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<br />, <br />COVERAGES AV AILABLE. r LIlY'. , DEDUCTlBLES <br /> ADOPT REIECT Pt'rC, <" Per Coverage <br />I'JU)P! I{ 1'1' INSlJRID '-lIB)l C1 10 )t11l-IIMllS \ull llllli!', <br />(Sub-limits Included in Blanket limit) <br />Valuilble Papers & Records including EDP Medi.l In(luded l:]tlO."XI ! <br />(All Risk Cover<lgt' including Flood & f(lrlh'1u.1Kl') I lit , <br /> I <br />Accounts Recl'i\'.lble In<llJdf'{! Ll1>lO,O()() , <br />(All Risk Coverage including Flood & larthquake) &1>.5,000 - - ----- , <br />to~~ of !{1'V('Il11f'S. r"tf.! hi. pense drH! Rt'llt.ll Valup Included i [:J $:~snon <br /> [j; <br />Pefsoll.ll rffens IrHludt'd [ltS,ono <br /> [H <br />O~ldoor l(ef's & Shrubs Inrludt.d )l'iO (',l( h <br /> 1.){),OOO M,nilTlllrlll.l1 II <br /> I ()\ CUIl"rlt (' <br />It'dWhojd Inlclt's! , lncludl'd KJ $rJ,()fXJ <br /> [J $________ . . . <br />firl(' Arts [J EJ I $ --- <br />(Ail Risk Cow'rage including <br />Flood & farthquah-l I <br /> , <br /> , <br /> , <br />Spec-i,ll Provi,iohs 1~(.f('1 In Addt'I\(!Un1 No ... <br />ADDITION!\I rOV!'RACfS 1":1'1('[ 1<1 :\ddl'ndlllll N() <br /> - <br /> <br />COORDINATOR FOR FUND MFMBER (10 be completed by city) <br /> <br />N.lme __~__________ <br /> <br />Title <br /> <br />Mailing Address ______. <br /> <br />SlrN>!A.ddrt.ss ~if diff"r"fll iron> ,lbO\,'1 <br /> <br />City <br /> <br />__ ______ 7 i P _._ <br /> <br />l'hnll(' <br /> <br />Ct;nlr,:t (No <br /> <br />10/ I /K/, <br />COOO" <br /> <br />rlft'Clivl' f),He ,If lI,i. hfH'f'IlH'nl <br /> <br />Si~ll.Jlw(' oj AUfhorilt,o Cilv O!fi( j.i/ <br /> <br />By <br /> <br />I !)AS ~llINICIPAlI EACLJL <br />JOI~. .T ;/.IF.INMiCE FUND /. ) <br /> <br />/! 1,/ . \< )}/ ---7~(" <br />:/,'",::, \e.r' "-,/..j (!f-.L 7 G);:/ ; <br />'/ <br />C' <br /> <br />By <br /> <br />Tille <br /> <br />I Illld 'it't 11'~ ~; \ <br /> <br />D.llt' <br /> <br />D,llt' <br /> <br />1\,.\ l-f\4 <br />