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)~ SCOTTSDALE INSURANCE COMP~ <br />GARAGE INSURANCE COVERAGE PART DECLARATIONS (continued) <br />Policy No.: CGSQQ 9]1 99 Effective Date: _____ -"O ..... )..f;.,-"'Z.L1 LIL..2 JLQ .1..1 n"-____ _ <br />12:01 AM. Standard Time <br />Named Insured:nNIINC! II ·L CotISU I.TII~11 'g qll'E'RtJANQNl\L Agent No.: __ :--____ --:&(.::1; • .::.9""0"'1/ ______ _ <br />Item 2. Schedule of Coverages and Covered Autos (continued) <br />Coverages Covered Autos Limit Premium <br />Garagekeepers 30 $ 491 Com'prehensive Coverage <br />Garagekeepers Specified See. Limits of Insurance In the Garage Cov· <br />Causes of Loss Coverage erage Part Supplemental Declarations. $ <br />G aragekeepers Collision Cove rag e -30 $ 426 <br />Physical Damage :n $ 906 Comprehensive Coverage See Limits of Insurance In the Garage <br />Physical Dilmage Specified Coverage Part Supplemental Declarations <br />$ Causes of Loss Coverage andlor schedule of Additional Covered <br />Physical Damage Collision Coverage 31 Autos. $ 618 <br />Form(s) and endorsement(s) applying to this coverage Premium for Endorsements $ 150 <br />form and made a part of this policy at the time of issue: Estimated Total Premium $ 6,151 See Schedule of Forms and Endorsements [rhis policy may be subiect to final aud it) <br />THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY DECLARATIONS, SUPPLEMENTAL <br />DECLARATIONS AN D THE FORM(S) AND ENDORSEMENT(SI,IF ANY, COMPLETE THE POLICY • <br />• 1 <br />Includes copyrighted material or ISO PropertIes, Inc .. wilh its perm ission . <br />Copyright, ISO Properties, tnc., 2009 <br />CG5-1176 (7-16) Page 2 of 2 <br />RECEIVED <br />MAR 2 3 2018 <br />KITTITAS COUNTY SHERIFF <br />ACCOUNTING