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Insurance Policy - 13806 Coit Rd, Cleveland, OH 44110.pdf

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CERTIFICATE OF INSURANCE (EVIDENCE OF INSURANCE COVERAGE PLACED) CERTAIN UNDERWRITERS LLOYD'S LONDON Named Insured: Mailing Address: Property Address: Lofty Holding 66 West Flagler St #900 Miami, FL, 33130 13806 Coit Road Cleveland, OH 44110 MORTGAGEE : Date: 08/19/2022 Master Policy Number: B014910OHAA014200 Certificate Number: 58509567312 Effective Date: 08/19/2022 Expiration Date: 08/19/2023 12:01 A.M. Local Standard Time at the Address of the Insured LOAN NUMBER: , The insurance afforded is

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CERTIFICATE OF INSURANCE
(EVIDENCE OF INSURANCE COVERAGE PLACED)
CERTAIN UNDERWRITERS LLOYD'S LONDON
Named Insured:
Mailing Address:
Property Address:

Lofty Holding
66 West Flagler St #900
Miami, FL, 33130
13806 Coit Road
Cleveland, OH 44110

MORTGAGEE :

Date:
08/19/2022
Master Policy Number:
B014910OHAA014200
Certificate Number:
58509567312
Effective Date:
08/19/2022
Expiration Date:
08/19/2023
12:01 A.M. Local Standard Time at the Address of the
Insured
LOAN NUMBER:

,

The insurance afforded is only with respect to such of the following coverages as are indicated by specific premium charge or charges. The limit
of our liability against each such coverage shall be as stated herein, subject to all the terms of this Notice of Insurance having reference thereto.

AMOUNT OF INSURANCE
Residential Fire
$85,000.00
Loss of Rent
$13,150.00
Builders Risk
Water Back-up & Sump Discharge

Liability
Aggregate
Products/Ops
Personal/Ad Injury
Med. Exp
Fire Damage

$ 1,000,000
$ 2,000,000
EXCLUDED
$ 1,000,000
$ 5,000 Any One Person
$ 50,000 Any One Fire

DEDUCTIBLE
All Peril $5,000.00 per location per occurrence

Windstorm
$5,000.00 Please refer to your master policy.
MI - T, V, & MM
$10,000.00 per location per occurrence (Wayne County, MI)
Liability $ 0.00

Surplus Lines Tax
Stamping Fee
Service Fee
EMPA Fee
Fire Tax
Municipal Tax
State Assessment
Additional State Assessment
TOTAL PREMIUM (including taxes & fees)
Certificate Fee
Surplus Lines Taxes of Cert Fee

GRAND TOTAL

PREMIUM
$323.00
$13.15
Included
Excluded

$80.00

$12.48
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00

$428.63
$30.00
$0.90

$459.53

Insurance has been ordered on the above-listed property for the coverage amount and premium indicated. There may be coinsurance language in
this policy which requires the amount of insurance to be no less than 80% of the appraised value of the property to assure adequate coverage. It
is your responsibility to report the appraised value of the location
Coverage is subject to the terms, conditions and exclusions as indicated in the master policy issued to the Named Insured above. This document
does not modify that language in any way.

Arcana Insurance Services, LP
Agency Name:
(877) 744-3660
Agency Phone:
*** Important Notice: Please see last page for contact address and payments. ***

ADDITIONAL INSUREDS
Mortgagee 2:

Additional Insured 1:

Additional Insured 2:

Additional Insured 3:

Additional Insured 4:

Additional Insured 5:

Additional Insured 6: