USA INSURANCENET.COM PREPARED FOR: Maribell Lopez
ONLINE ACCESS HOMEOWNERS QUOTE
         
  Insurance Coverage Provided by USF&G Specialty Insurance Company
            PRODUCER  
  Quote Valid until: 02/18/2001   Tel: (954) 927-0255  
  Offer number: QJ00027247   Fax: (954) 923-8499  
                   
  Homeowners Insurance Coverage        
                   
  Applicant:   Location of Property to be Insured:  
  MARIBELL LOPEZ (MIGUEL YABOR)   3390 SW 15TH ST.    
  3370 SW 17 ST   FORT LAUDERDALE, FL. 33312-3635    
  FORT LAUDERDALE, FL. 33312   BROWARD COUNTY    
                 
  Product Type: HO-3 Homeowner Policy      
             
  Policy Coverage Limits   Deductibles Amount  
  A - Dwelling $115,000   Section 1 Deductible $1,000.00  
  B - Other $11,500   Windstorm / Hail Deductible * $11,500.00  
  C - Personal Property $80,500          
  D - Loss of Use $23,000          
  E - Personal Liability $300,000          
  F - Med Pay to Others $2,000          
                   
  Three Pay   Annual  
  Due Now (Down Payment)   Base Premium   $1,366.00  
  $678.38   Age of Structure $137.00  
  Due in 90 days**     Security Package Discount -$68.00  
  $434.50   Optional Endorsements $.00  
  Due in 180 days**     State Tax 5% $73.00  
  $434.50   FL Surplus Lines Fee $4.38  
          FL Emergency Fund $2.00  
            Policy Fee $25.00  
      Total   $1,539.38  
  * 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|3|1962198719931987|1|NNone|N|2000|0|0|NY|4.96|YYY|N|C|A|0|17|
24|000000000|A|1|3|N75000|57|1109|.800|1.5400|1366|69|0|1435|1539.38
   
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