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GARAGE INSURANCE COVERAGE PART SUPPLEMENTAL DECLARATIONS (continued) <br />Policy No.., rr, • Efeotive Date: =~ ' '':;;,. <br />(12:01 A.M. Standard Time) <br />NamedInsured; ..I�J...,z:;�,.G..► : .. ."Agent No.: :. :..:.....:.. <br />Item 7. Dealers, Non -Dealers And Trailer Dealers 'Soheduis 4f Specifically Described "Autos" <br />Auto.-- <br />uto, <br />N <br />Year, make, Model, Vehicle Identificatldn Number t:.:: <br />Cost/Value <br />" -.. - .r �1. •• it . 3 :,i• .., : `!i" ,- <br />7.. <br />--- - - -------- <br />••.«rw•wFrwr.«,ri•u«1,rw •ww«w+-• _ _ _ __ _ _ .w.srwr•.wF«.1 . <br />Auto <br />No. <br />GVW <br />l' . _....._.... <br />Use .,... <br />_..Radius <br />.... ......... <br />Code ..: <br />.r. <br />tI•YWF«• <br />Loss Payee -All Physical Damage loss is <br />payable to.yo_u:and.the,loss payee named <br />t ::...below according to their lnterests.ln. the <br />r:. '• <br />autd"at the time of the'li ss; <br />•. r.. . ;i -. <br />... - <br />w•w•wwMM•Mr <br />w • <br />• <br />' .. <br />••. r <br />.r..t ,. r .,.. :l:t •. ..•.a .. ... ..• s ... ..,. v. ._. .. <br />COVERAGES (Will apply as indicated <br />• vt .. ••• .. .. .: •- � f r;i _. - ,. .-'L 1 <br />by entry of a premium),. ; <br />,.. <br />Llabllity <br />Specified Causes <br />_.ofLoss.. - VJ <br />l -Comprehensive. <br />,. <br />{.-•..CoIlls]on .., <br />Mod r -..: <br />Pa Ism ants. <br />;Personal Injury <br />:..._ :Protection <br />Auto <br />No <br />No <br />Prom�ium� <br />'DadPremium <br />r: <br />: <br />Ded., <br />tl. <br />- - _ <br />�Pi'emium <br />Ded. <br />Pr <br />::.;: <br />Piemiurn' <br />rPremlurn <br />ilt: <br />Total <br />'t lr, J:J� <br />$ <br />` XXX,r: <br />'.Jit.•: <br />_ <br />ACX <br />j 1000 7i :;; <br />�! { <br />=; 9.Z <br />14 <br />$ <br />$ <br />Item 8: ,DrW&4'.Aw y Schedule:(Pick-Up and Deliv84"y" Liability, Dealer"Drive`='Away <br />The 1 mit of -three hundred (300) miles shown in the Drive -Away exclusions contalhPA;in the CHANGESJIN,JT.HE AUTO DEAL- <br />` ^r <br />ERS C-OVERAG E FQ RM 'e6do�semerlt is o'ktended b'y -cornpletio�n of the�following _' ;h `° ;3 •� ` `' <br />F <br />7 <br />Extended to miles for an additional premium of _ <br />• I S <br />} - '2 r r � ri r r, J • ,J .� • S • •} .. .,r � i:t ![_. ,.�1'. � l <br />• : I <br />Includes copyrighted material of ISO Properties, Inc,, wit tilts perm isslon. <br />Copyright, ISO Properties, Inc., 2009 <br />CGS -0434 (10-16) Page 4 of 4 <br />E C74;h E i " E D <br />v <br />11 A <br />NIA 2 3 2018 <br />+J .,:. .•ins Y <br />r •' 0, '{,3 I, 1 f•, J- <br />