Laserfiche WebLink
M 10960 <br /> DECLARATIONS(CONTINUED) <br /> Businessowners Policy for BUTTERS,ROBERT <br /> Policy Number 98-C9-R412-4 <br /> Coverage M-Medical Expenses(Any One Person) $5,000 <br /> :. <br /> ";i Damage To Premises Rented To You $300,000 <br /> LIMIT OF <br /> AGGREGATE LIMITS INSURANCE <br /> Products/Completed Operations Aggregate $2,000,000 <br /> NA General Aggregate $2,000,000 <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-4102 Businessowners Coverage Form <br /> CMP-4247.1 Amendatory Endorsement <br /> CMP-4561.1 Policy Endorsement <br /> FE-6999.2 Terrorism Insurance Coy Notice <br /> CMP-4705.2 Loss of Income&Extra Expnse <br /> FE-3650 Actual Cash Value Endorsemet <br /> CMP-4572 Amendment of Premium Cond <br /> CMP-4709 Money and Securities <br /> CMP-4721 Ex Personal Advertising Injury <br /> CMP-4860 Al Design Person Org <br /> FD-6007 Inland Marine Attach Dec <br /> SCHEDULE OF ADDITIONAL INTERESTS <br /> Interest Type: Addl Insured-Section II <br /> Endorsement#: CMP4860 <br /> Loan Number: N/A <br /> THE CITY OF EVERETT, ITS <br /> OFFICERS EMPLOYEES AND AGENTS <br /> 2930 WETMORE AVE STE 8-A <br /> EVERETT WA 982014044 <br /> Prepared <br /> NOV 10 2020 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 <br /> CMP-4000 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. <br /> 010962 290 Continued on Reverse Side of Page Page 5 of 6 <br /> N <br />