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Insured Name MARIANN LONG <br />RESIDENCE COVERAGE INFORMATION <br />x77777777, <br />The residence premises covered by this policy Is located at the address below: <br />89 LAKESHORE <br />Policy Number RA 752730 <br />Coverage is provided where a limit of liability is shown for the coverage, The Section I Blanket Property Limit <br />of Liabhity shown represents 160% of the calculated Contents (Coverage 0) replacement value of $ 72,500, <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 />SECTION I— PROPERTY COVERAGES <br />* Blanket Property Limit $ 116,000 4 299,00 <br />SECTION 11— LIABILITY COVERAGES <br />Personal Liability: each occurrence $ 500,000 S 5 2 0 0 <br />Medical Payments to Others: each person $ 5, 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 />'VS2163 10-09 PACKAGE PLUS POLICY <br />AK5743 08 -09 POLICY INFORMATION <br />VS2311 10-09 SO CHANGES TO YOUR POLICY <br />H0200 04-91 ADDITIONAL RESIDENCE RENTED TO OTHERS $ 19.00 <br />Location 1 1 <br />5 NORTHGROVE <br />IRVINE CA 92604 <br />Number of Familiea I <br />H02490 01-93 WORKERS COMPENSATION RESIDENCE EMPLOYEES <br />V92271 01-11 LIMITED WATER BACK-UP COVERAGE $ 5.00 <br />Additional Limit of Liability 5,000 <br />Total Limit of Liability $ 20,000 <br />VS2209 01-11 SECTION I - EXCLUSIONS <br />VK1012 02-85 RESIDENCE SAFETY PACKAGE <br />VS2309 08-11 PACKAGE PLUS ULTIMATE <br />VS1989 07-09 LIMITED MOLD, FUNGI & OTHER MICROBES COV <br />MARIANN LONG ANYASSOCI TES :AGREEMENT A -2013 -171 <br />REVIEWED BY: <br />EUNICE HEREDIA (PG. 2 of 4) <br />'*Indicates a change was made to your policy. 030793 10 0000559 <br />AK 5034 (08 00) 'CONTINUED <br />