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CCI 0231885 AGENTS COPY general casualty <br /> PAGE 1 OF 13 COMPREHENSIVE INSURANCE POLICY <br /> COMBINED BILL <br /> ACCT # STON-WCF355 RENEWAL DECLAR ION (:1,1;11p11144.' <br /> t RENEWAL OF :toi ( CCI 0231885 <br /> tPOLICY NUMBER POLICY PERIOD COVERAGE IS PROVIDED IN THE AGENCY <br /> CCI 0231885 04/05/2000 04/05/2001 GENERAL CASUALTY CO OF WI 0480203 04 <br /> T & T STONE COMPANY INC AMUNDSON HOFFMNN INS AGCY INC <br /> 129 W MAIN ST <br /> 2346 CLEARVIEW ROAD PO BOX 628 <br /> CAMBRIDGE WI 53523 CAMBRIDGE WI 025 53523 <br /> FORM OF BUSINESS: CORPORATION <br /> BUSINESS DESCRIPTION : HAULS CRUSHER STONE <br /> THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS INDICATED BY AN ( X) . <br /> COVERAGE PARTS Ar^undscn In;ur�rr,: <br /> ( X ) COMMERCIAL PROPERTY COVERAGE PART APR 5 2000 <br /> ( X ) COMMERCIAL INLAND MARINE COVERAGE PART <br /> ( X ) COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> ( ) COMMERCIAL CRIME COVERAGE PART <br /> ( ) BOILER AND MACHINERY COVERAGE PART <br /> ( ) COMMERCIAL AUTO COVERAGE PART 1 <br /> ( X ) COMMERCIAL UMBRELLA COVERAGE PART <br /> MINIMUM PREMIUM $ 100 <br /> TOTAL PREMIUM FOR ALL COVERAGE PART ( S) $ 5 , 794 <br /> THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENTS DEPENDING ON THE TERMS AND <br /> CONDITIONS OF THE INDIVIDUAL COVERAGE PART ( S) . <br /> AUDIT PERIOD : ( ) ANNUAL ( ) SEMI-ANNUAL ( ) QUARTERLY ( ) MONTHLY <br /> APPLICABLE FORMS - PER G40 ( 5-85 ) ATTACHED <br /> 03/30/2000 <br /> AUTHORIZED SIGNATURE DATE <br /> CI 7901 ( 07-86) <br /> 1517 DECGC 1 6197 <br />