BACK TO FORMS INDEX

HO 04 50 04 91

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

INCREASED LIMIT ON
PERSONAL PROPERTY IN OTHER RESIDENCES

For an additional premium, the Coverage C - Personal Property limit of liability that applies to personal property usually situated at an "Insured's" residence, other than the "residence premises," is increased by the additional limit of liability shown below:

Location*
Increase in Limit
of Liability*
Total Limit of Liability
at this Location*
1. $ $
2. $ $

*Entries may be left blank if shown elsewhere in this policy for this coverage.

All other provisions of this policy apply.

HO 04 50 04 91 Copyright, Insurance Services Office, Inc., 1990 Hart Forms & Services Reorder No. 14-5897