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<br />JAN 22,2007 ]1:52 ATC Group <br /> <br />RENEWAL <br /> <br />7H8384170 <br /> <br />Page 3 <br />1~;\ , <br /> <br />.4.....______.._,~...."... <br /> <br />" <br /> <br />COMMERCIAL P~OTECTOR COVERAGE FORM DECLARATIONS ICunlinl/8d) <br />Bl/81NESSOWNEIls COVERAGE FORM DECLA~AnONS <br /> <br />LIABILITY AND MEDICAL PAYMENTS COVERAGE <br /> <br />bcept lor Fire legal Lltibility. each paid claIm lor 1M fOllowin" coverages redllt6$lhe amount ot insur80l~8 wo pr{J\'illo dunng I <br />applicllble aJlnual panod, Please ,'e'or 10 Peragr8ph 0,4. 01 the Section II lIABILITY of thB COMMERCIAL PROTECT' <br />COVERAGE FORM (BUSINESS OWNERS COVERAGE FORM) <br /> <br />Covorage <br /> <br />L.imils OllllSUrtlf1ce <br /> <br />LIABILITY AND MEDICAL EXPENSES <br />MEDICAL EXPENSES <br />DAMAGE TO PREMISES RENTED TO YOU <br /> <br />$ 1,000 I (JOc Per Or.:clJr~lf1. <br />$ 5. 000 Ptlf Person <br />$ 50,OOOArlyOnOFlre <br />Of ElI:p!osion <br /> <br />AGGREGATE LIMITS <br />BODILY INJURY OR PROPERTY OAMAGE UI>IOER PRODUCTSICOMPLETED <br />OPERATIONSHAlARD $ 2,000,000 <br />ALl OTHER INJURY OR DAMAGE (INClUDING MEDICAl EXPENSES) $ 2,000,000 <br />FORMS AND ENDORSEMENTS APPLlCABU TD THIS POlICY, <br />IAp~lcable reirill!:. and ~nOOIiIlml!r1ls 8r~ omitted II enClWn In ._Iicl CovafaQ* P.rtlCovorage f'OIm DecllltllD!llI) <br /> <br />FOUll Number <br />17-22 <br />17.5 <br />1/..96 <br />4"15 <br />...162 <br />"-192 <br />'4-20. <br />.. 206CA <br />..-207 <br />BPoV09 <br />BP0155 <br />SPO.,7 <br />SP0419 <br />BPo.30 <br />BP0493 <br />BP0501 <br />BP051, <br />BPOSt3 <br />BP056' <br />BP0576 <br />BPoln <br />BP1702 <br />GECP0121 <br />1).59 <br />PREMIUM <br /> <br />.060. <br />- 0604 <br />- 060. <br />- 060. <br />- 060. <br />. 060. <br />- 0('\04 <br />. 0105 <br />0305 <br />- 0197 <br />0105 <br />. 0702 <br />- 0702 <br />- 0702 <br />.0702 <br />. 0702 <br />.. 0102 <br />. 0102 <br />- 050' <br />1102 <br />- 1102 <br />, 0702 <br />- 010, <br />- 069. <br /> <br />DlJscrlptlon <br /> <br />EXCLUSION - LEAD <br />WELFARE & PENSION fUND ERISA CO"'PLIANCE CONDITION <br />EXCLUSION - ASBESTOS <br />COMMERCiAL PROTECTOR COVERAGE FORM <br />LIMITED EXCLUSION OF ACTS OF TERRORISM <br />WAR LIABILITY EXCLUSION <br />PERSONAl AND ADVERTISING INJURY LIABILITY ENDORSEMENT <br />EXClUSION. SiliCA <br />EXCLUSION-VIOLATION OF STATUTES <br />BUSINESSOWNERS COMMON POLICY CONDITIONS <br />CALIFORNIA CHANGES <br />EMPLOYMENT -RELATED PRACTICES EXCLUSION <br />AMENDMENT-LIQUOR LIABILITY EXCLUSION <br />PROTECTIVE SAFEGUARDS <br />'rOTAL POLLUTION EXCLUSION <br />CALCULATION OF PREMIUM <br />EXClUSION OF WAR, MlllTARY ACTION AND TERRORISM <br />WAR OR TERRORISM EXCLUSION (LIABILITY ENDORSEMENT) <br />CONDITIONAL EXCLUSION Of' TERRORISM <br />lIMITEo FUNGI OR BACTERIA COVERAGE <br />FUNGI OR BACTERIA EXCLUSION <br />CONDOMINIUM COMMERCiAl UNIT -OWNERS COVERAGE <br />STANDARD FIRE POLICY <br />DECLARATIONS EXTENSION <br /> <br />T wrorism Risk Insurance Ac1 012002 ana 2005 ClMIrage <br /> <br />s <br /> <br />1. 00 <br />