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Declarations: <br /> 7—�71wo other Charges <br /> States laws and regulations may require you to pay taxes, fees, surcharges or other costs. We've listed those <br /> charges below <br /> DESCRIPTION COST <br /> Other Premiums <br /> Policy Base Premium $270 <br /> Terrorism Premium $13 <br /> Form: SC 00 01 10 18 8 <br />