ML Forms

FORM NUMBER	DESCRIPTION	EDITION DATE
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	Coverage E-Unscheduled Farm Personal Property	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	Actual Cash Value Provision	6/99	11/90
ML-14	Punitive Damages Exclusion	6/99	6/91
ML-15	Condos And 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-19	Policy Endorsement	10/06
ML-19-DISC	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-22	Residence Held in Trust	9/16
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	Additional Secured Party’s Interest	6/99	1/87
ML-28	Additional Secured Party’s Interest	6/99	1/87
ML-29	Assisted Living Care Facility Resident Coverage	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-38	Additional Interest	6/18
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, Professional, School, Studio Use	12/00	6/99	1/87
ML-43	Office, Professional, 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 Endorsement	6/99	1/87
ML-46	Personal Injury Endorsement	12/00	6/99	1/87
ML-46A	Personal Injury Coverage	7/14
ML-46A-DISC	Policyholder Disclosure Notice	7/14
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 Association Loss Assessment	2/20	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 Assessment-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 Endorsement	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	6/99	3/96
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 Endorsement	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
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 Property 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, Veterinarians	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 Endorsement	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 Endorsement	8/07	10/02	11/91	10/87
ML-84 DISC	Policyholder Disclosure Notice	2/08
ML-84A	New York Amendatory Endorsement	1/88
ML-86	Secondary/Seasonal Homeowners Coverage Limitation Endorsement	7/10
ML-87	Exclusion-Asbestos, Dioxin, PCB	6/99	7/88
ML-87-DISC	Policyholder Disclosure Notice	7/16
ML-89	Related Private Structures Away From Premises	6/99	9/96
ML-93	Home-Sharing Exclusion	6/20
ML-93-DISC	Policyholder Disclosure Notice	6/20
ML-94	E-bike and E-scooter Exclusion	8/24
ML-94-DISC	E-bike and E-scooter Exclusion (Property and Liability)	8/24
ML-95	E-bike and E-scooter Coverage	8/24
ML-95-DISC	E-bike and E-scooter Exclusion (Property and Liability)	8/24
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 Coverage (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-127	Loss Payable Provisions	8/17
ML-147	Homeowners’ Increased Coverage	1/02	6/99	1/87
ML-147F	Farmowners’ Increased Coverage	1/87
ML-148	Homeowners’ Extra Coverage	1/02	6/99	1/87
ML-148F	Farmowners’ Increased Coverage	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 Endorsement	7/08
ML-164	Snowmobile-Liability	12/00	6/99	1/87
ML-165	Storm/Hurricane Shutter Endorsement	12/95
ML-165A	Storm/Hurricane Shutter Endorsement	6/99
ML-166	Hurricane Resistant Glass Endorsement	1/99
ML-167	Dead Bolt Lock Endorsement	2/99
ML-171	Personal/Farm Computer Endorsement	6/99
ML-178	Insurance By More Than One Company	6/99	9/95	1/87
ML-181	Deferred Premium Payment Plan	6/99	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 Endorsement	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 Structures Not Used for Business	9/94
ML-300	Schedule of Farm Personal Property Coverage E	6/99	1/87
ML-301	Coverage B – Scheduled Private Structures	6/99
ML-302	Farm Personal Property Not Covered – Coverage G	6/99
ML-303	Schedule of Barns, Buildings Coverage 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	Exclusion of Farm Employees 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 Endorsement	6/99	1/87
ML-322	Fruit Vegetable Farming / U Pick	6/99	1/87
ML-323	Weight 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	Farmers’ Medical Payments	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-342	Underground Utility Line Endorsement	6/19	7/14
ML-342-DISC	Policyholder Disclosure Notice	6/19
ML-342F	Underground Utility Line Endorsement (For Use With Farmowners Policies)	3/18
ML-344	Additional Spoilage Options	6/05	7/14
ML-345	Mechanical, Electrical Or Pressure Systems Breakdown	12/17	7/14	7/04
ML-346	Mechanical, Electrical Or Pressure Systems Breakdown	8/06
ML-346A	Mechanical, Electrical Or Pressure Systems Breakdown	5/11	12/07
ML-346B	Equipment Breakdown Enhancement Endorsement	9/13
ML-346BG	Equipment Breakdown Enhancement Endorsement	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 Operations 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 Coverage	1/05	6/99	3/89
ML-364	Exclusion 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	4/06	3/04
ML-373 DISC	Policyholder Disclosure Notice	8/06	3/04
ML-373A	Canine Related Injuries or Damages	1/23
ML-373H	Hurricane Deductible	11/05	12/98
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-376	Animal Exclusion	1/23
ML-380	Coverage E and/or G – RC Endorsement	6/99
ML-390	Specific Property Deductible Endorsement	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 Liability6/99	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 Endorsement	6/99	1/91
ML-430A	Renewal Endorsement	2/08
ML-430B	Renewal Endorsement	2/08
ML-494	E-bike and E-scooter Exclusion (ML-20F)	8/24
ML-494-DISC	E-bike and E-scooter Exclusion (ML-20F)	8/24
ML-495	E-bike and E-scooter Coverage (ML-20F)	8/24
ML-495-DISC	E-bike and E-scooter Coverage (ML-20F)	8/24
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
ML-550	Agribusiness Pursuits	10/19
ML-610	Home Cyber Protection Coverage	6/20
ML-611	Home Cyber Protection Coverage	6/20
COMM CANC	Cancellation and Renewal Provisions	7/86
ML-DISC	Disclosure Notice	6/99
ML-DISC2	Disclosure Notice (Trampoline Exclusion)	12/00
FO-DISC	Farmowners Disclosure Notice	1/07

2932 Curry Road, Schenectady NY 12303

518-355-8363