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' LIBERTYGUARD PERSONAL CATASTROPHE LIABILITY POLICY <br /> <br /> DECLARATIONS LIBERTY MUIZJAL INSURANCE CC)MPANY RENEWAL A <br /> BOSIC)N, MASSACHUSETTS <br /> POLICY NUMBER <br /> LJ1-261-341475-100 1 HESEDECLARATIONSEFFECTIVE 03/25/1 AGENT:AND ASSOCIATES <br /> NAMED INSURED AND MAILING ADDRESS ( 415 ) 2 91- 0 2 0 2 <br /> HANNE INMAN FOR SERVICE CALL OR WRITE: <br /> PO BOX 181333 PO BOX 52102 <br /> CORONADO CA 92178-1333 * PHOENIX AZ 85072 <br /> 800-869-4009 <br /> CLAIMS : 800-225-2467 <br /> POLICY PERIOD: 03/25/10 TO 03/25/11 12:01 AM STANDARD TIME AT THE ADDRESS OF <br /> THE NAMED INSURED AS STATED IN THE POLICY. THIS POLICY SHALL EXPIRE ON THE DATE <br /> SHOWN EXCEPT THAT IT MAY BE CONTINUED IN FORCE FOR SUCCESSIVE POLICY PERIODS BY <br /> THE PAYMENT OF THE REQUIRED RENEWAL PREMIUM. EACH SUCH POLICY PERIOD SHALL BE <br /> FOR THE PERIOD SPECIFIED IN THE RENEWAL DECLARATIONS. <br /> LIMIT OF LIABILITY: $ 1,000,000 LIABILITY <br /> EACH OCCURRENCE, SUBJECT TO ALL THE TERMS OF THE POLICY. <br /> THE INSURED'3 RETENTION IS: $250 <br /> PREMIUM SUMMARY: INITIAL RESIDENCE $ 77 <br /> INITIAL AUTOMOBILE $ 68 <br /> 1 ADDL AUTOMOBILE $ 45 <br /> PERSONAL CATASTROPHE POLICY PREMIUM: $ 190.00 <br /> ENDORSEMENTS ATTACHED: <br /> PC-50 9/86 HOME DRY CARE ENDORSEMENT <br /> PC-51 11/89 COMMUNICABLE DISEASE EXCLUSION <br /> PCE 134 AMENDMENT OF POLICY DEFINITIONS <br /> PCE-96 AMENDATORY MOLD END <br /> PCE-92 ED. 12-04 LIBERTYGUARD PERSONAL CATASTROPHE POLICY <br /> PCE-75 3/94 SEXUAL MOLESTATION EXCLUSION <br /> ~ISA E. <br /> ST.....--ORS <br /> Assistant City Attorney <br /> S/ <br /> PC 52 3195 COUNTERS IGNSD 0 2 / 0 2 / 10 <br /> this policy, iMluditg all ~rodocscnwnts attached is couacrsigncd by: <br /> ~ S ~r'~ <br /> ~~~!~Yl <br /> AUTHORIZED REPRESENTATIVE <br /> <br />