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Insurance Policy - 428 Cross St, Akron, OH 44311.pdf

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Tue Feb 01 14:30:50 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 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 428 CROSS STREET LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Agent: 34-73-10784513-53 01/31/2022 (2:17 PM CST) 01/31/2023 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVI WORTHINGTON, OH 43085-3336 (614) 832-7949 Policy De

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Tue Feb 01 14:30:50 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
Policy Number:
Effective Date:
Expiration Date:

Named Insured:
LOFTY HOLDING 428 CROSS
STREET LLC
11718 FOLKSTONE LN
LOS ANGELES, CA 90077-1310

Agent:

34-73-10784513-53
01/31/2022 (2:17 PM CST)
01/31/2023 (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
428 CROSS ST AKRON, OH 44311

Description
FRAME, NON-OWNER, 2 FAMILY DWELLING, W/
MINE SUBSIDENCE

Coverages

Limits

Dwelling
Additional Living Expense
Drainage System Endorsement ($33.00)
Addition of the Peril of Vandalism
Mine Subsidence Insurance Coverage Form ($5.00)
Loss of Rents

Endorsement
Number

$228,300
$22,830
$10,000

$889.00
B-102.7-B
B-847.2-B
B-224.1-B

$22,830
$979.00

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

Premium

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

B-750.1-B

Protection Class: 2

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Policy Number:

34-73-10784513-53

Secretary

President and CEO
End of Evidence Of Insurance

B-750.1-B

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