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fe <br /> <br />If claims made, please complete the following: <br />Coverage for all prior acts? <br /> <br />If prior acts coverage is restricted, advise retroactive date of <br />coverage. <br /> <br />Extended discovery provision: If Insurance Company cancels, how <br />long is period of extended discovery? <br /> <br />If Contractee cancels, how long is optional coverage for extended <br />discovery? <br /> <br />Percentage of annual premium cost to purchase the extended <br />discovery? <br /> <br />A Certified copy of the Claims Made form must be provided. <br /> <br />It will be a requirement of the City that Coverage for the <br />period of the contract will be maintained for a period of no <br />less than five years after the expiration of the contract. If <br />coverage for five years is not available, a shorter term may be <br />negotiated. <br /> <br />REQUIRED COVERAGES - Where -"X" A~ears in Box CERTIFICATES OF INSURANCE <br /> <br />X 3. <br /> <br />Comprehensive Autombile Liability <br />a. Minimum Limits of Liability <br /> <br />$1,000,000 per occurrence <br />combined single limit Bodily <br />Injury and Property Damage. <br /> <br />b. Coverages: <br /> <br />X <br />X <br />X <br /> <br />Owned Automobiles, if any <br />Non-ownedAutomobiles <br />Hired Automobiles <br /> <br />X <br /> <br />Cross LiaDility or Severability <br />of Interests clause in policy <br /> <br />Insurance Company(s) <br /> <br />Policy Number(s)Policy Period <br /> (dates) <br /> <br />Signature of Individual author- <br />ized by Insurance Company to <br />bind Company to coverage shown, <br />and above endorsement require- <br />ments. <br /> <br />Name <br /> <br />Address <br /> <br />City, State, Zip <br /> <br /> <br />