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Philadelphia Indemnity Insurance Company <br />One Bala Plaza, Suite 100, Bala Cynwyd, Pennsylvania 19004 <br />1-800-759-4961 <br />C ommica'a, r .01 a <br />L3m.nes <br />Policy <br />THIS POLICY CONSISTS OF: <br />- DECLARATIONS <br />- COMMON POLICY CONDITIONS <br />- ONE OR MORE COVERAGE PARTS. A COVERAGE PART CONSISTS OF: <br />- ONE OR MORE COVERAGE FORMS <br />- APPLICABLE FORMS AND ENDORSEMENTS <br />Q-1 <br />Silvia Cuevas 77s- <br />PRCSA/Admin. <br />BJP -190-1 (12/98) <br />