HomeMy WebLinkAboutShafer, Lois
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5tate Farm Fire and Casualty Company
PO Box 5000
Dupont, WA 98327-5000
RENEWAL CERTIFICATE
Homeowners Policy
JUN 30 2006 to JUN 30 2007
P-15- 2008-F472 F H
CITY OF ASHLAND AND ITS
OFFICERS EMPLOYEES AGENTS &
COMMISSIONERS
CITY HAL L
ASHLAND OR 97520
Insured: SHAFER, LOIS
Location: 2310 MORADA LN
ASHLAND OR 97520-3679
Loss Settlement Provisions (See Policy)
A 1 Replacement Cost - Similar Construction
81 Limited Replacement Cost - Coverage 8
Forms, Options, and Endorsements
Homeowners Policy
Amendatory Endorsement
Off Premises Structures
Additional Insured
Increase Dwlg up to $40 260
Ordinance/Law 10%/ $20,130
Policy Endorsement
Fungus/Seepage/Leakage Excl
Motor Vehicle Endorsement
Jewelry and Furs $1,5001$2,500
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Coverages and Limits
Section I
A Dwelling
Dwelling Extension
8 Personal Property
C Loss of Use
Up To
$201,300
20, 130
150,975
Actual Loss
Sustained
Deductibles - Section I
All Losses
500
Section II
L Personal Liability
Damage to Property of Others
M Medical Payments to Others
(Each Person)
$500,000
500
1,000
FP-7955.0R
FE-2237.1
FE-5330
OPT AI
OPT 10
OPT OL
FE-5341
FE-5381
FE-5452
OPT J F
Annual Premium
$522.00
Premium Reductions
Home/Auto Discount
Claim Free Discount
67.00
112.00
Inflation Coverage Index: 209.1
..: This policy does not provide earthquake coverage. If you are interested in obtaining earthquake coverage,
~ please contact your State Farm agent for more information concerning the coverage and eligibility
~ criteria.
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See reverse side for important information.
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Prepared MAY 16 2006
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