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Oct 10 02 04:07p Per )nnel Dept 1-440-'777-4332 <br />Premium Qnotation Form <br />City oi' North Olmsted lnsnrance Propwsais <br />Coverage Cumpany Preminm Best RAting <br />Package SpcciattyNational $129,600 A-XIV <br />Umbrella SpecialTy National $33,912 A-XIV <br />Boiler & Machinery 7ravelers Property $5,751 A+XV <br /> $c Casuaity <br />Liquor Liability Colotiy National $2,275 A VtI <br /> * Total S171,538 <br />* Uninsured/Underinsured Motorist Coverage is not included in premium above. 5ee optioiis below. <br />OPTIONS <br />Covera¢e Comnawy Llmit Preminm <br />UninsuredlUnderinsured Specialty National $25,000 $8,640 <br />Motorist Coverage $50,000 $13,054 <br />$100,000 $17,280 <br />$500,000 $27,030 <br />$1,000,000 $33,530 <br />AIOTES: <br />War or Terrorism Excli?sions Appfy <br />Endorsement "B" - Exclusion applies to SI, PD, Pl, and A1 arising out of activities at aiiy sirfield, <br />runway, hangar, airporE, sirpark, heliport, or similar property that you own, operate, use, maintain, <br />ficense, permit, or inspect, or loeated on any property you rent or Iense, including a sublease. <br />p.9 <br />9/20/02 f:munibknortholmstod2002