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Wed May 11 15:01:03 CDT 2022 Shelter Mutual Insurance Company 1817 W Broadway Columbia, MO 65218 1-800-SHELTER (743-5837) Dwelling Insurance Policy Evidence Of Insurance As Of 05/11/2022 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 3024 W 103RD STREET LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Agent: 34-73-10784513-64 02/10/2022 (2:19 PM CST) 02/10/2023 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVI WORTHINGTON, OH 43085-3336 (614) 832-7949 Policy

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Wed May 11 15:01:03 CDT 2022
Shelter Mutual Insurance Company
1817 W Broadway
Columbia, MO 65218
1-800-SHELTER (743-5837)

Dwelling Insurance Policy
Evidence Of Insurance
As Of 05/11/2022
Policy Number:
Effective Date:
Expiration Date:

Named Insured:
LOFTY HOLDING 3024 W 103RD
STREET LLC
11718 FOLKSTONE LN
LOS ANGELES, CA 90077-1310

Agent:

34-73-10784513-64
02/10/2022 (2:19 PM CST)
02/10/2023 (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
3024 W 103RD ST CLEVELAND, OH 44111

Description
FRAME, NON-OWNER, 1 FAMILY DWELLING

Coverages

Limits

Dwelling
Additional Living Expense
Drainage System Endorsement ($33.00)
Addition of the Peril of Vandalism
Loss of Rents

Endorsement
Number

$205,000
$20,500
$10,000

Premium
$773.00

B-102.7-B
B-847.2-B

$20,500
$863.00

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
1000000/1000
Loss of Rents

Number
ADDEXP
B-454.12-B
RENTLOSS

ADDITIONAL INSURED
B2B REALTY
4320 RIDGE RD
BROOKLYN, OH 44144-2715
Policy Term: 12 months
Zone Code: 002

Protection Class: 1

Secretary

President and CEO
End of Evidence Of Insurance

B-750.1-B

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