USA INSURANCENET.COM PREPARED FOR: Carmen Gonzalez
ONLINE ACCESS HOMEOWNERS QUOTE
         
  Insurance Coverage Provided by USF&G Specialty Insurance Company
            PRODUCER  
  Quote Valid until: 01/27/2001   Tel: (954) 927-0255  
  Offer number: QJ00012540   Fax: (954) 923-8499  
                   
  Homeowners Insurance Coverage        
                   
  Applicant:   Location of Property to be Insured:  
  CARMEN GONZALEZ   4101 SW 145TH AVE    
  4101 SW 145TH AVE   MIRAMAR, FL. 33027-3778    
  MIRAMAR, FL. 33027-3778   BROWARD COUNTY    
                 
  Product Type: HO-3 Homeowner Policy      
             
  Policy Coverage Limits   Deductibles Amount  
  A - Dwelling $255,000   Section 1 Deductible $1,000.00  
  B - Other $25,000   Windstorm / Hail Deductible * $25,500.00  
  C - Personal Property $178,500          
  D - Loss of Use $51,000          
  E - Personal Liability $300,000          
  F - Med Pay to Others $2,000          
                   
  Three Pay   Annual  
  Due Now (Down Payment)   Base Premium   $2,733.00  
  $1,080.64   Age of Structure -$273.00  
  Due in 90 days**     Central Station Alarm Discount -$137.00  
  $700.90   Optional Endorsements $.00  
  Due in 180 days**     State Tax 5% $117.40  
  $700.90   FL Surplus Lines Fee $7.04  
          FL Emergency Fund $2.00  
            Policy Fee $25.00  
      Total   $2,474.44  
  * 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|2000200020002000|1|NNone|N|3884|0|0|NY|10|NNY|Y|C|A|0|17|24|
000000000|A|1|3|N250000|66|1220|.800|2.8000|2733|-410|0|2323|2474.44
   
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