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<br />Declaration Nnmber: 00] <br />Effective Date: 07/]9/2006 <br /> <br />Policy Number: SBP204616.1 <br />Luis E Rivera MD, Ine <br /> <br />Page 4 <br /> <br />COVERAGES APPLYING TO ALL LOCATIONS <br /> <br />Coverages <br /> <br />Limit Deductible <br /> <br />ROP COYerage Extender <br />(see rorm Sl~Q I j21)) <br /> <br />T errorisrn Coverage <br />(see l,'orms UP 0523 and BP 0567) <br /> <br />Date Printed 07/25/2006 <br /> <br />TNSURED <br /> <br />JJOI'CovAlIl.on-a <br />