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The undersigned, who is applying to the NEW YORK PROPERTY INSURANCE UNDERWRITING
ASSOCIATION for building coverage on premises located as described
in above application, hereby certifies that the building is presently vacant or unoccupied and that all utilities (electricity, gas, heat and water) have been shut off outside the building
and that the premises are and will continue to be securely protected against entry by unauthorized persons in accordance with the standards of the United States Department of
Housing and Urban Development as specified below or by protective devices, systems, or equipment used
in securing buildings against entry by unauthorized persons which are found by the
NEW YORK PROPERTY
INSURANCE UNDERWRITING ASSOCIATION to be equivalent; the undersigned recognizes that any binder or coverage
issued or to be issued by the NEW YORK PROPERTY INSURANCE UNDERWRITING
ASSOCIATION will be
issued in reliance upon the foregoing certification and will contain the "Warranty" set forth in Section
XI Subsection 5 of the Plan of Operation of the ASSOCIATION as set forth herein.
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