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Ïîª_¼¿Sl8Ú¾_Õ>ß¤Š5ËÌÆ*™ØQÈ_¦§Ûßß½Ô'óÁØ_;_à~àÛ?Ìoº{3� þ4KÙsY”ì.�¥Åds;Â›xRdf}§Š†‹_´·¬¦žªS"ÎÃ_À_/4?S¥ßû(_ð_ûÚÏ?� �ý_›Ûÿ_¹Ãß¿Ù@ÿ_„€ÿ_ÞÔ~yÿ_è¼ÞßýÎ_ýþÊ_ü$_þö£óÏÿ_Eæöÿ_îp÷½¯ò§Ú¿_öOòûøÙµ¾_vVõî_‹x³¹¡ê.ÈìZ_ÌfôÝ8y»_1U˜«ÎÐ×à6¼ÑÉ_VJúhÃà(ÉŽ4!__,–�_ïÞýïÞýïÞè_þ_m³~_ïÿ_å»½6§ÌþÞÚ½_>Kscåø×Ú_ƒlï}ßY·þDãpõÙM©KG€ë|^k7-_JŠ_†/=-.2uƒ_Q<åDÑS‘óVÚ¿_þ-ä’9·oó[øeµã–_%_Øîþd[›%O,‡÷é«aÿ_A4TÁ£_íAW*³p_½^ÌÖÔø!�ü¦+__øþ{]u·PÕJ’6Ôþ^_7÷“¥_§__è™|N_4.¤hK*ª_âF'@1›Sàü'Š#_ãùìv>âRÈ’¶Ôþ^?%6j=iœ45_Ç� � �—ÄgŠÄ±jF„³31_$P4_éñÓá¿ü&†_Þú‹¥›_Ï*þÆ—�¢þDGœ®Ù]#ØøÊ*.™~‡Ü1÷íNæÄWô]I©Ä¦Ï9Ér1_è_©Ã¤.*_OïÿÙ}}}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\lang2057\langfe1033\langnp2057\insrsid11559475 __\par }\pard \ltrpar\ql \li0\ri0\widctlpar\tqc\tx5220\tqr\tx10426\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f38\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid2042233 \tab }{\rtlch\fcs1 \af1\afs8 \ltrch\fcs0 \f38\fs8\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid11338307 __\par }\pard\plain \ltrpar\s15\ql \li0\ri0\widctlpar\brdrt\brdrs\brdrw10\brsp20 \brdrl\brdrs\brdrw10 \brdrb\brdrs\brdrw10\brsp20 \brdrr\brdrs\brdrw10 \tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 \cbpat19 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid11559475\charrsid14624879 Section 2}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid3080\charrsid14624879 through }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid3748926\charrsid14624879 8}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid11559475\charrsid14624879 \endash to be completed}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid345289\charrsid14624879 and executed}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid11559475\charrsid14624879 by the Insurer or its Authorized Representative__\par }\pard\plain \ltrpar\qj \li0\ri0\widctlpar\tx2700\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af1\afs4 \ltrch\fcs0 \b\f38\fs4\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid4741342 __\par }\pard \ltrpar\qj \li-360\ri0\widctlpar\tx0\tx3060\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin-360\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 1.}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid1930843 THIS CERTIFICATE IS ISSUED TO:}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid9919490 City of {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Vancouver{\*\xmlclose}{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}453 W 12}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\ul\lang2057\langfe1033\super\langnp2057\insrsid11559475\charrsid9919490 th}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid9919490 Avenue{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname City}}Vancouver{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname State}}BC{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname PostalCode}}V5Y 1V4}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid9919490 {\*\xmlclose}{\*\xmlclose}\tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\

charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid918868 a}{\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 nd certifies that the insurance policy (policies) as listed herein has}{\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 /have}{\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 been issued to the Named Insured and is}{\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 /are}{\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 in full force}{\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid10097170 and effect.}{\rtlch\fcs1 \ab\ai\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475 __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid9919490\charrsid6707992 __\par }\pard \ltrpar\qj \li-360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin-360\itap0\pararsid1058737 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid1058737 2.\tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 NAMED INSURED}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid1930843 }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid10053018 (must be the same name as}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid1930843 the}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3040218 proponent/bidder and is either an individual or a legally }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 __\par }\pard \ltrpar\qj \fi720\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid14493137 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid8723169 }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3040218 incorporated company}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 )}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid1930843 }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid6452604 }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\jclisttab\tx0\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin0\itap0\pararsid6452604 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid6452604\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\field{\*\fldinst {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text10} FORMTEXT }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 _________Text10_____________}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \

f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text10}\tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 BUSINESS TRADE NAME or DOING BUSINESS AS}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475 __\par }{\rtlch\fcs1 \af1\afs10 \ltrch\fcs0 \f1\fs10\lang2057\langfe1033\langnp2057\insrsid7625289\charrsid7625289 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }{\field{\*\fldinst {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 ______________________}{\*\formfield{\fftype0\fftypetxt0\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 BUSINESS ADDRESS}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }{\field{\*\fldinst {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 ______________________}{\*\formfield{\fftype0\fftypetxt0\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 DESCRIPTION OF OPERATION__\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par __\par }{\field{\*\fldinst {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid5124930\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid5124930\charrsid6707992 {\*\datafield \bin22 ______________________}{\*\formfield{\fftype0\fftypetxt0\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid5124930\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\

binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\brdrb\brdrs\brdrw45\brsp20 \tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\nowidctlpar\jclisttab\tx0\tqr\tx10440\wrapdefault\faauto\ls9\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 PROPERTY INSURANCE (All Risks Coverage including Earthquake and Flood)__\par }\pard \ltrpar\qj \li-360\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin-360\itap0\pararsid11420668 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs4 \ltrch\fcs0 \f1\fs4\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4680\tx7650\tx7830\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14493137 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 INSURER }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text14} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __-______Text14_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen45\ffhps20{\*\ffname Text14}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text14}\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Insured Values (Replacement Cost)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 -}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs2 \ltrch\fcs0 \f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4680\tx7650\tx7830\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14493137 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 TYPE OF COVERAGE}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text15} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __#______Text15_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20{\*\

ffname Text15}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text15}\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Building and Tenants}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 \rquote }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Improvement}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 s}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4320\tx5040\tx7020\tx7200\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs2 \ltrch\fcs0 \f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4680\tx7650\tx7830\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14493137 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY NUMBER}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Contents and Equipment\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text8} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin27 __#______Text8_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20{\*\ffname Text8}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \

u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text8}\tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs2 \ltrch\fcs0 \f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx3060\tx3150\tx3330\tqr\tx4500\tx4680\tx7650\tx7830\tqr\tx10426\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14493137 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY PERIOD From }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab to\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Deductible Per Loss\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \b\f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\brdrb\brdrs\brdrw45\brsp20 \tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\ul\lang2057\

langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 4.\tab COMMERCIAL GENERAL LIABILITY INSURANCE (Occurrence Form)__\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx-1440\tx3780\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Including the following extensions:}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 INSURER\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text29} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __2______Text29_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20{\*\ffname Text29}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text29}\tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx180\tx3780\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid12410083 \u8730\'76}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Personal Injury\tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY NUMBER\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx180\tx3780\tx6300\tx6840\tqr\tx8460\tx8550\tx8820\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid12410083 \u8730\'76}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Property Damage including Loss of Use\tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY PERIOD\tab From\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16

\ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab to\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3808107 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx180\tx3780\tx6750\tx6930\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid12410083 \u8730\'76}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Products and Completed Operations\tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Limits of Liability (Bodily Injury and Property Damage Inclusive) -}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx180\tx3780\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid12410083 \u8730\'76}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Cross Liability or Severability of Interest\tab Per Occurrence\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid12410083 \u8730\'76}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Employees as Additional Insureds\tab Aggregate\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\

lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid12410083 \u8730\'76}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Blanket Contrac}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 tual Liability\tab All Risk Tenant}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 s}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 \rquote }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Legal Liability\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid12410083 \u8730\'76}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Non-Owned Auto Liability}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Deductible Per Occurrence\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\brdrb\brdrs\brdrw45\brsp20 \tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 5.\tab AUTOMOBILE LIABILITY INSURANCE }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\

langnp2057\insrsid11559475\charrsid6707992 for operation of owned and/or leased vehicles}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx7020\tx7410\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 INSURER }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __-___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen45\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Limits of Liability }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 -}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY NUMBER}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Combined Single Limit\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text19} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __2______Text19_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20{\*\ffname Text19}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend

Text19}\tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx3060\tx3150\tx3330\tqr\tx4500\tx4770\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY PERIOD From }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab to\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \b\i\f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 If vehicles are insured by ICBC, complete and provide Form APV-47.}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\brdrb\brdrs\brdrw45\brsp20 \tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tx0\tx5040\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tx0\tx4770\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 6.\tab }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Check1} FORMCHECKBOX }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid14624879 {\*\datafield \bin28 e________Check1_____________}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check1}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Check1} UMBRELLA OR }{\field\fldpriv{\*\fldinst {\rtlch\fcs1 \ab\af1\afs18 \

ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Check2} FORMCHECKBOX }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid14624879 {\*\datafield \bin28 e________Check2_____________}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Check2}\ffdefres0}}}}{\fldrslt }}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Check2} EXCESS LIABILITY INSURANCE\tab Limits of Liability (Bodily Injury and Property Damage Inclusive) -}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 INSURER }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text24} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __-______Text24_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen45\ffhps20{\*\ffname Text24}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text24}\tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Per Occurrence\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY NUMBER }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text23} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __#______Text23_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20{\*\ffname Text23}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text23}\tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\

insrsid11559475\charrsid6707992 \tab Aggregate\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx3060\tx3150\tx3330\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY PERIOD From }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab to\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab Self-Insured Retention\tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\

fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\brdrb\brdrs\brdrw45\brsp20 \tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tx0\tx5040\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tx0\tx4770\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 7.\tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid8849061\charrsid6707992 PROFESSIONAL LIABILITY}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 INSURANCE\tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 Limits of Liability}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 INSURER}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __-___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen45\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Per Occurrence}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid8849061\charrsid6707992 /Claim}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text20} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __2______Text20_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20{\*\ffname Text20}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text20}\tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx4770\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\

pararsid11559475 {\rtlch\fcs1 \af1\afs2 \ltrch\fcs0 \f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY NUMBER}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Aggregate\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text21} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __2______Text21_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20{\*\ffname Text21}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text21}\tab __\par }\pard \ltrpar\qj \fi5760\li0\ri0\widctlpar\tx4770\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs2 \ltrch\fcs0 \f1\fs2\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx3060\tx3150\tx3330\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8849061 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY PERIOD From }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab to\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\

afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Deductible Per}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkstart Text22} FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin28 __2______Text22_____________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20{\*\ffname Text22}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\bkmkend Text22}\tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\brdrb\brdrs\brdrw45\brsp20 \tqr\tx4320\tx5040\tx7020\tx7200\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8849061 {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid14493137 }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 Occurrence/Claim}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid8849061\charrsid6707992 __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 If the policy is in a “}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11361660 CLAIMS MADE”}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11361660 f}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 orm}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11361660 ,}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 please specify the applicable Retroactive Date:}{\field{\*\fldinst {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11170319\charrsid6707992 {\*\bkmkstart Text34} FORMTEXT }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid11170319\charrsid6707992 {\*\datafield \bin28 _________Text34_____________}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text34}}}}}{\fldrslt {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\i\f38\fs18\ul\lang1024\langfe1024\

noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \f1\fs18\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\bkmkend Text34}\tab __\par }\pard \ltrpar\qj \fi-360\li0\ri0\widctlpar\tqr\tx4500\tx4770\tx7560\tx7740\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8849061 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 __\par }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid8849061\charrsid6707992 8.\tab OTHER INSURANCE}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid5002966\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx7560\tx7740\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 TYPE OF INSURANCE}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Limits }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 of Liability}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 INSURER}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __-___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen45\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Per Occurrence\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 $\tab }{\field{\*\fldinst {\rtlch\fcs1 \

af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY NUMBER}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Aggregate\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx3060\tx3150\tx3330\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 POLICY PERIOD From }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\

charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab to\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Deductible Per Loss}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }{\rtlch\fcs1 \af1\afs4 \ltrch\fcs0 \f1\fs4\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx7560\tx7740\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3748926 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 TYPE OF INSURANCE}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 Limits of Liability}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3748926 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 INSURER}{\rtlch\fcs1 \af1\afs16 \

ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin22 __-___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen45\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 Per Occurrence\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab __\par }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 POLICY NUMBER}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin22 __#___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen35\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 Aggregate\tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\

langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab __\par }\pard \ltrpar\qj \fi5760\li0\ri0\widctlpar\tx4770\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3748926 {\rtlch\fcs1 \af1\afs2 \ltrch\fcs0 \f1\fs2\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx3060\tx3150\tx3330\tqr\tx4500\tx4770\tx6660\tx6840\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3748926 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 POLICY PERIOD From }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab to\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 Deductible Per Loss}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab $\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 {\*\datafield \bin22 __2___________________}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen50\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid3748926\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\brdrb\brdrs\brdrw45\brsp20 \tx0\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \ab\af1\afs2 \ltrch\fcs0 \b\f1\fs2\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs2 \ltrch\fcs0 \f1\fs2\lang2057\

langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx6480\tqc\tx6840\tx7200\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs6 \ltrch\fcs0 \f1\fs6\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6452604 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid6452604\charrsid6707992 SIGNED BY THE INSURER OR ITS AUTHORIZED REPRESENTATIVE}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid6452604 __\par }{\rtlch\fcs1 \af1\afs24 \ltrch\fcs0 \b\f1\fs24\lang2057\langfe1033\langnp2057\insrsid6452604\charrsid7370519 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx7920\tqc\tx8280\tx8640\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 Dated\tab }{\field{\*\fldinst {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 {\*\datafield \bin60 €____________d-MMM-yy__Enter a date (e.g. Jan. 1, 05)_______}{\*\formfield{\fftype0\ffownhelp\fftypetxt2\ffmaxlen19\ffhps20{\*\ffformat d-MMM-yy}{\*\ffhelptext Enter a date (e.g. Jan. 1, 05)}}}}}{\fldrslt {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid12875551\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx8100\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6452604 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid6452604\charrsid6707992 PRINT NAME OF INSURER OR ITS AUTHORIZED REPRESENTATIVE, ADDRESS AND PHONE NUMBER}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid6452604 __\par }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \b\f1\fs18\lang2057\langfe1033\langnp2057\insrsid6452604\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tqr\tx7920\tqc\tx8280\tx8640\tqr\tx10440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs6 \ltrch\fcs0 \f1\fs6\ul\lang2057\langfe1033\langnp2057\insrsid10499046\charrsid6707992 __\par }{\field{\*\fldinst {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid5124930\charrsid6707992 FORMTEXT }{\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid5124930\charrsid6707992 {\*\datafield \bin22 ______________________}{\*\formfield{\fftype0\fftypetxt0\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \ab\af1\afs16 \ltrch\fcs0 \f38\fs16\ul\lang1024\langfe1024\noproof\langnp2057\insrsid5124930\charrsid6707992 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\binfsxn15\binsxn15\psz1\pgnrestart\linex0\headery360\footery346\endnhere\sectdefaultcl\sectrsid14564287\sftnbj {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\langfe1033\langnp2057\insrsid6452604 \tab \tab \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\lang2057\langfe1033\langnp2057\insrsid11559475\charrsid6707992 \tab }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\ul\lang2057\

langfe1033\langnp2057\insrsid11559475\charrsid6707992 __\par }\pard \ltrpar\qj \li0\ri0\widctlpar\tx8100\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11559475 {\rtlch\fcs1 \af1\afs6 \ltrch\fcs0 \b\f1\fs6\lang2057\langfe1033\langnp2057\insrsid3238857\charrsid6707992 __\par }{\*\themedata 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RFP - Services and Goods - Vancouver · Web view____L________€__ †__________(___

RFP - Services and Goods - Vancouver · Web viewL€ †______(_