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<br />OV£~lAND PACIFIC & CUTlER, INC.
<br />PolIcy HPl5574310
<br />Effective: 06/24/2003 to 06/24'2004
<br />JLGUA'" M8II1C1Wf ,,,,,,,.,,, OOWAIIIIII
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<br />CGUZII
<br />re... 07 981
<br />
<br />THIS Ø4D0RIliMENT CHANOa ". I'OLICV. I'U!AII! IeIAD IT CARl!l'UU- V.
<br />
<br />COMMIIICiW. GEN!MI. UAMJTY IItMIIŒT
<br />ADDmONAL INI&IIEÐ ~-\ "ÐIT
<br />
<br />COMMIifICIAI. GENaIAL ~iNJII.m COV\!AAGE PART
<br />
<br />TIll. ..dDr.- modif,a. in_-- prcwidad ........ Ihe fOUcwMW
<br />
<br />.. WHO 18 AN INSURED IS8odon 10 /. -
<br />10 ÍI1CIud8 II an rn- an, panon or or-
<br /> It1inDon ICIIlftI ...-1ioMI ln8uraa¡ ../10111 yo..
<br />.a requo,ed to ..-d .. It1 81fØ1 ane/ ~ on
<br />-po"", -.
<br />
<br />1. . ..rman comrlCJ or agr- or;
<br />
<br />2. an or., "0fW8Ct or agra_r whera a
<br />,,_fleara of "'-- IIIIOwlII If8t !>Wi
<br />sonor~lIan__...,.
<br />...-eeI 111' be8n i88u1llt
<br />
<br />but 1118 wti~ Of or" _lCr ~ Þa
<br />
<br />/
<br />
<br />3. .......enay in affeee or ÞaCOlntl\8 affecriva
<br />á"''''8 1118 - of 1hio poIic,: Mil ,
<br />
<br />... "'Kulftl prIor to 1118 "ÞocIi1, in,....,:
<br />'propWt, d8m1 p.' or 'pwlOllll and ad-
<br />ve"",ong "'J'IY' WIIicrI f'-It _fa.. on
<br />or after 1118 111118 of 1118 incl >JlOn of II1IS
<br />poIic, poriO<I. .. -.... In ... ~
<br />lionS Paøeo af 1118 poIIcr bur pnor to 1118
<br />'1I'1I8r 0' 1118 - of 8JCpIr1lClOn or øan-
<br />CeI- of CIlia poÞcy.
<br />
<br />8. Wo1l1 rel >8Cf to 1118 .nsurance .ff~ a"""
<br />-'1l1li0110111/ III..,. !he fOl_1II8 84Øiliol1ll
<br />pl'ØYÌ8I11n8 apply:
<br />
<br />1. "' pe,.o" or or ll1tZlfÏOll.. only an AQ-
<br />CII1i- I/1aIrIld ",,81 r...cr 10 lilbility
<br />II'I8In OUI ..f:
<br />
<br />.. ",,_HI Ot eqwopmarw ro.. own. rent
<br />1-. cr. 0C!aIp /: cr
<br />
<br />b. ,- CIO CIIII aper- petf-
<br />for tI18J AdCIi1iOnaI ~ Þ, or for
<br />yau.
<br />
<br />The Í/1IOIance prO\/l- CO - AddItIonal In-
<br />....811 - ncn apply to "IIOGIly In l l'ý" or
<br />"prcpany CIIfIII I" IIICIUIIIId wiIhIrI - "1""-
<br />cIUCt8-comp-" "P8'8ti1lllll ........
<br />
<br />2. Th8 l.omitS of --- appIicaÞl. 10 ..,
<br />- -- _lid .,.. ...... a¡>tI",-
<br />f'-'l In 1118 wtoØ8n eonlnlCl cr ""ea.,.,1
<br />or In 1IJ8 Dec:"- fM 1111. po"",.
<br />whic:I18V81' .. 1811 - .. 811b 8CC to 1118
<br />_a "'" COI'dotIon' of "". -1118
<br />forlR Thu8 LIIM8 of Inaur- are inclU-
<br />sive of ancI not '" -- fO IIIØ ~wnit$ of
<br />In......,'" 811""," 111 'Ch8 Decl8rltlOll'
<br />
<br />~ " per_a or or llliUdon'a 818M a, IIf1
<br />,,- III8IOrlld ...... 1I1í. ..-
<br />Ind8 30 CII,. .fter yO& " op...IIOIIS or
<br />.- ,..,. th8& ^,*,.IÎOIIII ......... It.
<br />eompl...., or - or 1/8 e¡cpntlOll 0'
<br />1110. polICy. WlllCll8ver la _Þer
<br />
<br />C. The onaur..,. ptovr- 10 an, -'\ddI_1 In-
<br />lur." _I not oppIJ 1D "þOC j1, ",,....,; "prop-
<br />erry ~. or "PW-..! ancI -ritong In-
<br />jury- "'8Ì'1II - of ... Ifchlrao::r.. lInQinM(e.
<br />0( -..ey..,.. ~Inu ot or f8ilur.. to r-
<br />an, prOfllMionll _VI"" IIICI&ICIII1g:
<br />
<br />,. 'Ch8 prIp8I'ona IIpprov.~ 01" ..."'" 1D pt'-
<br />per. or 1f>pr0lll IIII W. Cll'1W1~ ~
<br />r~ -,.. -. ore"',... elloign or
<br />8p8Cific:ation.. ...,
<br />
<br />CG 82 25 ~ 07l1H11 XS
<br />
<br />Capyri hl ..,..,.,. S8rY1ce. Off..... h:.. 1898
<br />"88. 1 of 21
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<br />" ...." ............,'. 'II, ~.
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<br />r7j¡:~U7 d/r
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