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Evidence of Insurance - 2022-02-01 - 12028 Wade Park Ave, Cleveland, OH 44106.pdf

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Tue Feb 01 16:48:44 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 Named Insured: LOFTY HOLDING 12028 WADE PARK AVENUE LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Policy Number: Effective Date: Expiration Date: Agent: 34-73-10784513-54 02/01/2022 (4:36 PM CST) 02/01/2023 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVI WORTHINGTON, OH 43085-3336 (614) 832-7949 Pol

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Tue Feb 01 16:48:44 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
Named Insured:
LOFTY HOLDING 12028 WADE PARK
AVENUE LLC
11718 FOLKSTONE LN
LOS ANGELES, CA 90077-1310

Policy Number:
Effective Date:
Expiration Date:
Agent:

34-73-10784513-54
02/01/2022 (4:36 PM 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
12028 WADE PARK AVE CLEVELAND, OH 44106
Coverages

Description
FRAME, NON-OWNER, 1 FAMILY DWELLING
Limits

Dwelling
Frame
Additional Living Expense
Drainage System Endorsement ($50.00)
Addition of the Peril of Vandalism
Loss of Rents

Endorsement
Number

$130,000
$10,000
$13,000
$10,000

Premium
$513.00
$72.00

B-102.7-B
B-847.2-B

$13,000
$675.00

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

Number
ADDEXP
B-454.12-B
RENTLOSS

ADDITIONAL INSURED
HAVEN REALTY INC
34050 SOLON RD STE 100
SOLON, OH
Policy Term: 12 months
Zone Code: 002

Protection Class: 1

Secretary

B-750.1-B

President and CEO

Page 1 of 2

Policy Number:

34-73-10784513-54

End of Evidence Of Insurance

B-750.1-B

Page 2 of 2