USA INSURANCENET.COM
1
PREPARED FOR: CHERYL SMEED
ONLINE ACCESS HOMEOWNERS QUOTE
         
  Insurance Coverage Provided by USF&G Specialty Insurance Company
            PRODUCER  
  Quote Valid until: 07/31/2001   Tel: (305) 387-8920  
  Quote Number: QB00185377   Fax: (305) 387-8945  
                   
  Homeowners Insurance Coverage        
                   
  Applicant:   Location of Property to be Insured:  
  CHERYL SMEED   5116 BROOKSIDE LN    
  1911 ORANGE BLVD.   NEW PORT RICHEY, FL 34653-4800    
  PALM HARBOR, FL 34683   PASCO COUNTY    
                 
  Product Type: HO-3 Homeowners Policy      
             
  Policy Coverage Limits   Deductibles Amount  
  A - Dwelling $125,000   Section 1 Deductible $1,000.00  
  B - Other $12,500   Windstorm / Hail Deductible * N/A  
  C - Personal Property $87,500          
  D - Loss of Use $25,000          
  E - Personal Liability $300,000          
  F - Med Pay to Others $2,000      
            Annual  
  Three Pay   Base Premium   $839.00  
  Due Now (Down Payment)        
  $294.24   Security Package Discount -$42.00  
  Due in 90 days**     Optional Endorsements -$210.00  
  $180.10   State Tax 5% $30.60  
  Due in 180 days**     FL Surplus Lines Fee $1.84  
  $180.10   FL Emergency Fund $2.00  
          Policy Fee $25.00  
                 
      Total $646.44  
  * 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|1979199019901990|1|NNone|N|2094|0|0|YY|2|YYY|N|C|0|0|17|
24|000000000|B|2|3|N0|59|647|.800|1.6200|839|-42|-210|587|646.44
NOTES:
- TO INSURE THIS PROPERTY WE NEED TO KNOW THE YEAR RENOVATIONS WERE
  COMPLETED ON: WIRING, PLUMBING, ROOFING & EXTERIOR PAINT. For quote
  purposes we have use "1990" as the year of renovations. PLEASE ADVISE
  IF DIFFERENT.
- FOR A FLOOD QUOTE PLEASE FAX THE ELEVATION SERTIFICATE TO 305.387.8945
  OR E-MAIL IT TO flood@usainsurancenet.com
- 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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