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JUN- 4-93 FRI 9:SS FRRM BUREgU CCRpIG? 9249145 <br />P_02 <br />a _ <br />~~ ~ ~ /l•~~LMN <br />COUNTRY 6QUIRE <br />POLICY DECLARATION <br />AMENDED DECLARATION <br />EFFECTIVE. 01/19/93 <br />POLICY NureER AOCNi NAME AND PHONE NUMBER f.0. N0. PAGE <br />C8204365 01/01/93 01/01/94 41-517 J.B. CHAPMAN <br />824-8143 036674 4 <br />NAMBD IN9DR8 D <br />IAMRENCE M 8 RETA I 0880RN <br />COVERAGE LIABILITY (OTHER THAN MOTOR YEHICLEI COVERAGE <br />004 <br />LIMITS OF LIABILITY <br />COVERAGES EACH EACH <br />PERSON OCCURRENCE <br />LIABILITY (OTHER THAN ROTOR VEHICLEI <br />FDR~ COMBINED SINGLE LIMIT <br />BODILY INJURY. ANO PROPERTY DAMAGE <br />MEDICAL PAYMENTS TO OTHERS <br />FIRE LEGAL IIABILITY(fARM STRUCTURESI <br />NAMED PERSONS MEDICAL <br />NAMED PERSONS MEDICAL COVERAGE - PERSONS INSURED <br />LAMRENCE M OSBORN <br />TROY N OSBORN <br />- 6,000 <br />2.600 <br />RETA I OSBORN <br />500,000 <br />50,000 <br />26,000 <br />LOCATION Of INSURED PREMISES <br />ACRE8 BLDGS TMSP RNGE COUNTY ACRES BLDOS TMSP RNGE COUNTY <br />352 7 04N 91M MOFFAT, CO 76 2 03N 91M MOFFAT, CO <br />660 0 03N 91M MOFFAT, CO 160 0 04N 91M MOFFAT, CO <br />TOTAL ACRES 1,238 <br />TOTAL PREMIUM FOR ITEMS LISTED ABOVE 4297 <br />OPTIONAL COVERAGES ANO ENDORSEMENTS APPLYING TO YOUR LIABILITY COVERAGE <br />*#*******RRR#RRR#iRi#iR#*###R#*RR*RR#i#R*#RRR#***#iRR**RR###*##R##k*##***** <br />END. COVERAGE/ENDORSEMENT <br />N0. DESCRIPTION PREMIUM <br />OPTION INCIDENTAL GUIDES 8 OUTFITTERS <br />OPT OTHER INSURED LOCATION OCCUPIED BY INSURED <br />CS103 MISCELLANEOUS ENDORSEMENT <br />4550 <br />48 <br />INCL <br />2/03/93 * ~ IIENHOLOER <br />