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GENERAL33394
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GENERAL33394
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Entry Properties
Last modified
8/24/2016 7:55:24 PM
Creation date
11/23/2007 7:37:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981031
IBM Index Class Name
General Documents
Doc Date
11/10/1983
Doc Name
Certificate of Insurance
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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1103 03 IEd. 11-781 <br />INLAND MgRINE INLAP!D tAARIME DEDUCTI3LE CLAUSE Zt•!DORSEMENT GU 210 <br />E.?~DORSEit}FNT (Ed. ll gar <br />~,~' ,•,t~•t n; t ' EPlTEHLO <br />~ir'~pi ~fi',l."•.~ (G P•I';U"'i •r.LF'I ii ...;'1 <br />--1 <br />"~t :.'. a <br />^ Th=_ Vdestcin Casualty and Surety Co-npany <br />Attached to and made a part of Policy IVO ....................................... .....................of ^ Thu 1%~hsiern Fire Insurance Company <br />of Fort Scoit, Kansas 66701. ^ The 'rVestern Indemnity Company, Inc <br />l~sucd to ........................................................................ ....................................................................................... ............... <br />Name of Insured City State and lip Code <br />E ndoryywaent Eflacl rvFj' ....................... ............ ..._ Fns. IJn.... <br />Secretary Authorized Representative <br />•If no date shown, this endorsement becomes effective concurrently with the effective date of the policy to which it is attached. <br />(The information above is reyuired only when this endorsement is issued after poficy preparalion.l <br />(When this endorsement forms a part o(a supplemental endorsement Iform) the v:ord "policy" :wherever appearing in the idlowing <br />provisions is to be construed to mean "supplemental endoi cement (form)".) <br />Each claim for loss or damage (separately occurring) shall be adjusted separately and from the amount of each adjusted claim the sum <br />07 $ It9'l_;Ifl shall be deducted. <br />In the even of any recovery or salvage on a loss vfiiCh has been or is being paid theraunder, such recovery or salvage shaft accrue entiialy <br />to the benefit of the Company under this policy until the sum paid by them has been made up. <br />10-22-~3 dk . <br />GU 310 ;'r~`• MUL. <br />
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