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<br />The Shores of Oneka Lake 5th Addition 26 <br />Bodily Injury: <br /> $500,000 each person $1,000,000 each occurrence <br /> <br />Property Damage: <br /> $500,000 each person <br /> <br />-OR- <br /> <br />Combined Single Limit Policy: $1,000,000 each occurrence <br /> <br /> <br />ARE ANY DEDUCTIBLES APPLICABLE TO BODILY INJURY OR PROPERTY DAMAGE <br />ON ANY OF THE ABOVE COVERAGES: <br /> <br />If so, list: Amount: $ <br /> [Not to exceed $1,000.00] <br /> <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL THIRTY (30) <br />DAYS WRITTEN NOTICE TO THE PARTIES TO WHOM THIS CERTIFICATE IS ISSUED. <br /> <br /> <br /> <br />Dated at <br />on <br /> <br /> <br /> BY: <br /> Authorized Insurance Representative