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T_H_E_ <br />INSURANCE <br />-\ COMPANY <br />Baton Rouge, Louisiana <br />Named Insured FRIENDS OF SANTA ANA ZOO <br />ITEM 4. SCHEDULE OF HIRED OR BORROWED <br />Policy No.CPP 0105807 04 <br />COVERED AUTO COVERAGE AND PREMIUMS. <br />LIABILITY COVERAGE -RATING BASIS, COST OF HIRE <br />ESTIMATED RATE FACTOR <br />COST OF HIRE PER EACH $100 (IF LIAB. COV. <br />STATE FOR EACH STATE COST OF HIRE IS PRIMARY) PREMIUM <br />CA $214 <br />TOTAL PREMIUM $214 <br />Cost of hire means the total amount you incure for the hire of "autos" you don't own (not including "autos" you <br />borrow or rent from your partners, employees, or their family members). Cost of hire does not include charges for <br />services performed by motor carriers of property or passengers. <br />PHYSICAL DAMAGE COVERAGE <br />COVERAGES <br />LIMIT OF INSURANCE <br />Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus <br />$ Deductible <br />Comprehensive <br />For Each Covered Auto, But No Deductible Applies To Loss Caused By Fire or Lightning <br />Estimated Annual <br />Rate Per Each $100 <br />Cost Of Hire <br />Annual Cost Of Hire <br />Premium <br />Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus <br />$ Deductible <br />Specified <br />For Each Covered Auto, But No Deductible Applies To Loss Caused By Fire or Lightning <br />Causes Of Loss <br />Estimated Annual <br />Rate Per Each $100 <br />Cost Of Hire <br />Annual Cost Of Hire <br />Premium <br />Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus <br />$ Deductible <br />Collision <br />For Each Covered Auto, But No Deductible Applies To Loss Caused By Fire or Lightning <br />Estimated Annual <br />Rate Per Each $100 <br />Cost Of Hire <br />Annual Cost Of Hire <br />Premium <br />Total Premium: $ <br />ITEM FIVE <br />Schedule For Non -Ownership Liability <br />Named Insured's <br />Business <br />Rating Basis <br />Number <br />Premium <br />Other Than Garage <br />Number Of Employees <br />11 <br />$139 <br />Service Operations <br />Number Of Partners <br />And Other Than <br />Social Service <br />Agencies <br />Garage Service <br />Number Of Employees <br />$ <br />Operations <br />Whose Principal Duty <br />Involves The Operation Of Autos <br />$ RiskMmagzmedDiviaiun <br />,� oRaNe <br />Social Service <br />Number Of Employees <br />Agencies <br />Number Of Volunteers <br />o r R�IEWED&APPROVED BY.- <br />P.;a�� <br />Total <br />Premiums <br />$139 <br />— Risk Management Analyst <br />INSURED COPY <br />