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Insurance - 2024-02-22 - 5541 S Peoria St, Chicago, IL 60621.pdf

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Description

FOUNDERS INSURANCE COMPANY SM Homeowners A MULTIPLE LINE STOCK COMPANY 1350 E. Touhy Avenue, Suite 200W, DESPLAINES, IL 60018 (847)768-0040 / Fax (847)795-0080 New Business Declaration EFFECTIVE AGENCY ACCT 02/22/24 Binder Date: 02/21/24 01:22 PM POLICY NUMBER FROM POLICY PERIOD 2/22/24 REIL112001 TO 2/22/25 2383 12 : 01 AM STANDARD TIME NAMED INSURED AND ADDRESS PRODUCER INSURANCE NAVY BROKERS, INC. 10338 S HARLEM AVENUE PALOS HILLS IL 60465 708-237-0404 5541 S PEORIA ST , 1 CHICAGO IL 60621 70

Extracted Content

FOUNDERS INSURANCE COMPANY SM Homeowners A MULTIPLE LINE STOCK COMPANY 1350 E. Touhy Avenue, Suite 200W, DESPLAINES, IL 60018 (847)768-0040 / Fax (847)795-0080 New Business Declaration EFFECTIVE AGENCY ACCT 02/22/24 Binder Date: 02/21/24 01:22 PM POLICY NUMBER FROM POLICY PERIOD 2/22/24 REIL112001 TO 2/22/25 2383 12 : 01 AM STANDARD TIME NAMED INSURED AND ADDRESS PRODUCER INSURANCE NAVY BROKERS, INC. 10338 S HARLEM AVENUE PALOS HILLS IL 60465 708-237-0404 5541 S PEORIA ST , 1 CHICAGO IL 60621 708-475-5339 BASIC COVERAGES PREMIUM ATTACHED ENDORSEMENTS PREMIUM $183.00 $125.00 SCHEDULED PROPERTY PREMIUM POLICY FEES/TAXES TOTAL POLICY PREMIUM ADDITIONAL/ RETURN PREMIUM $308.00 $0.00 LOCATION 001 PROP DEDUCT FORM CONST $500.00 04 MA YEAR PROGRAM UNITS OCCUP PROT CLASS TERR 01 4 2 COVERAGE LIMITS AND PREMIUM - SECTION I Coverage -C- (Personal Property) $10,000.00 Coverage-D- (Additional Living Expense) $2,000.00 $161.00 COVERAGE LIMITS AND PREMIUM - SECTION II Coverage - E- (Personal Liability) $100,000.00 Coverage - F- (Medical Liability) $2,000.00 $22.00 LOCATION (S) OF PROPERTY INSURED INSURED PROPERTY IS LOCATED AT THE ABOVE ADDRESS POLICY FORMS AND ENDORSEMENTS NUMBER DATE LOC ILHO4