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9 isurance Coverage . 'The Joi::-.!/ -ised doci is insured by one cf -ne fnllovin*: <br />property ovner's hOTsecvner's policy, <br />^^^eoarste group/acsociation svned po-icy. <br />lisx ’he following ia^'orrM’iion: <br />namg of insured / '~/7'/ <br />natmt of insurance carrier <br />n<nqi» of Insurance agency ^ <br />policy no. ZrXr ^/P7Z^p^/" effective date of coverage ~ f/_ <br />aaount of coverage; Public liability, per person, per occurence ^//^/y^ <br />10- <br />Piiblic liability, per occurence $ /Z)f//i^/'?Ay. <br />Security and policing of the Jointly ’used doch and property is provided by <br />(check applicable items): <br />fencing. security lighting property owner's presence. <br />contract security service, other (specif:,') <br />DOCK IHPORMATION <br />11. List Dock Use Area Specifications: <br />Width of shoreline; Length of aain dock from shore; <br />Dock setbacks from side property lines at shore; r^/7 ft. and ^^ <br />ft. <br />ft. <br />12* Dock Construction (check applicable Items): <br />^—seasonal dock (relocated or replaced each year). <br />permanent piling with seasonal deck. <br />qC^ vDoden decking. _metal deckl :g. <br />permanent piling and decicing <br />13.List Dock Accessories: <br />Humber of fire extinguishers available at the dock <br />Huniber of life preservers available at the dock nyy _ _ _ <br />1 *.List number of slips in each category ("slips” includes boat lifts) <br />Transient (day use only) ullpa <br />Permanent moorage sllpa /JP <br />. Trans if. at (day use) off-shore buoys <br />Permanent moorage off-shore buoys __ <br />Dry storage (rack) slips ^Maximum nu.,d}er of boats at the deck X.7 <br />15.List nund>er of off-street parking spacea available for users of the Joint use <br />dock. Parking, if provided must not be separated from the dock by any public <br />road. {Q spacea. <br />3 of K