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8.A. - Page 6 <br /> PRESENT INSURANCE CARRIER <br /> Company Policy No. <br /> Policy Term: Type of Coverage <br /> Coverage for Marina negligence yes no <br /> Pollution Coverage yes no <br /> City included as insured yes no <br /> SLIP <br /> Slip/Berth No.: <br /> Slip Length: <br /> Commencement Date <br /> MONTHLY FEE <br /> Slip Fee: $ <br /> Live-aboard Fee: $ <br /> Utility Fee: $ <br /> Other Fees: <br /> $ <br /> $ <br /> Total Monthly Fee: $ <br /> SECURITY DEPOSIT <br /> Slip: $ <br /> Live-aboard: $ <br /> Utility: $ <br /> Other Deposits: <br /> $ <br /> $ <br /> Total Security Deposit: $ <br /> TOTAL PAYMENT RECEIVED $ <br /> Date received By <br /> Form of payment: Cash Check <br /> Receipt# <br /> ATTY/AGR/2013.025/DOCKTOWN MARINA BERTHING AGREEMENT <br /> REV:02-21-13 VR <br /> Page 2 of 11 <br />