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Insurance Policy - 6914 Polonia Ave, Cleveland, OH 44105.pdf
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| Property | 6914 Polonia Ave, Cleveland, OH 44105 |
|---|---|
| Folder | Insurance |
| Kind | |
| Updated | 2022-01-19 |
| Dropbox path | 05 - Insurance/Insurance Policy - 6914 Polonia Ave, Cleveland, OH 44105.pdf |
About This File
Tue Oct 12 13:18:33 CDT 2021 Shelter Mutual Insurance Company 1817 W Broadway Columbia, MO 65218 1-800-SHELTER (743-5837) Dwelling Insurance Policy Evidence Of Insurance As Of 10/12/2021 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 6914 POLONIA AVENUE LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Agent: 34-73-10784513-20 10/11/2021 (1:02 PM CST) 10/11/2022 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVILLE RD WORTHINGTON, OH 43085-3336 (614) 832-7949
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Tue Oct 12 13:18:33 CDT 2021 Shelter Mutual Insurance Company 1817 W Broadway Columbia, MO 65218 1-800-SHELTER (743-5837) Dwelling Insurance Policy Evidence Of Insurance As Of 10/12/2021 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 6914 POLONIA AVENUE LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Agent: 34-73-10784513-20 10/11/2021 (1:02 PM CST) 10/11/2022 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVILLE RD WORTHINGTON, OH 43085-3336 (614) 832-7949 Policy Deductible $1,000 Described Premises 6914 POLONIA AVE CLEVELAND, OH 44105 Description FRAME, NON-OWNER, 1 FAMILY DWELLING Coverages Limits Dwelling Frame Additional Living Expense Drainage System Endorsement ($50.00) Addition of the Peril of Vandalism Loss of Rents Endorsement Number $135,000 $9,000 $13,500 $10,000 $547.00 $68.00 B-102.7-B B-847.2-B $13,500 $705.00 Total for Term (This is Not a Bill): Policy forms and additional endorsements attached to this policy Additional Living Expense Landlord Liability Coverage and Medical Payments Coverage 1000 Loss of Rents Policy Term: 12 months Zone Code: 002 Premium Number ADDEXP B-454.12-B RENTLOSS Protection Class: 2 Secretary President and CEO End of Evidence Of Insurance B-750.1-B Page 1 of 1 Tue Oct 12 13:18:33 CDT 2021 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 6914 POLONIA AVENUE LLC 705.00 Card Number Transaction Number Agent Number Date Payment Received ************2595 1740 34-AB19-85 10/12/2021 Authorization Code 098674 Transaction Payment Type MasterCard Credit Transaction Type Card Transaction ID Number Purchase 15162068 Risk Description Payment Amount Payment Detail Policy Number 34-73-10784513-20 Insured Name NB LOFTY HOLDING 6914 POLONIA AVENUE LLC 6914 POLONIA AVE 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 705.00 705.00