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COMMERCIAL GENERAL LIABILITY <br /> COVERAGE PART DECLARATIONS EXTEMSIOM <br /> POLICY NUMBER: NN393078 Effective Date: 11/01/2013 12:01 A.M.Standard Time <br /> LOCATION OF PREMISES <br /> Location of All Premises You Own, Rent or Occupy: <br /> PREMIUM <br /> CODE#- CLASSIFICATION PREMIUM RATE ADVANCE <br /> BASIS Prem/Ops PrOO S mp PREMIUM <br /> 49950 - Additional Insured-Per Form CG2011 T+ 2 INCLUDED INCLUDED <br /> INCLUDED INCLUDED <br /> 49950 -Additional Insured-Per Form CG2002 T+ INCLUDED INCLUDED INCLUDED <br /> INCLUDED INCLUDED <br /> 67013 - Distinguished Young Women Competition T+ 1 INCLUDED INCLUDED <br /> Rehearsals INCLUDED INCLUDED <br /> ❑ Additional page needed. PREMIUM FOR THIS COVERAGE PART $ 855 <br /> THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. <br /> S170(07/09) Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 1 <br />