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)~ SCQITSDALE INSUAANCE CQMPAN'r <br />GARAGE INSURANCE COVERAGE PART ,SUPPLEMENTAL DECLA~ATIONS (continued) <br />Policy No,: ______ -'r .. " ... , ~,.n"'n'"'9 .... 'ul..;Q:.;;q'_ _______ Effective Date: _____ QILJJ../c..2'-'w/W2~91.J''_'A'_ ____ _ <br />(12:01 A,M, Standard Time) <br />Named Insured: t'TN Mlr Jt.h i:C>tl SUh1'I\I:!1'l' t>ITER NM 'l!'1 tN1l , Agent No,: _______ ..;1""""'0""0""6/-_____ _ <br />Item 5, Garagekeepers Coverages and Premiums (continued) <br />Premium for All Locations <br />Comprehensive $ 497 <br />Specified Causes of Loss ~ <br />Collision :5 426 <br />GARAGEKEEPERS VALUE LIMITATION SCHEDULE: The Limit of Insurance of $35,000 for ':Ioss" to anyone covered "cus- <br />tomer's auto" shown in the Limits of Insurance sections contained in the CHANGES IN THE AUTO DEALERS COVERAGE <br />FORM endorsement is changed by completion of the following (Not applicable to "customer's autos" In Transit): <br />The maximum Limit of Insurance for "loss" to anyone "customer's auto" is $ ____ :::.5:::.0J..I :::.O;:,.0;:,.0 _________ _ <br />GARAGEKEEPERS.lN TRANSIT: <br />D,!lscrlptlon of <br />tow truck or wrecker <br />Auto tra nspa rtln9 <br />No, B coVored <br />"customers auto" <br />(Year, Make. <br />Mod ill ,and VIN) <br />. . <br />CGS-0434 (10-16) <br />In Transit Schedule <br />Maximum Minus Deductible for each <br />MaximUm Limit of "custom er's auto" <br />number or Insurance <br />"customer's for each . <br />autos" "customer's Premium <br />transported by auto" Charge <br />tho described transported by Collision Sl'8clfled Compre- <br />Causos henslve tow lI'ucko( th.e'descrlbed <br />wrecker tow truck or <br />wre!:ker <br />I <br />Includes copyrighted material of ISO Properties. Inc" with Its permission , <br />Copyright, ISO Properties. Inc" 2009 <br />Page 2 of 4 <br />RECEIVED <br />J~AR 2 3 2018 <br />KIT!\'T,\S C()UNTY SHERIFF <br />, 't;"CCDUNTiNG