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IN RETURN FOR THE PAYMENT OF THE PREMIUM, THE
<br /> TERMS OF THIS POLICY, IPROVIDE THE INSURANCE
<br /> AS STATED IN THISPOLICY
<br /> RETROACTIVE T (CG 0002 ONLY)
<br /> THIS INSURANCE DOES INGOT AkIPPILY TO "BODILY IIIN INJURY," 'PROPERTY� DAMAGE- OR
<br /> "PERSONAL AND ADVERTISING INJURY" WHICH OCCURS 13EIFOIRIE THE
<br /> RETROACTIVE CTIVE IDATE, IIF ANY, SHOWN BELOW.
<br /> .
<br /> RETROACTIVE CTIVE I TIE:
<br /> (ENTER I A4TIE OIP. "NONE" IIF NO RETROACTIVE IDATE APPLIES)
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<br /> Ilf°�OII°���� 011f°��' III.;;IILI�IIIIIIIf°°I��°
<br /> ICTRUST
<br /> S ,,,,,,,,,,,, ,,,,,,,,,,,,,
<br /> LIMITED I IITY COMPANY [:1 ORGANIZATION, INCLUDING
<br /> CORPORATION (BUT NOT INCLUDING
<br /> PARTNERSHIP, JOINT VENTURE OR LIMITED
<br /> LIABILITY COMPANY)
<br /> I Special - Block Party
<br /> ..........................................................................._..............................................................
<br /> 'III,,,,,ASSIRICA""FIIIOIIIN JII%III; IIU IIII IIIf;;;l'Ilf 111 111
<br /> ......................................................... ...................................................................
<br /> ADVANCE
<br /> 'III IIIIFIICATIO11 OIIME P11:1EII IIIPUM IRXIII PIRI III IIIUWIN
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<br /> LOCATION NOIl.m° ururu .I.ui°�b.ti1.f uPin IlPui_ o l Trod/
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