USA INSURANCENET.COM
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PREPARED FOR: Wayne Williams
ONLINE ACCESS HOMEOWNERS QUOTE
         
  Insurance Coverage Provided by USF&G Specialty Insurance Company
            PRODUCER  
  Quote Valid until: 06/18/2001   Tel: (305) 387-8920  
  Quote Number: QB00139169   Fax: (305) 387-8945  
                   
  Homeowners Insurance Coverage        
                   
  Applicant:   Location of Property to be Insured:  
  WAYNE WILLIAMS   10235 HARBOURTOWN CT.    
  10235 HARBOURTOWN CT.   BOCA RATON, FL. 33498-4726    
  BOCA RATON, FL. 33498-4726   PALM BEACH COUNTY    
                 
  Product Type: HO-3 Homeowners Policy      
             
  Policy Coverage Limits   Deductibles Amount  
  A - Dwelling $130,000   Section 1 Deductible $1,000.00  
  B - Other $13,000   Windstorm / Hail Deductible * $6,500.00  
  C - Personal Property $91,000          
  D - Loss of Use $26,000          
  E - Personal Liability $300,000          
  F - Med Pay to Others $2,000      
                   
  Three Pay   Annual  
  Due Now (Down Payment)   Base Premium $1,383.00  
  $654.82        
  Due in 90 days**     Optional Endorsements $.00  
  $418.90        
  Due in 180 days**     State Tax 5% $70.40  
  $418.90   FL Surplus Lines Fee $4.22  
          FL Emergency Fund $2.00  
            Policy Fee $25.00  
      Total $1,484.62  
  * 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:
FR|P|4|1977199819981998|1|NNone|N|2300|0|0|YY|0.27|NNY|N|C|3|0
|17|24|000000000|B|1|3|N0|63|574|1.000|1.8000|1033|0|0|1033|1116.07
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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