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Insurance - 2022 - 25 Circle Dr, Dixmoor, IL 60426.pdf
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| Property | 25 Circle Dr, Dixmoor, IL 60426 |
|---|---|
| Folder | Insurance |
| Kind | |
| Updated | 2022-02-01 |
| Dropbox path | 05 - Insurance/Insurance - 2022 - 25 Circle Dr, Dixmoor, IL 60426.pdf |
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Tue Feb 01 16:49:54 CST 2022 Shelter Mutual Insurance Company 1817 W Broadway Columbia, MO 65218 1-800-SHELTER (743-5837) Dwelling Insurance Policy Evidence Of Insurance As Of 02/01/2022 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 25 CIRCLE DRIVE LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Agent: 12-73-10784513-58 02/01/2022 (10:02 AM CST) 02/01/2023 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVI WORTHINGTON, OH 43085-3336 (614) 832-7949 Policy Deductible $1,000 Described Premises 25 CIRCLE DR DIXMOOR, IL 60426 Description FRAME, NON-OWNER, 1 FAMILY DWELLING, W/ MINE SUBSIDENCE Coverages Limits Dwelling Addition of the Peril of Vandalism Mine Subsidence Coverage Endorsement Loss of Rents Additional Living Expense Drainage System Endorsement Endorsement Number $110,000 $502.00 B-847.2-B B-313.17-B $11,000 $11,000 $10,000 B-102.7-B Total…
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Tue Feb 01 16:49:54 CST 2022 Shelter Mutual Insurance Company 1817 W Broadway Columbia, MO 65218 1-800-SHELTER (743-5837) Dwelling Insurance Policy Evidence Of Insurance As Of 02/01/2022 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 25 CIRCLE DRIVE LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Agent: 12-73-10784513-58 02/01/2022 (10:02 AM CST) 02/01/2023 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVI WORTHINGTON, OH 43085-3336 (614) 832-7949 Policy Deductible $1,000 Described Premises 25 CIRCLE DR DIXMOOR, IL 60426 Description FRAME, NON-OWNER, 1 FAMILY DWELLING, W/ MINE SUBSIDENCE Coverages Limits Dwelling Addition of the Peril of Vandalism Mine Subsidence Coverage Endorsement Loss of Rents Additional Living Expense Drainage System Endorsement Endorsement Number $110,000 $502.00 B-847.2-B B-313.17-B $11,000 $11,000 $10,000 B-102.7-B Total for Term (This is Not a Bill): Policy forms and additional endorsements attached to this policy Loss of Rents Additional Living Expense Landlords Liability Coverage and Medical Payments Coverage 1000 Policy Term: 12 months Zone Code: 001 Premium $665.00 Number RENTLOSS ADDEXP B-454.15-B Protection Class: 5 Secretary President and CEO End of Evidence Of Insurance B-750.1-B Page 1 of 1 Tue Feb 01 16:49:54 CST 2022 SHELTER INSURANCE COMPANIES 1817 WEST BROADWAY, COLUMBIA, MISSOURI 65218-0001 ShelterInsurance.com Phone:1-800-SHELTER Federal Tax ID: 43-0613000 Cardholder Payment Amount LOFTY HOLDING 25 CIRCLE DRIVE LLC 665.00 Card Number Transaction Number Agent Number Date Payment Received ************2520 2077 34-AB19-85 02/01/2022 Authorization Code 26DE5D Transaction Payment Type MasterCard Credit Transaction Type Card Transaction ID Number Purchase 15862669 Risk Description Payment Amount Payment Detail Policy Number 12-73-10784513-58 Insured Name NB LOFTY HOLDING 25 CIRCLE DRIVE LLC 25 CIRCLE DR Total Payment Received: For policy details or payment questions, please contact your agent or call 1-800-SHELTER (1-800-743-5837). M-1408.2-M Receipt 665.00 665.00