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(Bloomberg) — The San Francisco region will probably be struck by an earthquake with a magnitude of at least 6.7 in coming decades, and most of the billions of dollars of damages wouldn’t be covered by insurance.

A worst-case, magnitude 7.9 earthquake could cause losses of more than $200 billion, according to report released today by catastrophe modeler Risk Management Solutions. The 1989 Loma Prieta event, a magnitude 6.9 quake in Bay Area, led to about $6 billion in economic damages and $960 million in insured losses.

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