PORTFOLIO CHANGE AGREEMENT- POLICY # 2 15 MXX 0024 42 05
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POLICY NUMBER 2 15 MXX 8024 42 05
Nar.-i€~d In!:;u:c€.:.d
SUNCOAST AIR CENTER
Sequential Endorsement No.
003
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FIREMAN'S
FUND
INSURANCE
COMPANIES
MAIL AOORESS
NOVATO
CALIFORNIA
Thi s i!:; cl n Endorsement em I 'y'. Other thcln c:r.an';Jes !:;ho~yn, cd], oth€')l: px:e"E';-;_ -. ~'_,I ""~.l
coverage remains in full force and effect. Premium adjustments are shown.
PORTFOLIO CHANGE ENDORSEMENT
Effective 02/12/88, 12:01 A.M.,
Standard Time at the address of the insured
PREMIUM SU....ARY:
ADDITIONAL PREMIUM DUE NOW
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ENDORSEMENTS - OTHER AUTOMOBILE COVERAGE
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ADDITIONAL INSURED-LESSOR
Cr~200J 01--86
APPLICABLE TO AUTO 10001
CITY OF CLEARWATER
P.O. BOX 'tn:l't
CLEARWATER, FLORIDA 34618-4748
ADDITIONAL INSURED-LESSOR
COI,,'ERAGES
L,T.I~BILITY
PERSONAL INJURY PROTECTION
A(TUAL CASH VALUE OR COST OF REPAIRS,
COMPREHENSIVE MINUS:
COLLISION MINUS:
LIMITS OF LIABILITY
!~1 ,000,000
~; 10,000
WHICHEVER IS LESS;
5250 FOR EACH COVERED AUTO
$250 FOR EACH COVERED AUTO
Forms Added at the Inception of this Change Endorsement
CA~:~001 01--86
D.:... t~?: 02/:,::5/88
FL ~53'tO-1.
END OF CHANGE ENDORSEMENT
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