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6 <br />" <br />OD4223 <br />6.2.A. - Page 36 <br />ITEM ONE: <br />One Tower Square, Hartford, Oonnec#fcut 06133 <br />BUSINESS AUTO <br />COVERAGE PART DECLARATIONS <br />Issue Date: 05-29-15 OB <br />Policy Number: BA -6651W070 -15 --SEL <br />INSURING COMPANY: <br />THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br />Declarations Period: From: 06-01-15 to 06-01-16 12:01 A.M. Standard <br />Time at your mailing address shown in the Common Policy Declarations. <br />The Commercial Automobile Coverage Part consists of these <br />Declarations and the Business Auto Coverage Form shown below. <br />FORM OF BUSINESS, LLC. <br />ITEM TWO: <br />A. COVERAGE AND LIMITS OF INSURANCE: <br />Coverage applies only to those "Autos" shown as Covered "Autos". <br />"Autos" are shown as covered "autos" for the applicable coverages by the <br />entry of one or more of the symbols from Section 1 - Covered Autos of <br />the Business Auto Coverage Form next to the name of the coverage. <br />COVERAGE <br />COVERED <br />AUTO SYMBOL <br />COVERED AUTOS LIABILITY i <br />AUTO MEDICAL PAYMENTS <br />UNINSURED AND <br />UNDERINSURED <br />MOTORISTS COVERAGE <br />PHYSICAL DAMAGE <br />Comprehensive Coverage <br />LIMITS OF <br />INSURANCE <br />The most we will pay for <br />any one accident or loss. <br />$ 11000,000 <br />$ 5,000 EACH INSURED <br />SEE CA TO 30 <br />7 S Actual Cash Value or Cost <br />of Repair, whichever is <br />less, minus deductible <br />shown in ITEM THREE - <br />SCHEDULE OF COVERED AUTOS <br />YOU OWN for each covered <br />Auto. <br />SEE ITEM FOUR FOR HIRED <br />OR BORROWED "AUTOS". <br />CA TO ill 02 16 PAGE (CONTINUED) <br />PRODUCER MOODY INS AGCY INC A9446 OFFICE DENV 462 <br />