2857U 10-12 Amended Terrorism Coverage - Farm
CU 27 02 12 04 Amendment-Extended Reporting Periods For Specific Accidents, Products, Work Or Location
CU 24 35 04 13 Amendment of Coverage Territory - Worldwide Coverage With Specified Exceptions
CU 24 30 04 13 Amendment of Insured Contract Definition
M2903U (12-16) Amendment of Liquor Liability Exclusion
CU 21 13 04 13 Amendment of Liquor Liability Exclusion - Oregon, Idaho, California
CU 21 14 04 13 Amendment of Liquor Liability Exclusion - Exception for Scheduled Premises or Activities - Oregon, Idaho, California
CU 24 13 04 13 Amendment of Personal & Advertising Injury Definition
M2358 (5-15) Asbestos and Lead Exclusion Endorsement
CU 24 07 09 00 Boats
M2670U (9-08) Bridge Endorsement
CU 24 16 09 00 Broad Form Products Coverage
M2811U (7-07) Buildings or Structures Under Construction
CU 01 91 05 05 California Changes
FB 01 14 05 05 California Changes
FB 02 01 05 05 California Changes - Cancellation and Non-Renewal
M2678UC 2-07 California Changes - Cancellation and Non-Renewal - Umbrella Liability Policy
CU 02 23 09 12 California Changes - Cancellation and Non-Renewal
CU 01 11 09 00 California Changes - Exclusion - Financial Institutions
IL N 018 01 22 California Fraud
M1007C (1-89) California Surcharge Explanation
CU 34 24 (12-19) Cannabis Exclusion with Hemp and Lessors Risk Exception
CU 24 40 12 07 Canoes or Rowboats
CU 22 21 12 04 Colleges or Schools
IL 00 17 11 98 Common Policy Conditions - Oregon, Idaho, California, Nevada
CU 21 58 05 09 Communicable Disease Exclusion
M0719AC (5-06) Consumer Affairs - Stuffer - California
CU 21 07 12 05 Contractual Liability Limitation
FB 10 08 09 03 Contractual Liability Limitation
CU 24 09 03 05 Contractual Liability - Railroads
CU 22 19 09 00 Corporal Punishment
CU 24 23 12 07 Coverage For Professional Services
M2904U (9-18) Driver Exclusions
CU 22 20 04 13 Druggists
CU 04 03 12 07 Employee Benefits Liability Coverage
CU 21 87 05 14 Exclusion - Access or Disclosure of Confidential or Personal Information and Data-Related Liability - Limited Bodily Injury Exception Not Included
FB 10 39 12 14 Exclusion - Access or Disclosure of Confidential or Personal Information and Data-Related Liability - Limited Bodily Injury Exception Not Included
FB 10 03 09 03 Exclusion - Advertising Injury Liability
CU 21 00 09 00 Exclusion - All Hazards In Connection With Designated Premises
FB 10 11 07 02 Exclusion - All Hazards In Connection With Designated Premises
CU 21 01 09 00 Exclusion - Athletic or Sports Participants
CU 22 00 09 00 Exclusion - Bodily Injury To Railroad Passengers
FB 10 25 09 03 Exclusion - Computer-Related Date Processing and Other Electronic Problems - With Exception for Bodily Injury on the Insured Location
CU 22 02 09 00 Exclusion - Corporal Punishment
CU 21 41 04 13 Exclusion - Counseling Services
CU 21 26 04 13 Exclusion - Cross Suits Liability
FB 10 04 09 03 Exclusion - Custom Farming
CU 22 61 12 01 Exclusion - Damage To Work Performed By Sub-Contractors On Your Behalf - Designated Sites Or Operations
CU 22 64 12 01 Exclusion - Damage To Work Performed By Sub-Contractors On Your Behalf
FB 10 13 07 02 Exclusion - Designated Auto, Recreational Motor Vehicle, Aircraft Or Watercraft
FB 10 15 07 02 Exclusion - Designated Non-Farm Activities
CU 21 16 09 00 Exclusion - Designated Ongoing Operations
CU 21 17 09 00 Exclusion - Designated Operations Covered By A Consolidated (Wrap-Up) Insurance Program
CU 21 43 12 04 Exclusion - Designated Products
FB 10 05 07 02 Exclusion - Designated Products - Off Premises
CU 21 03 09 00 Exclusion - Designated Work
FB 10 12 07 02 Exclusion - Designated Work
CU 21 59 04 13 Exclusion - Diagnostic Testing Laboratories
CU 21 05 06 15 Exclusion - Employees & Volunteer Workers As Insureds
FB 10 09 07 02 Exclusion - Employers Liability - Oregon, Idaho, California, Nevada
CU 22 22 09 00 Exclusion - Erroneous Delivery or Mixture And Resulting Failure of Seed To Germinate - Seed Merchants
CU 21 09 09 00 Exclusion - Explosion, Collapse and Underground Property Damage Hazard (Specified Operations)
CU 21 10 09 00 Exclusion - Explosion, Collapse and Underground Property Damage Hazard (Specified Operations Excepted)
CU 21 42 12 04 Exclusion - Exterior Insulation And Finish Systems
CU 22 09 04 13 Exclusion - Failure To Supply
CU 22 04 09 00 Exclusion - Fiduciary or Representative Liability of Financial Institutions
CU 21 15 04 13 Exclusion - Financial Services
CU 21 75 04 13 Exclusion - Insurance and Related Operations
CU 21 08 04 13 Exclusion - Intercompany Products Suits
CU 22 85 04 13 Exclusion - Internet Service Providers and Internet Access Providers Errors and Omissions
CU 22 10 09 00 Exclusion - Laundry and Dry Cleaning Damage
CU 22 11 09 00 Exclusion - Logging And Lumbering Operations
CU 21 04 03 05 Exclusion - New Entities
CU 21 24 06 15 Exclusion - Non-Owned Aircraft
CU 21 06 09 00 Exclusion - Personal and Advertising Injury
FB 10 02 07 02 Exclusion - Personal and Advertising Injury Liability
FB 10 07 09 03 Exclusion - Products and Completed Operations
CU 21 02 09 00 Exclusion - Products-Completed Operations Hazards
FB 10 06 07 02 Exclusion - Products Related To A Specific Premises Or Operation
CU 22 68 04 13 Exclusion - Professional Services - Blood Bank
CU 21 49 04 13 Exclusion - Professional Veterinarian Services
CU 22 01 09 00 Exclusion - Property Entrusted
CU 22 03 09 00 Exclusion - Riot, Civil Commotion or Mob Action - Governmental Subdivisions
FB 10 18 10 06 Exclusion - Silica or Silica-Related Dust - Oregon, Idaho, California, Nevada
CU 22 24 09 00 Exclusion - Telecommunication Equipment Or Service Providers Errors And Omissions
CU 22 84 04 13 Exclusion - Testing or Consulting Errors and Omissions
CU 21 71 06 15 Exclusion - Unmanned Aircraft
CU 21 20 09 00 Exclusion - Year 2000 Computer-Related And Other Electronic Problems - With Exception For Bodily Injury On Your Premises
FB 10 25 09 03 Exclusion - Year 2000 Computer-Related And Other Electronic Problems - With Exception For Bodily Injury On The Insured Location
CU 21 35 01 15 Exclusion of Certified Acts of Terrorism and Other Acts Committed Outside the United States
CU 21 40 01 15 Exclusion of Certified Nuclear, Biological, Chemical or radiological Acts of Terrorism; Cap on Losses from Certified Acts of Terrorism
CU 27 01 09 00 Exclusion of Specific Accidents, Products, Work or Location
CU 27 10 04 13 Extended Reporting Period Endorsement For Employee Benefits Liability Coverage
FB 04 01 10 06 Farm Premises and Personal Umbrella Liability - Oregon, Idaho, California, Nevada
FB 00 01 10 06 Farm Umbrella Liability Policy - Oregon, Idaho, California, Nevada
CU 24 06 12 04 Fiduciaries - Fiduciary Interest
M2071 (2-98) Forms and Endorsement List - Oregon, Idaho, Washington, California
CU 21 27 12 04 Fungi or Bacteria Exclusion - Oregon, Idaho, California, Nevada
FB 10 14 10 06 Fungi or Bacteria Exclusion - Oregon, Idaho, California, Nevada
CU 22 31 12 07 Garage Endorsement
CU 24 17 02 02 Individual Named Insured - Auto Coverage
CU 22 27 12 07 Leasing or Rental Concerns - Exclusion of Certain Leased Autos
CU 22 30 09 00 Leasing or Rental Concerns - Lessees and Rentees Excluded
CU 24 19 12 01 Lessor - Additional Insured and Loss Payee
CU 22 15 12 07 Limitation of Coverage - Real Estate Operations
CU 21 11 04 17 Limitation of Coverage To Designated Premises, Project Or Operation
CU 24 31 04 13 Limited Contractual Liability - Railroads
CU 24 32 04 13 Limited Coverage Territory
CU 24 33 04 13 Limited Coverage Territory - Additional Scheduled Countries
CU 22 37 12 01 Motor Carrier Endorsement
M2766U (12-16) Multi-Unit Residential Structures Exclusion - Oregon, Washington, Idaho, California
M2765U (3-06) New Residential Construction Exclusion - Oregon, Washington, Idaho, California
G0162 (3-03) Notice of Privacy Policy - Oregon, Idaho, Washington, Nevada
CU 21 23 02 02 Nuclear Energy Liability Exclusion Endorsement (Broad Form) - Oregon, Washington, Idaho, California
FB 10 01 07 02 Nuclear Energy Liability Exclusion Endorsement - Oregon, Idaho, California, Nevada
CU 22 18 04 13 Optical and Hearing Aid Establishments
M2760U (3-06) Printers Errors & Omissions Liability
CU 24 36 12 05 Products/Completed Operations Aggregate Limit of Insurance - Oregon, Washington, Idaho, California
CU 24 05 09 00 Products - Completed Operations Hazard Redefined
CU 22 93 04 13 Professional Liability Exclusion - Computer Data Processing
CU 22 83 04 13 Professional Liability Exclusion - Computer Software
CU 22 94 04 13 Professional Liability Exclusion - Electronic Data Processing Services & Computer Consulting or Programming Services
CU 22 86 04 13 Professional Liability Exclusion - Web-Site Designers
CU 22 33 09 00 Public Transportation Autos
M2814U (7-07) Recreational Motor Vehicle Following Form - Oregon, Washington, Idaho, California
M2813U (7-07) Release of Discharge From Aircraft Exclusion
M2810U (7-07) Rental of Premises & Ownership or Control of Premises Following Form - Oregon, Washington, Idaho, California
CU 24 18 12 01 Repossessed Autos
CU 21 50 03 05 Silica or Silica-Related Dust Exclusion
M2733U (12-16) Smoke From Filed Burning Exclusion - Oregon, Washington, Idaho, California
M2772U (3-06) Stacking of Limits Endorsement - Oregon, Washington, Idaho, California
M2327U (12-16) Subsidence Exclusion - Oregon, Washington, Idaho, California
FB 10 16 09 03 Total Pollution Exclusion
CU 21 25 12 01 Total Pollution Exclusion Endorsement
CU 21 52 12 05 Total Pollution Exclusion With a Building Heating, Cooling & Dehumidifying Equipment Exception & a Hostile Fire Exception
CU 21 51 12 05 Total Pollution Exclusion With a Hostile Fire Exception
M2764U (3-06) Umbrella Follow Form Endorsement
M2812U (7-07) Use of Livestock or Other Animals Exclusion
M2773U (3-06) Veterinarians Consent To Settle
M2770U (3-06) Veterinarians Professional Liability
CU 24 03 09 00 Waiver of Transfer of Rights of Recovery Against Others To Us
FB 99 03 07 02 Waiver of Transfer of Rights of Recovery Against Others To Us

M8299

(2-10)

Welcome to The Claim Service Center

 
 

Forms Library | Sample Contract Forms