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GARAGEJNSURANCE .C0VERAGE P,ART iSUPPLEMENTAl:PEPLARATIONS (;:o,ntjm,1e9)
<br />Polley No,:..;:...:;;-...... -----~·-'-'-'· c..,G,..$"'0"'0".1:i..1.<.J,.";a.11 ... • ==:..;a.---"---Effective Data: _____ __.ouJ..1( ... 2'-"Jul_.?.,ouJ"-'6'-------,-
<br />. ,.,.. _-,, · (12 :01 A,M. Standard Time)° I.,..,.. • •, .. ,f • • .. .,. •~I j
<br />Named I nsll red:· fu'f M ~iu I b ,, ¢¢1:iimJJ'n l'ITD, Ji MNi Brl 1iln Cl~~ h 1\9 e n t t:J.o .: ... -.,,.-------"~--'4,_,'&..,· Q,.o..,d._,....,,.....,,...,,=-=------
<br />· • •' • .. ... .. .. .. ... ,,_-... ,~! ..... :~ ....... i ..... '.' --i •• ' :,, .
<br />Item 5. Garagekeepers,Coverage·s and Premiums (oontJnue.d) ;
<br />,,.,_,, .. Premium.for.All Locations , ... :>·• _ ..... ,:. :.•, ,.,,,.,, •· . .., . ....::1~•.:~tm,J•i.,,,
<br />Co mpro_hu.h~Jvi&: ,. -•t. .... -6,. . ..... .._ .. _ .. .,. ... _._ ... """', . .,,u,-..... _, ... ,. ,... .... -........ __ '"'"._:.__ .•• , .JS_.. •. .H ,-· ..... .}
<br />Sp eolfl od Causes of Loss _ t
<br />Collision _ , ·~--~ .. ~----~--~ •. ~ _ .. ,4_26"' ···'
<br />• • • •-•---.... --~ f ,.,.,, •• ___ .,....... ,....,.w ._ .... • ,,._ • •,•• I 1,.-•.,'.,,".•. i ~ •
<br />GARAOEKEEPERS VALUE Lll'IIITATJO N .SCH EDU LE: Th e Limit of lnsu rari,ca. of 58 6,000 for. ':loss'' to ar,y 0110 covered "cU S•
<br />tamer's auto" shown in th~ Limits ~i l~sur~nci"~ s·e~ll~~s oontal~~d i~ the °C0
<br />HANG£-S IN Yl-i ii All TO OEALSRS COVERAGE .. ,_ ...... , ........ ····· ... -, ...... ·••-· ., , .. , ......... _ ...................... , .. ·-····--•·•------·"'·-·····• ... --• ............. -~ .. •--\''"" ~ ,,
<br />FORM endorsement Js changed by complatl~n .9f t~!! f~llq:,vlng (No l 11ppU(?able. to "customer's iiiltos" In Tran~[): j , ;,.,·' j . , .... · ,,. r-.,, .. ,_ .. : ,-\n ,·•···•·:,, ... ·.. t l ~ •• -• t.:~
<br />The maximum Limit Of lnsu l"l\l'ICO for "locs~ to oriy one ''c ustornor's Quto" le •·-----5 o~.o oo -... -_ i_.; __ ._J
<br />. t ,o o\ ,': • I ~ "'0 . t
<br />I 1 • ,., •• •• .,,....,, • ~•-=•-• ---,.,_ . .._, GARAG EKEEPERS,IN TRAN SIT: t •~-fl -•l.o•
<br />.::. .......
<br />-.•------.. -!,-.. _ --. -'" ,·111 T{an!o!H Scihed I/ID ,~· , ., . ~ 4
<br />Auto
<br />No , '
<br />... .., --. _ .. , .. ~!~ll)\YJ11;:.: ~ :....f!l.l!l4§.P.ML!~~,\i~ for :oao~ . _ _.
<br />·•·.;Maximum •,.,· •,i. ,Llml[.of,::s·,r ,.. ''cu s_tom er;i;.11uto" • '''.' '.'.:. Description of,.,., 'ni\J i •"er"o· f .. :, .. -1 s$ra· •~,...... ... •
<br />towtruckorwrecker ·· '-1.:'"· ,ll!':' ,~ .• ~.· •rJtJ .n. _. .. ,Ji_Ru ... ~. ~-:-• ,'~ ...... trans po /ting•· .... , .• -customer's .... ; , -fG etioh -••· --.• .,. ., ,,_ ., .... -~
<br />autos" · "customer's " • : • '
<br />a covered ·•··-·--·. t@i,i!!'P.m,ci,<f"py:;, ;,;· . .,;,a .. ~~-;;•,; .. ;---·•·-· s p·c~li{ii~ ,Com pre .• ,•,
<br />"c(~t:·:;;e~·::i;t~'.'::;·:'," )_11,~·d,~rl b,~~:t 1:,ra~~P..ef!~~--?ir ~ •:Colllslon . -cnu s!~ henslve
<br />..... ,M -.. -1, -... VIN) ............ tow.tr ck:.o.r ... ,l :Jho )l osc ,1.,_~ ., • • ,,.,.,_,. _ -· • ~-..
<br />o,..e ?"" wrecker tow .. trUck.or r.\ , r ·i
<br />r ~-.............. -, •• --~----,1 --~---., ,i-,,.tf.ac t{o'?-,,..,.. .. .,_ ··: ..... -.~•':4'"'-: I ,. , , , , _. .-..,_ -1 ._,., ..,,1;,. ,.o:!.! -:a,..;o ~•~~-•...:ao cloL , i,!':t • ,. ---, •
<br />. .. ,.; / ... .,;
<br />t
<br />·' I
<br />•-•\,111 ... •-••I
<br />Premium
<br />·:· charge
<br />! .. .... i
<br />~ i
<br />_._1,,_ -.. .. ...__.,,,,,_ • ,,,..,,. .. ,. ... , ... ;.. ... 4.·"'··•"' ... ' .. ·lt ., •. ,.... ... ... -r,-•--•, ... .--
<br />.,,.,-,,.•.,.-,_.;,..,.i.J, . ._,~, -.-t .J • , •• :..C ·~-~--·-J
<br />COS-0434 (10·16)
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<br />I)''"\ ' ,;, J •. ,, ·.
<br />~ ~ ..:: ~ ;• , I_,,• I 1,. j .... ' •• ,, f ~ ,._
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<br />lncludos copyrlghled m al•rlol of ISO l'ropo 1\los, Inc., with lls perml••lon.
<br />Copyright, ISO Pto parl loo , Ina :, 2009
<br />Page 2 of 4
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<br />R-ECEIVED
<br />.MAR 2 3 2018
<br />KITTITA S COUNTY SHERIFF
<br />~· AC COUNTING
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