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State Farm Rental Dwelling Renewal Certificate - 2025-11-15 to 2026-11-15 - Policy 98-KE-7180-0 - 84 Madison Ave - 84 Madison Ave, Albany, NY 12202.pdf

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StateFarm State Farm Fire and Casualty Company PO Box 2356 Bloomington IL 61702-2356 ATI 000654 0001 ECO SYSTEMS, LLC DBA EVC0, LLC H-28- 3AB8-FBFC RENEWAL CERTIFICATE 98-KE-7180-0 POLICY NUMBER Rental Dwelling Pol - Special Form NOV 15 2025 to NOV 15 2026 R □ F TO BE PAID BY INSURED Coverages and Limits Section I A Dwelling Dwelling Extension B Personal Property C Loss of Rents 500 WESTOVER DR PMB 33191 SANFORD NC 27330-8941 S $265,500 26,550 13,275 Actual Loss F-5 </) o Deductibles - Section I

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StateFarm State Farm Fire and Casualty Company
PO Box 2356
Bloomington IL 61702-2356

ATI

000654 0001
ECO SYSTEMS, LLC
DBA EVC0, LLC

H-28- 3AB8-FBFC

RENEWAL CERTIFICATE
98-KE-7180-0
POLICY NUMBER
Rental Dwelling Pol - Special Form
NOV 15 2025 to NOV 15 2026

R

□

F
TO BE PAID BY INSURED
Coverages and Limits
Section I
A Dwelling
Dwelling Extension
B Personal Property
C Loss of Rents

500 WESTOVER DR PMB 33191
SANFORD NC 27330-8941

S

$265,500
26,550
13,275
Actual Loss

F-5
</) o

Deductibles - Section I
Basic
2.00%

Insured:

LFTY0431 LLC

Location: 84 MADISON AVE
ALBANY NY
12202-2034

Notice Only

ECO SYSTEMS, LLC

Mortgagee:

RUSHMORE LOAN SERVICING
Loan No: 0753060482

Forms, Options, and Endorsements
Special Form 3
Amendatory Endorsement
Debris Removal Endorsement
Lead Poisoning Exclusion
Arson Reward Delete
Real Property Endorsement
Modified Replacement Cost
Notice in Event of Liab Claim
Mandatory Reportng Endorsement
Losses Not Insured Amendatory
Rental Dwelling Endorsement
Terrorism Insurance Cov Notice

Section II
L Business Liab (per occurrence)
(annual aggregate)
M Medical Payments to Others
(each person)

FP-8103.3
FE-8232.2
FE-7540
FE-8499
FE-5307
FE-5401
FE-7466.2
FE-1319
FE-5801
FE-8777
FE-5610
FE-6999.3

Subzone:10

Zone:17

$500,000

1,000,000
5,000

$1,004.00

Annual Premium
Credit
NY Fire Insurance Fee

Inflation Coverage Index:

I

5,310

7.03
4.39

412.9

Construction: Masonry

Please help us update the data used to determine your premium. Contact your agent with the year each of
your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated.

o

I
2

I
§

N
012

2379

901

M

Agent RYAN STACEY
Telephone (802) 862-0865

REB

Moving? See your State Farm agent.
See reverse for important information.
Prepared
SEP 24 2025