Page 195 of 313

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ADDITIONAL COVERAGES Ref # Description Coverage Code Form No. Edition Date Uninsured motorist combined single limit UMCSL Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 1,000,000 Ref # Description Coverage Code Form No. Edition Date Products/Completed Ops Aggregate PRDCO Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 8,000,000 8,000,000 Ref # Description Coverage Code Form No. Edition Date Adjst. to reconcile-exp mod. premium AREM Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium -$7,866.00 Ref # Description Coverage Code Form No. Edition Date Increased employer's liability INEL Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $445.00 Ref # Description Coverage Code Form No. Edition Date Blkt Wvr XFR RR Oth to Us BLKWV Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $500.00 Ref # Description Coverage Code Form No. Edition Date Expense constant EXCNT Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $160.00 Ref # Description Coverage Code Form No. Edition Date Catastrophe CATAS Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $206.00 Ref # Description Coverage Code Form No. Edition Date Premium discount PDIS Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium -$2,146.00 Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc.

Sheets in this document

  • p. 37 1 · Lots Layout · Shoemaker & Haaland · Valley Subdivision (37-20)
  • p. 38 2 · DWN: MJW Survey Date(S): 2024 · Valley Subdivision (37-20)
  • p. 54 Preliminary Plat · MMS Consultants
  • p. 247 Renewal Communications Flow
  • p. 275 City of Tiffin FY 25-26 Town Hours by Month (chart; data on p. 274)
  • p. 278 City of Tiffin FY 25-26 (chart; data on p. 276)
  • p. 309 2nd Floor In Wall Rough In · Prep/Pour/Strip Slab on Grade

Sources

  • revize: Agenda packet (packet_2026-02-17_520e00e5-d070-4eea-a5c2-4e5eec3f920e.pdf) — where it was found ↗ first seen Oct 12, 2026

This document's details as JSON

Data last updated October 31, 2026. Built from the archive's documents; see how the data is built.