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Policy No. PAC o -•14 28 .:4 23 <br />BUSINESSPRO CRIME COVERAGE PART <br />DECLARATIONS PAGE <br />NAMED INSURED: JOINT ORANGE CHATHAM COMMUNITY POLICY PERIOD: <br />ACTION, INC. 06'30/90 to 06,'30:91 <br />The Crime Coverage Part consists of this Declarations Form, the Crime General <br />Provisions Form and the Coverage Forms indicated as applicable, <br />COVERAGE, LIMITS OF INSURANCE AND DEDUCTIBLE: <br />Coverage Form(s) Forming Part Limit of Deductible <br />of This Coverage Part Insurance Amount Premium <br />EMPLOYEE DISHONESTY FORM A 100,000. 500.00 $ 551.00 <br />Total 1$551.00 <br />PREMIUM <br />Premium for This Coverage Part: $ <br />Premium shown is payable: $ at inception: <br />S <br />FORMS AND ENDORSEMENTS Applying to this Coverage Part and Made Part of this <br />Policy at Time of Issue: <br />SEE CR 88 01 <br />CANCELLATION OF PRIOR INSURANCE: <br />acceptance of this Coverage Part, you give us notice cancelling prior Polic. <br />ur Bond Nos, <br />cancellation to be effective at the time this Coverage Part becomes effective, <br />BUSINESSPRO (Reg. U.S. Pat. Off,) <br />CR 78 00 (Ed. 01/86) PRO (Page 1 of 1) 06/22/90 SLw <br />