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2013 -11- 2617:08 LONG 9495598500 >> <br />Insured Name 14ARIANN LONG <br />P 314 <br />Policy Number RB 752730 <br />RESIDENCE COVERAGE INFORMATION <br />HOME INFORMATION <br />The residence premises covered by this policy is located at the address below, <br />89 LAKESHORE <br />IRVINE CA 92604 <br />r' eOVERAGES ',s , ,. Limit at l" Annual' ' <br />Liebilriu '.' pramiti4rrr <br />Coverage is provided where a limit of liability is shown for the coverage, The Section 1 Blanket Property Limit <br />of Liability shown represents 160% of the calculated Contents (Coverage C) replacement value of $ 66,900, <br />This Blanket Property Limit of Liability is the total amount of insurance for your Dwelling, Other Structures, <br />Personal Property and Loss of Use Coverage, <br />SECTIONI - PROPERTY COVERAGES <br />+ Blanket Prop" Limit $ 107,000 $ 299,00 <br />SECTION II - LIABILITY COVERAGE$ <br />Personal Liability: each occurrence $ 500, 000 $ 52.00 <br />Medical Payments to Others: each person $ s, 000 <br />DEDUCTIBLE - SECTION I - In case of loss we cover only <br />that part of the loss over the deductible stated below: <br />Policy $ 500 INCLUDED <br />Total Premium for Endorsements $ 24.00 <br />TOTAL RESIDENCE PREMIUM $ 374.00 <br />The limit of liability for this structure (Coverage A) is based on an estimate of <br />the cost to rebuild your home, including an approximate cost for labor and materials <br />in your area, and specific information that you have provided about your home, <br />This Policy Excludes Lose Caused by the Peril of Earthquake <br />This Policy Includes Building Cade Upgrade Coverage <br />HOMEOWNERS: DISCOUNTS' AND GREDITS'APPLIED <br />The Total Residence premium shown above reflects savings to you as follows: <br />Loss Free Discount Rae Safety Package Credit <br />RATING INFORMATION, <br />Construction Frame Not more than 1 ft from hydrant Miles from Dept. 1 <br />County ORANGE Occupied cendcmini> m Yr Construction 1939 <br />Fire Dist ORANGE 00 Fib 1c) Pratt Class 3 Tarr. 130 State 04 <br />HOMEOWNER$i''ENDOR$EMENT S <br />Location 1 <br />Edition <br />AnnuaI <br />Number <br />'` •Date <br />IOegcripti4n :( <br />PFePin' <br />VS2163 <br />10 -09 <br />PACKAGE PLUS POLICY <br />01 -93 <br />AK5743 <br />00 -09 <br />POLICY INFORMATION <br />LIMITED WATER BACK -UP COVERAGE $ <br />VS2311 <br />10 -09 <br />EO CHANGES TO YOUR POLICY <br />902410 <br />04 -91 <br />ADDITIONAL RESIDENCE RENTED TO OTHERS <br />$ 19,00 <br />Indicates a change was made to your policy. <br />AK 5034 (03 00) CONTINUED <br />5.00 <br />024945 10 0000696 <br />Location 1 <br />5 NORTEGROVE <br />IRVINE CA 92604 <br />Number of Families I <br />H02499 <br />01 -93 <br />WORKERS COMPENSATION RESIDENCE EMPLOYEES <br />V52271 <br />01 -11 <br />LIMITED WATER BACK -UP COVERAGE $ <br />Additional Limit of Liability $ 5,000 <br />Total Limit of Liability $ 20,000 <br />VS2209 <br />e1 -11 <br />SECTION I - EXCLUSIONS <br />SC0001 <br />04 -09 <br />ADDITIONAL CHARGES AND FEES ENDORSEMENT <br />VK1012 <br />02 -85 <br />RESIDENCE SAFETY PACKAGE <br />vs23D9 <br />09 -11 <br />PACKAGE PLUS ULTIMATE <br />V51989 <br />07 -09 <br />LIMITED MOLD, FUNGI 6 OTHER MICROBES COV <br />Indicates a change was made to your policy. <br />AK 5034 (03 00) CONTINUED <br />5.00 <br />024945 10 0000696 <br />