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<br />SCOTT � .-TNS
<br />�.COMPANY"
<br />QARACE INSURANCE COVERAGE•PART. DEC LARAT.IONS-(continud-). ;'
<br />Policy No.:: c _1 Effective Date: ...:.91
<br />A F12:01 A.M. Standard'Time
<br />Named Insured:r C Nsu1TArr7,s rNTEnNATZONL-Agent No R 0
<br />- _------------- _�.._
<br />Item 2, Schedule o -f Coverages and Covered Autos {continued . } :'
<br />Coverages
<br />----------------
<br />Covered Autos::.
<br />:.:....... ....: Lim It. r...,
<br />PremIuM _
<br />Garagekeepers
<br />Com p re f� en'sive `Cove rage ,................
<br />.... o- ....-� ..,
<br />:..._.
<br />_........, .. _.........._,r,...a..a,:..:.::.:f:,r�:a.:..:a•...:........-- .,i-.._..,:..... ,
<br />See Limlts'of Insu4r1ddAn' the G3 raga Cov:=
<br />,w . _... ,. 01
<br />Garagekeepers Specified
<br />: -
<br />-Causes, of:Loss Coverage :.. . ... :.
<br />.. ..... ...... ..:.. .
<br />erage Part Supplemental Declarations.
<br />_. . - .- ..... ....,:...-e-:-.-:,....,..1: ..-... --.. �.:. •--..:..:�
<br />1.:.:,:::
<br />$
<br />- - ..._.
<br />Garagekeepers. Collision Coverage
<br />3 d
<br />426
<br />l�hy5lcal Damag e - :..
<br />-----------
<br />Comprehensive Coverage
<br />�:
<br />i
<br />See Limits of Insurance .In :.the = Garage '
<br />Coverage Part Supplemental Dt3claratians'
<br />$ 906
<br />Physical Damage Specified ,a .r
<br />a -,..r
<br />Causes -of loss Coverage
<br />and/ or so ie ule of Ad�ditlonai Cove"red'
<br />Autos.. -.., .. _ . _ . ,' ..--• ..�.:-
<br />_
<br />$ +;
<br />......�.,.......
<br />Physical Damage Collision Coverage 31
<br />fit g
<br />Form s -and endorsemenfi s applying -to this covers e_.
<br />c) c�:I50..
<br />Premium for Endo.rsemants•:, ,..:. ,.r,...:,,.;: ,.. -a.:,..:..::
<br />$,• .�,..,;_.,;,....
<br />form. and'made a p'art�-of�this.policy at the time"of issue;
<br />Estimated Total Premium.
<br />See Schedule of Forms and Endorsements
<br />,
<br />his oliG ma be ect to final audik
<br />�, ��
<br />THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY -DECLARATIONS, SUPPLEMENTAL -
<br />DECLARATIONS AND THE FORMS) AND ENDORSEMENT(S), IF ANY, COMPLETE THE POLICY,
<br />...i..r,.-w..v.,.v..._..:•....vw"......"..v�"_.y....-<•....•...w.._.. .. •-.. �.,..:_. -__.........'�..,_�_...:......-,.:..a:a�....:"...--...,.,._.::..:....w.-.1..,..�..w..:r.v.ac-.:..�..>.,....++.....+,-•..........,iw.;<.�.-.w�.,...,�...:,...•n..,s-:_..r,_...a.,.v.�,...... �w...0•«....,, ._:t-. ,..'. u.'.,.n-..1
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<br />'�... ....... .... . ... ..... ... • a , -. .- • .- .. .._ ... _.._ .. .. _ .... _, � as-..-. :....... ..,, .�...-_... _.. _.. '
<br />Includes copyrighted material of ISO Properties, Inc„ with its permission,
<br />Copyright, ISO Properties, Inc,, 2009
<br />CGS -1170 (7.16) Page 2 of 2
<br />EPaD
<br />BAR 2 3 2 0 18
<br />y
<br />KITTITAS COUNTY SHEMFF
<br />ACr;COUNTINC?
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