Forms

HO 04 66 04 91

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

COVERAGE C INCREASED SPECIAL LIMITS OF LIABILITY

To Be Used with Endorsements HO 00 15 and HO 17 31 only

For an additional premium, the Special Limits of Liability under Coverage C - Personal Property are increased as follows:

Property	Increase in Limit of Liability*	Total Limit of Liability*

1. Money, bank notes, bullion, gold other than goldware, silver other than silverware, platinum, coins and medals.	$	$


2. Securities, accounts, deeds, evidences of debt, letters of credit, notes other than bank notes, manuscripts, personal records, passports, tickets and stamps.	$	$


5. Jewelry, watches, furs, precious and semi-precious stones for loss by theft; but not exceeding $1,000 for any one article.	$	$


6. Firearms for loss by theft.	$	$


7. Silverware, silver-plated ware, goldware, gold-plated ware and pewterware for loss by theft.	$	$


10. Electronic apparatus, while in or upon a motor vehicle or other motorized land conveyance, if the electronic apparatus is equipped to be operated by power from the electrical system of the vehicle or conveyance while retaining its capability of being operated by other sources of power.	$	$


11. Electronic apparatus, while not in or upon a motor vehicle or other motorized land conveyance, if the electronic apparatus is equipped to be operated by power from the electrical system of the vehicle or conveyance while retaining its capability of being operated by other sources of power. This special limit applies only if the electronic apparatus is away from the "residence premises" and used at any time or in any manner for any "business" purpose.	$	$

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

All other provisions of this policy apply.

HO 04 66 04 91

Hart Forms & Services Reorder No. 14-5933