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RENEWAL DECLARATIONS (CONTINUED) <br />Businessowners Policy for CITY OF SANTAANA ITS <br />Policy Number 92 -E6 -S488.3 <br />Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable <br />annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. <br />Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other <br />forms and endorsements that apply, including those shown below as well as those issued subsequent to the <br />issuance of this policy. <br />FORMS AND ENDORSEMENTS <br />CMP -4101 <br />Coverage M - Medical Expenses (Any One Person) <br />$10,000 <br />*Loss of Income & Extra Expense <br />Damage To Premises Rented To You <br />$300,000 <br />FE -6999.2 <br />*Terrorism Insurance Cov Notice <br />LIMIT OF <br />Money and Securities <br />AGGREGATE LIMITS <br />INSURANCE <br />7 <br />Products/Completed Operations Aggregate <br />$4,000,000 <br />g <br />General Aggregate <br />$4,000,000 <br />Each paid claim for Liability Coverage reduces the amount of insurance we provide during the applicable <br />annual period. Please refer to Section II - Liability in the Coverage Form and any attached endorsements. <br />Your policy consists of these Declarations, the BUSINESSOWNERS COVERAGE FORM shown below, and any other <br />forms and endorsements that apply, including those shown below as well as those issued subsequent to the <br />issuance of this policy. <br />FORMS AND ENDORSEMENTS <br />CMP -4101 <br />Businessowners Coverage Form <br />CMP -4705.2 <br />*Loss of Income & Extra Expense <br />CMP -4260 <br />*Amendatory Endorsement <br />FE -6999.2 <br />*Terrorism Insurance Cov Notice <br />CMP -4709 <br />Money and Securities <br />CMP -4788.1 <br />Addl Insd Mgrs Lessor of Prem <br />CMP -4787 <br />Waiver of Trans Rgt of Recov <br />CMP -4860.1 <br />AI Design Person Ong <br />FD -6007 <br />Inland Marine Attach Dec <br />* New Form Attached <br />Prepared <br />SEP 25 2018 © Copyright, State Farm Mutt el Automobile Insurance Company, 2008 <br />CMP -4000 Includes copyrighted material of Insurance Services Office, Inc.,viah its permission. <br />008450 294 Continued on Reverse Side of Page <br />N <br />Page 5 of 7 <br />mm <br />