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<br />NOV-05-04 FRI 09:01 AM Kellogg-Ewing-Leavill In <br /> <br />FAX NO. t <br /> <br />p, 05 <br /> <br />DWELLING SCHEDULE <br /> <br /> <br />COVERAGES <br />A, Residence <br />B. ReI sled Private Struc:ture8 <br />c. Personal Properly <br />D, AddItional Wvlng Coat & Fair r~Gntal Value <br />Deductible CredltlSurcha~Q <br />UN275 Actulll cll.h Value Roof <br />FOSS Replacement Colli Personal Property <br />Root Credit/Surcharge: Wood shingle <br />F0208FA Water Back Up and Sump Overflow <br /> <br />'''-' , <br /> <br />LIMn: Of LIABILITY <br />80,000 <br />8,000 <br />58,000 <br />1e,000 <br /> <br />PR~MIUM <br />769 <br /> <br />1& <br /> <br />78- <br />35- <br />74 <br />71 <br />21 <br /> <br /> <br />COVERA(;l!S <br />A. R...idence <br />B. Related Private Stn.lcture8 <br />C, Porsonal Property <br />D. Addlllonal Living Coot & Fair R"l\lal Value <br />DedllCllble Credit/SurchargQ <br />FOSS Replacement ,Coat Personal Properly <br />Renavalion Credit 2000 <br />F020DFA Waler Back Up and Su~p Overflow <br /> <br />UMIT OF LIABIliTY <br />218,000 <br />21.800 <br />152,800 <br />43,800 <br /> <br />I'REMIUM <br />1i380 <br /> <br />45 <br /> <br />14~- <br />119 <br />87- <br />. ~1 <br /> <br />SCHEDULE OF BARNS, BUILDINGS, STRUCTURESf <br />ANO AODITIONAL FARM DWELLINGS - COVERAGE E <br /> <br />"We" cover only the following cl;,sses or Items of property for which II spec/nc "limit" 18 shown. "Our" lIubllityshall not ex- <br />cUfldsuch "limit", This co"erll~e Is subject to the "terms" of the polley applyi"" to Coverage E. <br /> <br />ITEM <br />,"OC. NO. <br /> <br />8ARNs' <br />Ot 001 <br /> <br />lYPE <br /> <br />cqVER~GE LIMIT O~ LIAl!IUlY <br /> <br />19'jO SHOP. fRAME. 50)(80 <br />STANDARD 32,700 <br />Dedw;:tlble CreditlSur~arge <br /> <br />Cantlnued an neld page <br /> <br />2 <br /> <br />PO 44 D 01 98 <br /> <br />AR 517527 <br /> <br />DEDUC'1'IBLE <br /> <br />LOSS <br />SETTLEMENr <br /> <br />PREMIUM <br /> <br />1000 <br /> <br />RC <br /> <br />285 <br />29- <br /> <br />,Pall. 4, or 10 <br />