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,)~ SCOTISDALE INSURANCE COMP~ <br />GARAGE INSURANCE COVERAGE PART SUPPLEMENTAL DECLARATIONS <br />Po licy No.: ______ -I.cJ.;G""su.0u.O'-'1L,.;lw1"'9"'9'---_____ '--_ Effective Date: _____ .jjQu,J"'I"·2 .... 1 ... 'J.?.!Jn .... '..:o9"-____ _ <br />(12:01 A.M. Standard Time) <br />Named Insured : EINMlCTiI t. CONS!!I.THlrrI'i HIT"QNb.!tl!l11.A.L.. Agent No.: _______ --l4L!~ll·QUaJ:.:·51--_____ _ <br />Item 3. locations Where You Conduct Garage Operations <br />---, <br />loco Add ress • state your main business location as location No.1 No. <br />1 45727 SE .14 OTH ST NORTH BEND, WA 98045 <br />Item 4 . liability Coverages, Premiums <br />Loc. Rating Units· Dealer Rating Units '· N on·Dealer 'Premlum 'No. <br />1 3 .0 $ 2, 92] <br />$ <br />Damage to Rented Premises Personal and Advertising Injury Broadened coverage <br />Premium: $ Premium : $ Premium : $ <br />Item 5. Garag'ekeepers Coverages and Premiums <br />Garagekeep~rs Coverage ap 'plies on a legalliabifity basis unless the Direct Primary Insu~ance option below has been indi- <br />cated by "[I." <br />o DIRECT PRIMARY INSURANCE: Garagekeepers Coverage is changed to apply without regard to your or any other "in- <br />sured's" legal liability for "loss" to a covered "auto" and is primary inSUrance. <br />lac. Coverages No. <br />Comprehensive <br />1 Specified <br />Causes of Loss <br />Collision <br />Comprehensive <br />Specified <br />Causes of loss <br />Collision <br />CG5-0434 (10-16) <br />limit of Insurance and Deductible for Each Location <br />$200,000 Limit of Insurance. <br />$ 1, 000 Deductible f6r-all porlls for each "customer's auto ," <br />$ 5, 000 Maximum Deductible for ali "loSS" In anyone event. <br />$ limit of Insurance . <br />$ Deductible for all perils for each "customer's auto," <br />$ Maximum Deductible for all "loss" in anyone event. <br />$ 200, 000 Limit of Insurance. <br />$1,000 Deductible for all perils for each "customer's auto." <br />S limit of Insurance. <br />S · Dad ucl1ble for all perils for each "customer's auto." <br />$ Maximum Deductible for all "loss" in anyone event. <br />$ Limit of Insurance. <br />$ Deductible for all perils for each "customer's auto ." <br />$ Maximum Deductible for all "loss" in anyone event. <br />$ Limit of Insurance. <br />$ Deductible for all perils for each "customer's auto." <br />Includes copyrlghled m alerial of ISO Properties, Inc., with Its perm Isslon. <br />Copyrighl. ISO Properties. Inc .• 2009 <br />Page 1 of4 <br />INSURED <br />S <br />$ <br />$ <br />$ <br />$ <br />$ <br />Premium <br />497 <br />426 <br />RECErVED <br />MAR 2 3 2018 <br />1~ITl'i'fAS COUNTY SHERIFF <br />• -ACCOUNTII'JG