| |
|
|
|
|
|
PRODUCER |
|
| |
Quote
Valid until: 06/11/2001 |
|
Tel: (305) 387-8920 |
|
| |
Offer
number: QB00133553 |
|
Fax: (305) 387-8945 |
|
| |
|
|
|
|
|
|
|
|
|
| |
Homeowners
Insurance Coverage |
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
Applicant: |
|
Location of Property to be
Insured: |
|
| |
HENRY
WENGIER |
|
16503 NW
5TH CT. |
|
|
| |
16503 NW
5TH CT. |
|
PEMBROKE
PINES, FL 33028 |
|
|
| |
PEMBROKE
PINES, FL 33028 |
|
BROWARD
COUNTY |
|
|
| |
|
|
|
|
|
|
|
|
| |
Product Type: HO-6 Condo Policy |
|
|
|
| |
|
|
|
|
|
|
| |
Policy Coverage |
Limits |
|
Deductibles |
Amount |
|
| |
A
- Dwelling |
$160,000 |
|
Section
1 Deductible |
$1,000.00 |
|
| |
B
- Other |
$16,000 |
|
Windstorm
/ Hail Deductible * |
$16,000.00 |
|
| |
C
- Personal Property |
$112,000 |
|
|
|
|
|
| |
D
- Loss of Use |
$32,000 |
|
|
|
|
|
| |
E
- Personal Liability |
$300,000 |
|
|
|
|
|
| |
F
- Med Pay to Others |
$2,000 |
|
|
|
| |
|
|
|
|
|
|
|
|
|
| |
Three Pay |
|
Annual |
|
| |
Due Now
(Down Payment) |
|
Base
Premium |
$2,529.00 |
|
| |
$1,002.28 |
|
Age of
Structure |
-$253.00 |
|
| |
Due in 90
days** |
|
|
Security
Package Discount |
-$126.00 |
|
| |
$649.00 |
|
Optional
Endorsements |
$.00 |
|
| |
Due in 180
days** |
|
|
State Tax
5% |
$108.75 |
|
| |
$649.00 |
|
FL Surplus
Lines Fee |
$6.53 |
|
| |
|
|
|
|
FL
Emergency Fund |
$2.00 |
|
| |
|
|
|
|
|
Policy Fee |
$25.00 |
|
| |
|
|
Total |
$2,292.28 |
|
| |
* 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 |
|
|
|
|
