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<br />02/28/2005 12:30 <br /> <br />5192397105 <br /> <br />NEW CITY AMERICA <br /> <br />PAGE 05 <br /> <br />CO'~~1llALAII1'OII08ILE <br />COVERAGE PART. ....uM.... <br />...... AIII'OCOVEIIAGEFO"'U'" ~ <br /> <br />PQl.ICY IIU111111: 72 tIBC X1I9993 <br /> <br />fTE1111tREE" SCHEDULE Of! COVERED AUrOS YOU OWN <br /> <br />- <br /> <br />.~rllcU'- <XIly If"ScIleduIe '" CcMtnId AuIIls You OWII" lllauod Ia bm. put '" thia C-.ge FoIIn. <br />FORK HAO013 A'.E'DCHBD <br /> <br />!'Ell FOuR.$CHB)ULE OF HIRED OR 8OMOWED AUtO COVIRAQE AIID PRD" <br /> <br />I.IABI.J1Y COVERAGE <br />RATING u.. COIn" OF tIME.. COllI..... _ hi 1IlIII8IIlOlIIII ycu iIICIlI'lar I. hQ oI'lIla" ~ don't <br />own (ngt Incl\dlg 'UbI' you ~ Ill' 1lIIll1rvm yaur..,... or 'll~' or lh8lrfamlly 1lItIIIlMno). Co8taf hila <br />daM not InclIde ~ for _,,11-. p.lIfon.,.,d by malI:Ir CI/IIBIS of pIllIIlIIIy Ill' !lllS8Illgrlls- <br /> <br />..... <br /> <br />II!.I,,--........ c.t fill'" <br />IF JIm <br /> <br />..... Pw....... CcMIlflt... <br />2.34.8 <br /> <br />Ad___ PI. .... <br />$ 26.00 . <br /> <br />Taf'AL ADVlUICIi PREIIIlIII <br /> <br />$ <br /> <br />26.00 lIP <br /> <br />filii FIVE.1IGtIEDlAI FOR MONo4WfJER.-\ll UA8I.IIY <br /> <br />....... .........lutlq II <br /> <br />RdIJIIBM/a <br />N.....'" ~ <br />Number tA Partnels <br /> <br />...... <br /> <br />~"11l_ <br /> <br />0Ih8r lit... . ScIclm 8eNioe Ag8rKy <br /> <br />5 <br /> <br />$ <br /> <br />103.00 <br /> <br />SodII....... <br /> <br />NulnblrtA~ <br />NIIIlIIlw gf v-.... <br /> <br />1O'I'AL AOVAIICE PIIEIIIUIft <br /> <br />$ <br /> <br />103.00 KP <br /> <br />fIonIH4...DlOI <br /> <br />..... 4.4 <br /> <br />51! :3!lIId <br /> <br />J.Z(J I ^ OIIlI 3l.UIl <br /> <br />998~EE~E;[9 <br /> <br />19:~l 9AR7./A7./7.~ <br />