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DocuSign Envelope ID:456CB831-89E2-409B-8715-A71C362353A4 <br /> 17 <br /> Igtte a . <br /> - :6 <br /> NoRTII vi--r CARO 1. INA NCACC Risk Management Pools <br /> ASSOCIATION OF COUNTY COMMISSIONERS Liability and Property <br /> SECTION IV <br /> CRIME COVERAGE <br /> CONTRACT DECLARATIONS <br /> Participant SENIOR CARE OF ORANGE COUNTY, INC. <br /> Contract Number LP-SE-525-16 <br /> Contract Period July 1, 2016 to July 1,2017 <br /> Effective Time 12:01 A.M., Eastern Daylight Time <br /> SCHEDULE OF COVERAGS AND LIMITS <br /> COVERAGE LIMIT <br /> Employee Theft (per Loss Coverage) $250,000 <br /> Forgery or Alteration (per Contract Period) $250,000 <br /> Inside the Premises Theft of Money and Securities (per Contract Period) $250,000 <br /> Inside the Premises Robbery or Safe Burglary(per Contract Period) $250000 <br /> Outside the Premises (per Contract Period) $250,000 <br /> Computer Fraud (per Contract Period) $250,000 <br /> Money Orders and Counterfeit Paper Currency(per Contract Period) $250,000 <br /> DEDUCTIBLE <br /> Employee Theft(per Loss Coverat e) $1,000 <br /> Forgery or Alteration $1,000 <br /> - - <br /> Inside the Premises Theft of Money and Securities $1,000 <br /> Inside the Premises Robbery or Safe Burglary $1,000 <br /> Outside the Premises $1,000 <br /> Computer Fraud $1,000 <br /> Money Orders and Counterfeit Paper Currency $1,000 <br /> NCACC RMP Crime Declarations Page Issued <br /> Edition 7/1/2016 6/27/2016 <br />