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PRODUCER |
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Valid
until: 01/01/2001 |
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Tel: (954) 927-0255 |
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Offer
number: QJ00004715 |
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Fax: (954) 923-8499 |
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Homeowners
Insurance Coverage |
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Applicant: |
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Location of Property to be
Insured: |
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THOMAS E.
WILLIAMS |
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12011
MOUNTBATTEN DR |
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3535 CAMELIA
PL |
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TAMPA, FL
33626-1310 |
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LARGO, FL
33771 |
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HILLSBOROUGH
COUNTY |
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Product Type: HO-3 Homeowner
Policy |
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Policy Coverage |
Limits |
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Deductibles |
Amount |
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A
- Dwelling |
$170,000 |
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Section
1 Deductible |
$1,000.00 |
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B
- Other |
$17,000 |
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Windstorm
/ Hail Deductible * |
$8,500.00 |
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C
- Personal Property |
$119,000 |
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D
- Loss of Use |
$34,000 |
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E
- Personal Liability |
$300,000 |
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F
- Med Pay to Others |
$2,000 |
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Three Pay |
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Annual |
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Due Now
(Down Payment) |
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Base Premium |
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$874.00 |
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$364.90 |
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Age of Structure |
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-$87.00 |
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Due in 90
days** |
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Central
Station Alarm Discount |
-$44.00 |
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$226.90 |
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Optional
Endorsements |
$.00 |
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Due in 180
days** |
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State Tax 5% |
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$38.40 |
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$226.90 |
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FL Surplus
Lines Fee |
$2.30 |
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FL
Emergency Fund |
$2.00 |
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Policy Fee |
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$25.00 |
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Total |
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$810.70 |
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* 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. |
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** $4.00
installment fee included |
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