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Insurance Policy - 917 Pawnee Avenue, Memphis, TN 38109.pdf

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Fri Jul 30 14:39:55 CDT 2021 Shelter Mutual Insurance Company 1817 W Broadway Columbia, MO 65218 1-800-SHELTER (743-5837) Dwelling Insurance Policy Evidence Of Insurance As Of 07/30/2021 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 917 PAWNEE AVENU E LLC 11718 FOLKSTONE LN LOS ANGELES, CA 90077-1310 Agent: 41-73-10784513-1 06/25/2021 (2:56 PM CST) 06/25/2022 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVILLE RD WORTHINGTON, OH 43085-3336 (614) 832-7949 Po

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Fri Jul 30 14:39:55 CDT 2021
Shelter Mutual Insurance Company
1817 W Broadway
Columbia, MO 65218
1-800-SHELTER (743-5837)

Dwelling Insurance Policy
Evidence Of Insurance
As Of 07/30/2021
Policy Number:
Effective Date:
Expiration Date:

Named Insured:
LOFTY HOLDING 917 PAWNEE AVENU
E LLC
11718 FOLKSTONE LN
LOS ANGELES, CA 90077-1310

Agent:

41-73-10784513-1
06/25/2021 (2:56 PM CST)
06/25/2022 (12:01 AM CST)
LUKE ROTH
34-AB19-85
2245 W DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085-3336
(614) 832-7949

Policy Deductible
$1,500
Described Premises
917 PAWNEE AVE MEMPHIS, TN 38109

Description
FRAME, NON-OWNER, 1 FAMILY DWELLING

Coverages

Limits

Dwelling
Addition of the Peril of Vandalism
Drainage System Endorsement
Landlord Liability Coverage and Medical Payments Coverage

Endorsement
Number

$120,000
$10,000
$500,000
$1,000
$12,000
$12,000

Loss of Rents
Additional Living Expense

Total for Term (This is Not a Bill):

Premium
$658.00

B-847.2-B
B-102.7-B
B-454.12-B

$748.00

ADDITIONAL INSURED
CRESTCORE REALTY LLC
4435 SUMMER AVE
MEMPHIS, TN 38122-4042
Policy Term: 12 months
Zone Code: 001

Protection Class: 1

End of Evidence Of Insurance

B-750.1-B

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