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C <br />1 <br />Page 3 <br />TO BE COMPLETED BY COMPARY, AGEM OR BROKER <br />Rem <br />No, <br />Desnplion, tocetan end Oaupeney <br />of Pfoperty Covered <br />Con(• <br />file • <br />Yfilues <br />All, <br />►ub. <br />NO. <br />Silverview Park <br />County Road I and Silver Lake Road <br />PIO <br />$ 7,410 <br />Lakeside Park Pavillion <br />Hillview Rd. & <br />Spring Lake Rd. Picnic Shelter <br />B <br />28,765 <br />B <br />6,845 <br />H.C.B. Storage <br />Bldg. <br />B <br />13,735 <br />PIO <br />90,818 <br />Red Oak Park <br />Red Oak Dr. & Sherwood Road <br />PIO <br />3,400 <br />Total Buildings & Contents @ 100% <br />Total Buildings & Contents @ 90% <br />$5,621,123 <br />$5,059,011 <br />101ALS <br />AVERAGE RATES EFFECTIVE <br />I • B•BudOmr SIS1oC1 PPHPe'sone' Prooertv 41 [he 1F.Wed PPVre wne, rrooerte of utnee MW— Swifi A0on <br />CF 1615 (Ed. 05 M <br />