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Insurance Policy - 1258 Lily St - Lofty Holding 1518 Dille Road LLC - Ohio 3 Property Package, Akron, Ohio 44117.pdf

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Tue May 17 14:57:24 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 05/17/2022 Policy Number: Effective Date: Expiration Date: Named Insured: LOFTY HOLDING 1258 LILY STREET LLC 66 W FLAGLER ST 900 MIAMI, FL 33130-1807 Agent: 34-73-10784513-81 05/16/2022 (2:29 PM CST) 05/16/2023 (12:01 AM CST) LUKE ROTH 34-AB19-85 2245 W DUBLIN GRANVI WORTHINGTON, OH 43085-3336 (614) 832-7949 Policy Deducti

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Tue May 17 14:57:24 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 05/17/2022
Policy Number:
Effective Date:
Expiration Date:

Named Insured:
LOFTY HOLDING 1258 LILY
STREET LLC
66 W FLAGLER ST 900
MIAMI, FL 33130-1807

Agent:

34-73-10784513-81
05/16/2022 (2:29 PM CST)
05/16/2023 (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
1258 LILY ST AKRON, OH 44301

Description
FRAME, NON-OWNER, 1 FAMILY DWELLING

Coverages

Limits

Dwelling
Frame
Additional Living Expense
Drainage System Endorsement ($50.00)
Addition of Broad Perils
Loss of Rents

Endorsement
Number

$120,000
$10,000
$12,000
$10,000

Premium
$592.00
$80.00

B-102.7-B
B-544.11-B

$12,000
$762.00

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: 2

Secretary

President and CEO
End of Evidence Of Insurance

B-750.1-B

Page 1 of 1

Tue May 17 14:57:24 CDT 2022

SHELTER INSURANCE COMPANIES
1817 WEST BROADWAY, COLUMBIA, MISSOURI 65218-0001
ShelterInsurance.com
Phone:1-800-SHELTER
Federal Tax ID: 43-0613000
Payor Name / Cardholder

Payment Amount

LILY STREET LLC, LOFTY HOLDING 1258 / LILY STREET LLC, LOFTY HOLDING 1258

762.00

Type

Number

Amount

Transaction Number

Agent Number

Date Payment Received

Card

MC *9059

$762.00

2424

34-AB19-85

05/17/2022

Risk Description

Payment Amount

Payment Detail
Policy Number
34-73-10784513-81

Insured Name
NB

LOFTY HOLDING 1258 LILY STREET LLC

1258 LILY ST

762.00

Total Payment Received:
For policy details or payment questions, please contact your agent or call 1-800-SHELTER (1-800-743-5837).

M-1408.2-M

Receipt

762.00