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or. oryln; <br />\1 <br />17149387568; <br />SEP-2a-03 11:x0; <br /> <br />PHILADELPHIA INDEMNITY INSURANCE COMPANY <br />COMMERCIAL CRIME COVERAGE PAR? DECLARATIONS <br />Policy Number: PNPK063151 <br />Agent# <br />PAGE d/10 <br />FORM OF BUSINESS: NON PROFIT ORGANIZATION <br />Buslness0esaiption: NON PR08IT ORGANIZATION <br />Loca6oe of All PrenTises YDU Own, Rent or Occupy: SEE 6CHEDULE ATTACHED <br />COVERAGE, IIMITSOF INSURANCEAND DEDUCTIBLE <br />COVERAGE iORMS FOAMING A PART OF THIS COVERADE PART <br />AS INDICATED BY A UMR OF l1ADILRY <br />999 FORM A - EMPLOYEE DISHONESTY <br />COVERAGE PLAN OMIT Of DEDUCTIBLE <br />INSURANCE AMOUNT <br />200,000 2,500 <br />`'-;-; . <br />v <br />v <br />FORM(S) AND ENDORSEMENT(S) APPLICABLE TO TH16 COVERAGE PART: <br />Refer o Forme Soheaulo <br />TOTAL PREMIUM FOR THIS COVERAGE PART: S 1? 2.3 B <br />09Jz3/2003 <br />Ca+m iYSiynn~we Dates Autherlxtl RepnsentauvA <br />CLDCRV <br />