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dp <br />i <br />0 <br />I r' . I H q , I.r I.rktI I I III I I II 1'1,11 , I I r ' - .I I..I II: i' <br />GER I IFIGAI E OF INSURAMCF. <br />Thin rol flf+} Ihtil, SIAIE I ARM I'IRIS AND CAlltlAi_l Y COMPANY. 111r,omirq{hrn, lllinna <br />19 .91ATE I AW flr-.NFIIAI_ INHORANCF COMPANY, Plnnmiriryloo, Iliooi•: <br />hlstilf. Ill. Itch+ WtIII wIllmlioldel rot lhh coverages IrldlcaTod hellny' <br />14 110 nt p'sih*yl pit def WTI,I,I.AM iG),0VLr R.s INC.. ---_._._.. •• - <br />Adrl,nnr ni is lhrt+loldes 2 0 6 N SABCO.CK S'1'' <br />M91,T111CIRNE 1°'t, 3 2 9 3', - 0 0 <br />I wnli:u, of oprrnllrsrle A111J' L INSURED INDIAN RIVER COLI) <br />0-Iildlorr"t ,rnlallonq Th'IM1VF14IRN'P Pft0JI,'CV 2G25 147'11 <br />IIIq pnhel-e Ilplod hnlmv hwe herrn Mond in ilia policyholder lot lila policy pedn•IIa elite <br />sulrJacl it, -40 1 h lgfltl; galolual�er s,.elld Nildillons oI those poticlrss�Tlla Ilrnils of Ila bit 91 H+ <br />– <br />POLICY PP. R1 )t) <br />pnt IPI/ bitIMgE11 TYPE! LW INSURANCE Elfe-etiva 090 Expirglion dale <br />canrpreltRrnlve <br />9usl esaL Ili USj I.'T/9y 05/LT UU <br />TI,iV- In*ar„+s, ,+ hu4rcrtrnF'tndtmra � coln�let�ed Opernlinns­ <br />V f `.ontraMiAl I inhilitT <br />I] I Irxlergrnlrrml I lazold covelape <br />❑ F'ereonatl burly <br />Q Advedining Injury <br />Ll Fxpinsinn I lil Covantge <br />Collapse I'lezR11:I Coverage <br />0711e1I61 Agpiepale Lhnit Ilppllets la ear.Ir Ixntert <br />FXt:k=8SI.IAl311,1IY P[Vato xpliaio <br />Elfeellya pats Exph atloss 1) ate <br />j] 4tmbre1la 1 <br />poll Ir' ✓ wg immrp <br />Wolkels' (mull lllsatlon <br />mid rmpMwr.ts I Inhility <br />TYnr nr INR-IRANQ <br />N,,,,+ s„ r AAA—, ns V-11 —t , H=bin. <br />INI)I101 1)1'tIRR 0)[Jl+ y <br />24;)l; IWI'}T hV"TIIR <br />Vli'flr+ FIRAI-11 Ir1, V 9611 <br />PAX# Ola l 'v 7 rl r. 1 ,IU AMI PRAN <br />d'1'Y _WAf3ASSU i:AUS SWAY PARK <br />7,VI3 VERO 2CH FI, :12960 <br />Yn. the Innurantr. dnanrihar! In 111in.r; ppliulns h <br />VII IItaa trVe keert redyced by, Any .pa_id g9iITIs._ <br />LI"M17'� fJF'llRBILII Y <br />- (all I�Irminy of Irallcxls!riorlj._F - <br />PfX)ILY INJURY AND <br />Ill'"ILII I Y DANIVA: <br />Each occursortrw S 14444-0010 <br />Gnneral AgpretlRls 5;u1llli_d1l111 <br />Products - cornpleterl <br />U{relatlousAllplepale $ <br />IK)17i1 V Rot i0v fAMil PR1515I'-17 Y bAkAS - <br />{t:nrntsined Single l.ltnit} <br />A99r-ega18 . ..-'$ _....... <br />NitISIAIUlQ - <br />['art 2 BoOlt Y INJURY <br />Inch Acetrlt it _ <br />Utseass EaW Elnphsyee <br />If nnyn� fl+.ts do*nr{hril pn!}r+,ln�t rlrn Mnc++Irrl hhlnff+�1•: <br />-pfequon dale, Sime !-sltil will by to mall a written notice It, <br />Ihtt rMliftate Iruldrs 311 days bplofe onooallstlon II <br />Irnwavol, we iln]$ to mail swh notice, no ohligsitlon or liabilily <br />will hA ltiipneed tin Mete Fertss of its *gents al <br />I"rpt n-tollintivoR <br />.lylr•hi„ra -A At th I nairrnw rNnt1 <br />Ilyd, (] <br />i�,r <br />