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4219 W.WCOR i:iSOOae ::>::::*C........:::::: :::>i:400t.uNr.NUMBEN: ::>;::::::::::;::::>:<:»:.;:::>>: <br /> D PAS 37663755 12403531 F000732575-001-00001 NONE <br /> BRANCH GR GRAND RAPIDS RENEWAL EFF 03/01/2016 <br /> FOREMOST" <br /> INSURANCE GROUP <br /> PRECISION PORTFOLIO POLICY <br /> SUPPLEMENTAL DECLARATIONS <br /> PRECISION AMERICA <br /> (CONTINUED) <br /> 1ERA PM.Afft f5NP :M::: :;;;:<::<:::::;<:;:>:::<:::;»::;>::::::; '.[:<:Ft:0.. :::OR::;.1 : . . <br /> ..............................M..:...._ ...:...........�MF.fiT'::;la1AMg.;<;ANP»: << ::::::::>::>;:::<;:::«::::::::>;:::<:>:>: <br /> OR: 11p0!RS MENT'NUMBER FORM OR R$�EMENT SUPPU MENTj4l INF RMATI[3N...... :.::'::;:;;;;. <br /> LIABILITY SUPPLEMENTAL EMPLOYERS LIABILITY <br /> 47799 1087 <br /> BODILY INJURY LIMIT BY ACCIDENT $1,000,000 EACH ACCIDENT <br /> BODILY INJURY LIMIT BY DISEASE $1,000,000 EACH EMPLOYEE <br /> BODILY INJURY LIMIT BY DISEASE $1,000,000 AGGREGATE <br /> LOCATION STATE WA PAYROLL $290,000 <br /> COMMERCIAL GENERAL LIABILITY <br /> 955008 Ed. 3-00 INSURED'S COPY 01/26/2016 <br /> PAGE 2 OF 2 <br />