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)~ SCOTISDALE INSURANCE COMPANY®
<br />GARAGE INSURANCE COVERAGE PART SUPPLEMENTAL DECLARATIONS (continued)
<br />Policy No,: ______ --'"r-';(;"'S"'O""il"'4""'uJ ... <).'-"?'--______ ~, Effective Date: ~-___ _"tiul-"IJ,2 ... i"'-I-'2""nuJ~I)L-____ _
<br />(12:01 A.M, Standard Time)
<br />Named.lnsured: flNONCIIIJ, C QN$JILTANTS nIT t"Bf.laTIQNll.!, Agent No.: _______ --'Q ... 0u.0""o ... p'-_____ _
<br />Item 6. Physical Damage Cover ~ge For Dealers and Physical Damage Coverage For Non-Dealers
<br />Prem ium Basis. Nonreporling Basis, Stated Limit of Insurance shown below applies.
<br />Each of the following Physical Damage coverages applies only to the type of "autos" and interests indicated below by "IKJ."
<br />IiilUsed Autos
<br />DNewAutos
<br />Iii] Your interest in covered "autos" you own -.
<br />o Your interest and the interest of any creditor named as loss payee
<br />o All interest in covered "autos" while in your possession on consignment for sale
<br />Lac. .. Coverages limit of Insurance and Deductible for Each Location No ,
<br />$200,000 Limit of Insurance.
<br />Comprehensive $ 1,000 Deductible for all perils for each "auto ." $
<br />$5 ,000 Maxi mum Deductiblo fo r all "loss" in anyone event.
<br />1 $ Limit of Insurance,
<br />Specified
<br />Causes of Loss ,$ Ded uctible for all perils for each "auto," $
<br />$ Maximum Deductible for all "1055" in anyone event.
<br />$ Lim it of Insurance, .
<br />Comprehensive $' ., Ded uctiblo for all p erils for eaoh ~auto · S
<br />$ I Maximum OOduotibla for all 'loss" i n IIny one event.
<br />$ Limit of Insurance. ,
<br />Specified ,
<br />$ • Deductible for all perils for eac h "aYlo." Ei Causes of Loss
<br />$ .. Maximum Deduo!ibl80 for all "lo ss" in -any ona event.
<br />BI'anket COllisio'n $ 200,000 Limit o f I nsurance. I -
<br />(All Locations) , Deductible for all pelils fo~e aGh :'outo _~, $
<br />$ 1, 000
<br />Total Prem luin For All Locations: $
<br />a ur Lim It of Insurance for "loss" at locations other than those stated in Item 3.
<br />$_5,,-,,-0 L' ",0",0 "'0 ____ Additional locations where you display or store covered "autos."
<br />$~5,,-,,-OL' "-o"-o"-O ____ ln Transit.
<br />There is no coverage if "loss" occurs more than forty-five (45) days after your use of the location begins,
<br />Premium
<br />906
<br />,
<br />,
<br />618
<br />1,524
<br />PHYSICAL DAMAGE VALUE LIMITATION SCHEDULE: The Limit of Insurance of $35,000 for "loss" to anyone covered
<br />"auto" shown in the Limits of Insurance sections contained in the CHANGES IN TH E AUTO DEALERS COVERAGE FORM
<br />endorsement is changed by completion of the following:
<br />The maximu m Limit of Insurance of "loss" to anyone covered "auto" is: $, ____ ..::5""0-'-,-"0-"0-"0'---::
<br />Loss Payee -Any loss is payable as interest may appear to you and:
<br />Includes copyrighled malerial ofiSO Properties, Inc., with Its permission.
<br />Copyright, ISO Properties, Inc" 2009
<br />CG5-0434 (10-16) Page3 of 4
<br />RECErVED
<br />MAR 2 3 2018
<br />\\\TT\'~C,:,\~:: r;()'AHV SHERIFF
<br />i).C,:,_~Ani'iG
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