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FARMERS <br /> `IGROUP��., FARMERS. <br /> Evidence of Insurance for Mortgagee/Other Interests •"-r1-7-'' <br /> This form is not the contract of insurance.It is a memorandum of coverage limited to mortgagee/other interests,provided at their request and <br /> applicable to the dwelling or building at the location below.The provisions of the policy will prevail in all respects.This certificate of <br /> insurance does not affirmatively or negatively amend,extend,or alter the coverage afforded by the insurance policy.Should the insurance <br /> policy be cancelled by the company before the expiration date thereof,notice will be given in accordance with the policy provisions. <br /> Insured Information Agent Information <br /> Named Insured Name DONALD ZERR <br /> CHRISTOPHER DENIS AND MARY DENIS Address 837 MAIN AVE E <br /> WEST FARGO ND 58078-2063 <br /> Phone 701-373-0099 Fax 701-373-0110 <br /> Mailing Address Email dzerr@farmersagent.com <br /> 2705 171ST AVE SE <br /> ARGUSVILLE ND 58005-9789 <br /> Property Address <br /> 2705 171ST AVE SE <br /> ARGUSVILLE ND 58005-9789 <br /> Policy Information Coverage Information <br /> Policy Number 937079976 Coverage Limit <br /> Company Name FARMERS INSURANCE EXCHANGE Dwelling $311,000 <br /> Extended Replacement Cost $77,750 <br /> Policy Type NEXT GENERATION HOMEOWNERS Personal Property $233,250 <br /> Policy Status IN FORCE Personal Liability $500,000 <br /> Policy Term Effective Date 11/01/2013 <br /> Renewal Date 11/01/2014 Deductible applicable to each covered loss: <br /> Annual Premium 2,070.96 $1,500 <br /> Balance Due On Scheduled Pay Plan <br /> Loss Of Use $124,400 <br /> First Mortgagee Loan Number 6800666176 Who Pays INSURED <br /> US BANK NATIONAL ASSOCIATION ISAOA Mortgagee Effective Date 02/22/2013 <br /> %US BANK HOME MTG <br /> PO BOX 7298 <br /> SPRINGFIELD OH 45501-7298 <br /> Second Mortgagee/Other Interest <br /> No Additional Mortgagee(s)/Other Interest(s)available <br /> Loan Number <br /> Mortgagee Effective Date <br /> Mortgagee Deductible Clause <br /> Subject to all of the terms and conditions of the policy,the following provision applies only if a mortgagee is named in the Declarations or <br /> renewal notice,and the mortgagee has foreclosed on the property prior to the date of loss: <br /> The applicable deductible for any interest of any mortgagee will be the smallest of the following amounts: <br /> 1)The deductible stated in the Declarations or renewal notice;or <br /> 2)$1,000. <br /> This provision does not apply to loss or damage from earthquake,where a separate,increased deductible applies to loss or damage caused by this <br /> peril. <br /> President <br /> *iv-) <br /> 25-2960 412 Print Date: 11/22/2013 Authorized Farmers Representative <br />