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- Loss of Life - $2,000
- Loss of Both Hands or Both Feet or Entire
Sight of Both Eyes - $2,000
- Loss of One Hand and One Foot - $2,000
- Loss of Speech and Hearing in Both Ears
- $2,000
- Loss of Either Hand or Foot and Entire
Sight of One Eye - $2,000
- Loss of Either Hand or Foot - $1,000
- Loss of Entire sight of One Eye - $1,000
- Loss of Speech or Hearing in Both Ears
- $1,000
- Loss of Thumb and Index Finger on Same
Hand - $500
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