USA INSURANCENET.COM PREPARED FOR: Venita Hames
ONLINE ACCESS HOMEOWNERS QUOTE
         
  Insurance Coverage Provided by USF&G Specialty Insurance Company
            PRODUCER  
  Quote Valid until: 05/20/2001   Tel: (305) 387-8920  
  Quote Number: QB00113890   Fax: (305) 387-8945  
                   
  Homeowners Insurance Coverage        
                   
  Applicant:   Location of Property to be Insured:  
  VENITA HAMES   2714 NW 48TH ST.    
  2714 NW 48TH ST.   TAMARAC, FL. 33309-2939    
  TAMARAC, FL. 33309-2939   BROWARD COUNTY    
                 
  Product Type: HO-3 Homeowner Policy      
             
  Policy Coverage Limits   Deductibles Amount  
  A - Dwelling $70,000   Section 1 Deductible $1,000.00  
  B - Other $7,000   Windstorm / Hail Deductible * $7,000.00  
  C - Personal Property $49,000          
  D - Loss of Use $14,000          
  E - Personal Liability $300,000          
  F - Med Pay to Others $2,000          
                   
  Three Pay   Annual  
  Due Now (Down Payment)   Base Premium   $1,171.00  
  $558.79   AOP deductible surcharge -$117.00  
  Due in 90 days**     Age of Structure $117.00  
  $355.30   Optional Endorsements $.00  
  Due in 180 days**     State Tax 5% $59.80  
  $355.30   FL Surplus Lines Fee $3.59  
          FL Emergency Fund $2.00  
            Policy Fee $25.00  
      Total $1,261.39  
  * When windstorm/hail deductible
displays N/A and endorsement HO-04-94
is attached to the policy, the perils
of windstorm and hail are excluded.
Make check payable to Hull & Company, Inc.    
  ** $4.00 installment fee included        
         
Coverage is conditional upon: 1) receipt of correct premium; and 2) insured's signature on the Homeowner Application.
If check is returned for insufficient funds, no coverage shall take effect. The effective date of coverage is 12:01 AM the day
coverage is bound. Future effective dates can be specified. If you desire an effective date in the future, please specify:
______________________ at 12:01 AM.
For Company Use Only:
MA|P|5|1967198019801980|1|NNone|N|1143|0|0|NY|5.2|NNY|N|C|A|0|17
|24|000000000|B|1|2|N70000|57|1464|.800|1.0000|1171|0|0|1171|1261.39
NOTES: Coverage for Recreational Vehicles are not included in this quote. Coverage for
other owned, occupied, leased, or rented properties are not included in this quote.
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