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INS - 1982 RADIO INSURANCE General Pur se Endorsement Date Prepared Endorsement No. � 11-2-83 CAC: s 5 I Issued By • El The Home Insurance Company 0 City Insurance Company 0 0 The Home indemnity Company fJ The Home Insurance Company of Indiana - Policy Number Certificate Number Named Insured CC-8977652 JEFFERSON COUNTY Producer Producer No. - OPC FIRST NAT ONAL INS . , INC . , ENNIS , MONTANA 22998-721 Inception(Month-Day-Year) Expiration(Month-Day-Year) Effective Date and Time of Endorsement Policy Period: 7-1-82 7-1-85 10-3-83 It is agreed that this policy is hereby amended as indicated. All other terms and conditions of this policy remain unchanged UNDER SECTION I , INLAND MARINE COVERAGE , MISCELLANEOUS PROPERTY FLOATER , PER FORM IM211I1c , IS HEREBY INCREASED AS FOLLOWS: PREVIOUS INCREASE NEW AMOUNT 49 , 019.. $500 , $45 ,519 . ITEMS ADDED RADIO EQUIPMENT GE PAGER , MODEL #P8LBW6JA-S# 3305890 . III GE PAGER , MODEL #P8LBW6JA-S# 3305891 EACH $250 . ADDITIONAL PREMIUM SHOWN BELOW. (SIC 9199 ) Additional Total Additional Premium Pro Rata Of Premium Due at Endorsement Effective Date Premium WAIVED 10 . WAIVED Return Total Return Premium Pro Rata or Short Rate of Premium Due at Endorsement Effective Date Premium Premium Adjustments if the Premium is Payable in Installments or Cycle Billing: Dates Due Present Installment Increase Decrease Revised Installment $ $ $ $ $ $ $ $ $ $ $ $ S $ $ $ $ I$ .5 $ $ $ $ $ $ $ ,$ $ $ $ $ $ $ $ $ $ $ $ $ • $ $ $ ,$ $ $ $ $ Signature of , ..rized Representativ- „NSUFtoce HOME % � . �4MPAN��S '�'�68F (S) Rev. 12/81 The Home Insurance Companies Insured Copy