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Philadelphia Indemn <br />Suite 100, Bala <br />1-800-759-4961 <br />Insurance Compan <br />Pennsvlvania 19004 <br />w' <br />LJLnes <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 />Reviewed by <br />Carmen Acosta <br />PRCSA/ReCreatio i <br />BJP-19()-1 (12/98) <br />