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No. GL !) U - t) d _ _ _ (stNtKAL LIAbILII T rULILY <br />ft��� DECLARATIONS <br />NEW MAMPSMIRE j INSURANCelli'R OUP <br />CO 2 AGENCY MANCHESTER • NEW NAM►SHIRE i YEAR Or <br />�{ � 790 FIRST ISSLt <br />I <br />/Y - RFNIWAI OF ►0I1CT MO <br />1 Hampshire Insurance Company NEW L 1985 <br />O3 A CAPITAL STO(R C0AAPANr <br />1 (7 fled 1.. i>R#� LIB ADDRESS tNA . ShNr Tavner GrT CwMT. fie+Pad IIP eeA1 MISINEgE Oi f1ANxN MIIIMM: fEME1 Wm — <br />The The Buard of Governors, BIG Island - Veterans Group <br />�� • Veterans Camp, Lake Minnetonka AWT rEwtoo: W01WM(a - <br />�� • coo Carl Folgowski, Secretary I THE GAMED INSU410 EiI110 PAR'MIR <br />VW SHIP (CRP)RAr+pn <br />'1; ♦' �_.) <br />�! ' 208 State Veterans Bldg . , St. Paul , MN; ❑ y,M' 4+ ol'eR Veterans Group <br />ONE!! 2. lomw F>•�e tee. _ r~ _ _ % _ _ —t <br />61 9-14-85 _ 9-14-86 <br />Z It *1 A N , STAMMO TINE AT TIM ADDRESS OF I"( NAM � AS STAT(D IM NA — - <br />ItANn 3. The Insurance afforded n only with respect to the followingg Cnve,-,,e PartfS. Indicated by an "X" In -, or designated by CwKage Part Number Sr and to such of the following <br />Coverages as are indicated by specific premium charge or charges Th• the company's liability against earn: such Coverage shal' be as stated herein, or in each applicable Coverage <br />Part, subled to all the terms of this policy having reference thereto <br />c.a�.rpw tMtd Lwa «Llaelo <br />_ - - <br />�1 g <br />❑ GMaul llglYrf ❑ /�Rtl ►w�eb� <br />A — %ft Injrary LOWIty <br />MCb 0=FTN P <br />S f <br />Ogg aglow - - — - <br />S <br />IMIEaaa/ . �:,, ,.4 • LNIAIy INomm <br />• — Prowty Dwdp Li/biih <br />f i <br />s <br />WAftftftW❑ Dw itt ', . <br />A -- Way loWy ullb Fty <br />and Ea' <br />LiEDilittr IaI/arorEca Lialilti IRIMnRR0/11 <br />1` Plemlly Doom Lingift <br />I AWWI* FMI WhatiM it O&MM', La sft*' cab TFmmts' LuM11ty I nsurarKe e,dud/s *vftr/1 alfengim. <br />D/Nr anstryrboe and dentolston. <br />❑ cuumbol U** Imm"" Y — C iff-- I B*MNy in-W—y LI/OIDty <br />(Da/igt+M*0 CaRtnch <br />s <br />Z <br />oNy) I j — Contra"Pmwty DamRp ll &My <br />"W 16C4iM W Port #W ag bCWS OMAM of offenses CDveled <br />t Ma IraEMmdY <br />motion <br />_ ❑ PWIMNN Iojurl IIs <br />►- Pe lefory LJOKY <br />4 <br />o $ <br />Mohr 10 Covenp Part for applicable Cove- qes <br />a*eh Oor� <br />*odI t10tiNRt j <br />[PlInift "—hpR/Rts Il WOM <br />E — NOT"" Medical Payments <br />i <br />S <br />each person <br />Path occurrence <br />aadl stxidaut <br />❑ C/MtMwie/ PIMfaRal inawaa* <br />L - PttasoN/f LwAky <br />S <br />farRl/r's (orahemoke P%sonN IRawaM/ <br />N Personal Medial Payments S <br />s <br />' <br />$ <br />("ohm W* to FafW / <br />R — Physical Damage to Prop/rty <br />S <br />PayoRM Itl/arolsc* �� <br />O — Animal Cr11Naion <br />Market value not weeding SU each .%nimat 1 <br />—_ 1 <br />Atldifional Charge Cevay*a lard M <br />� <br />`�o.Rara w coetraffor•/ hMdiw u�r ItT/wrl�q - <br />s <br />U =Ioroliaaws <br />L-+- <br />Fem r4 mbere of GvwW Plrta and of w dorso~u ottadlad at ices" <br />L6414 -L6112 GL2133 GL0032 Advance Premium s 102. <br />"'lithe Poll(v Period is m/nthan one year and the premium is to be paid in installments premium Is payableon Tool Advance Prom, <br />f Effective INte $ 1st Anniversary f .rw Anniversary for this policy. 1 1 c . <br />Item 4 During the past three years no insurer ha! cancelled insurance. Ssue4i to the narated insured, s radar to that afforded heclunder. unless otner•ne stated herein <br />Minnetonka, MN R. L. Younrldahl & Assoc., Inc. <br />2 2 -7 90 <br />Cauntersyned 9-25-85 GG By. -00 <br />•«« wMkaa• •.n dq-111 <br />aatese^tat've <br />LaA Id I I.'3 TN+S PART a. WIIN"►M,, PROVISIONS —PART A", AND COORACA PART, S Alto(NOORS1 MtRIIS •*r"�++'� M <br />NA to USA TNI AWM IIummolD PYLICT <br />