Laserfiche WebLink
M 17978 <br />RENEWAL DECLARATIONS (CONTINUED) <br />Businessownnrs Policy for CRIME STOPPERS OF <br />Policy Number 98 -BJ -G478-3 <br />Coverage M - Medical Expenses (Any One Person) $5,000 <br />Damage To Premises Rented To You $300,000 <br />LIMIT OF <br />AGGREGATE LIMITS INSURANCE <br />19 <br />Products/Completed Operations Aggregate $4,000,000 <br />General Aggregate $4,000,000 <br />Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable <br />annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. <br />Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other <br />forms and endorsements that apply, including those shown below as well as those issued subsequent to the <br />issuance of this policy. <br />Y07:I�A6'1_1ki Ili =1ki10101*1=1 �51=1 �I&y <br />CMP -4102 <br />Businessowners Coverage Form <br />CMP -4247.1 <br />*Amendatory Endorsement <br />FE -3650 <br />*Actual Cash Value Endorsemet <br />FE -6999.2 <br />*Terrorism Insurance Cov Notice <br />CMP -4804 <br />Addl Insd Club Members <br />CMP -4705 <br />Loss of Income & Extra Expnse <br />CMP -4709 <br />Money and Securities <br />CMP -4788 <br />Addl Insd Mgrs Lessor of Prem <br />CMP4791 <br />Addl Insd State Political Perm <br />CMP4779 <br />Employers Liability <br />CMP4860 <br />Al Design Person Org <br />FD -6007 <br />Inland Marine Attach Dec <br />* New Form Attached <br />Prepared <br />MAY 18 2017 © Copyright, State Farm Mutual Automobile Insurance Company, 2008 <br />CMP -4000 Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />017980 294 Continued on Reverse Side of Page <br />E <br />Page 5 of 7 <br />