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sCOTTSI)A'LRINSURANCE C bw MV PANT' <br />GARAGE INSURANCE COVERAGE PART SUPPLEMENTAL DECLL'ARATIONS`(dontitideed) <br />Policy No., �; rDS g, . e µ Effective Date:; rot izt 20 1, <br />(12:01 A.M. Standard Tlme) <br />Named•Insured: GLNI>N�Ia1aCoN5IIJxA ms 4 ERi7m NB , <br />!L-_I�._ I_ Agent No.: <br />Item 6. Physical Damage Coverage For Dealers and Physical Damage Coverage For Non-De.alors -. <br />Premium Basis. Nonreporting Basis. Stated Limit of Insurance shown below applies. <br />Each of the following Physical Damage coverages applies only.to.tha type -of autos'.' and Interests, indioated.below..b'y."[D. <br />t <br />®Used Autos El Your interest In covered "autos"you own - — --- <br />Cl New Autos " CI Your interest and the Interest of any creditor named as loss payee <br />u -Hn Interest m covereo autos, wnue in your possession on consignmenr Tor sale <br />Loc <br />N o., Coveragesµ Limit of Insurance and Deductible for Each Location ` Premium <br />$ 200;000 Limit of Insurance, <br />Comprehensive $ 7.,000 Deductible for all perilsforeac.h auto," " $ 9'05` <br />$ 5, 000 Maximum Deductible forall,"loss' in anyone event. .. . <br />$ Limit of Insurance.., <br />Specified $ Deductible for all perils for each auto. $ <br />Causes of Loss <br />$ M4ximu' Dedmtible for all "loss" in,anyone. event, . <br />$ Limit of lnsurance; i -;ib <br />Comprehensive Deductibleforallperilsforeach"auto. $,,: <br />Mdximum,Deduct ble for 'alI1oss „in any one event. <br />$ Limit of Insurance, ' <br />Specified <br />$ Deduct each <br />Causes of Coss - <br />$ edutible, foral <br />..MaximumQ"loss" in,any one event <br />Blanket Collision $,200 000.:. Limitofinsurance <br />$. "B19 <br />(All Locations) 1,-, $,1 000 , ,,., Deductible.for ail perils for each'auto <br />'... Total Prem,lum,ForAll Locations $.._. 7 ; 524..:. <br />Our Limit of Insurance for "loss"at locations other than those stated in Item 3, <br />$ 50,000 Additional locations where you display or store covered"autos." <br />$_..50 cog, _In Transit. <br />There is no coverage if "loss" occurs more than forty-five (45) days after your use of the location begins, <br />PHYSICAL DAMAGE VALUE LIMITATION SCHEDULE: The Limit of Insurance of $35,000 for "loss" to any one covered <br />'.auto" shown in the Limits of Insurance sections contained in the CHANGES IN THE AUTO DEALERS COVERAGE FORM <br />endorsement is changed by completion of the following: <br />The maximum Limit of Insurance of "loss" to any one covered "auto" is: $ 50, 000 <br />Loss Payee - Any loss is payable as Interest may appear to you and: <br />CGS -0434 (10-10) <br />Includes copyrighted material of ISO Properties, Inc., with Its perm lsslon. <br />Copyright, ISO Properties, Inc., 2000 <br />Page 3 of 4 <br />Fi ,CEIV D <br />MARI 2 3 2018 <br />Wi` TkT,.!kS �,` , N l Y SHERIFF <br />