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Lease#T99046 <br /> SCHEDULE A-5 <br /> INSURANCE COVERAGE REQUIREMENTS <br /> TO LESSOR: ABN AMRO Incorporated <br /> 208 S. LaSalle#400 <br /> Chicago, Illinois 60604 <br /> FROM LESSEE: City of Batesville <br /> 500 Main Street <br /> Batesville,Arkansas 72501 <br /> SUBJECT: INSURANCE COVERAGE REQUIREMENTS <br /> 1. In accordance with Section 9 of the Agreement, we have instructed the insurance agent named below (please <br /> fill in name, address and telephone number) <br /> I <br /> to issue: <br /> a. All Risk Physical Damage Insurance on the leased equipment evidenced by a Certificate of Insurance <br /> and Long Form Loss Payable Clause naming ABN AMRO Incorporated, as loss payee. <br /> Coverage Required: Full Replacement Value <br /> b. Public Liability Insurance evidenced by a Certificate of Insurance naming ABN AMRO Incorporated <br /> and/or its assigns as Additional Insured. <br /> Minimum Coverage Required: <br /> $500,000.00 per person <br /> $500,000.00 aggregate bodily injury liability <br /> $100,000.00 property damage liability <br /> OR <br /> 2. Pursuant to Section 9 of the Agreement, we are self-insured for all risk, physical damage, and public liability <br /> and will provide proof of such self-insurance in letter form together with a copy of the statute authorizing this <br /> form of insurance. <br /> 3. Proof of insurance coverage will be provided prior to the time the Equipment is delivered to us. <br /> LESSEE: City of Batesville <br /> Signature: <br /> Printed Name: <br /> Title: <br /> Date: <br /> I <br /> 13 <br />