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<br />RLllnsurance Company <br />9025 North Lindbergh Drive. Peoria, IL 61615 <br /> <br />SUPPLEMENTAL OECLARA liONS <br /> <br />Policy No: HUL0200045 <br /> <br />Named Insured and Mailing Address <br />City Of Sunny Isles Beach <br />16070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br /> <br />portion of premium attributable to coverage for Certified Acts of Terrorism $200.00 <br /> <br />Portion of premium attributable to coverage for Certified Acts of Terrorism <br />(fire only), as required by state law $ 0 <br /> <br />RIL 110B (01/08) <br /> <br />INSURED <br />