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<br />i <br /> <br />- <br />iiiiiiiii <br />- <br />!!!!!!!! <br />- <br />- <br />;;;;;;; <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br /> <br />'-Insurance <br /> <br />'P) <br /> <br />SAFECO INSURANCE COMPANY OF AMERICA <br />Home Office: 4333 Brooklyn Ave. N.E.. Seattle, Washington 98185 (A stock insurance company.) <br />QUALITY-PLUS HOMEOWNERS POLICY DECLARATIONS <br /> <br />INSURED: <br />WILLIAM WEBSTER <br />7314 CHRISAN BLVD <br />FARGO ND 58104-7306 <br /> <br />POLICY NUMBER: OZ3617 56 3 <br />POLICY PERIOD FROM: OCT. 22 2007 <br />AT: 12 I 0 I A. M . <br />TO: OCT. 22 2008 <br /> <br />RESIOENCE PREMISES: <br />Same <br /> <br />AGENT: <br />JOHNSON & JOHNSON INS AGY LLC <br />PO BOX 158 <br />MOORHEAD MN 56561-0000 <br />TELEPHONE: 1-866-472-3326 <br /> <br />FiMPo.RTANf?J~QficES::f:t:;:::::i::t!:f':::{{:::::::r:::::f::!::{::::??::::!:::':!'!:?:{,:{::::?::::!:!:::!:?::::::::??:::::::::'?:{Il:?i:ii??::?:{:i:i:::::::::m:::::::?:::::t:::!:!{:::}{:j:j:::::::::?!iii?:?f}}:ii!i{'tt:{:j:jtf:}:!:l <br /> <br />- Your policy has renewed effective October 22, 2007. <br /> <br />l::CQVERAGES!:U?:':'!UU,::,UU::\::::t{Ui!i:Ul::{::::U:::::{'?:::I:UUU::::L/i: {:::::{:::'}?:Uii{i{:iiii ?ii?F:::\ :f/::i:y::::t:I,dfi}\U?:::i:Itm/{ii/:}}'RetilUM::{:::{\j <br /> <br />SECTION I - PROPERTY COVERAGES <br />A - Dwelling <br />B - Other Structures <br />C - Personal Property <br />D - Loss of Use <br /> <br />$ 193,000 $ <br /> 19,300 <br /> 144,750 <br /> 12 MONTHS <br /> 500,000 <br /> 2)000 <br /> 48,250 <br /> 19,300 <br /> <br />763.00 <br /> <br />SECTION II - LIABILITY COVERAGES <br />E - Personal Liability (each occurrence) <br />F - Medical Payments (each person) <br /> <br />32.00 <br /> <br />INCLUDED COVERAGES <br />Full Value on Personal Property <br />Extended Dwelling Coverage-25Y. of Cov A Limit <br />Building Ordinance or Law Coverage <br /> <br />Included <br />Included <br />Included <br /> <br />kO~T=iONs,::,::{?{'::':H)'':\?:{')i:ii:ti:ii:::i:'':i:{i:,I:?::::i'::i:?)!{:?!!II.:!,\::I:::iii?i@:iii!i'i:\?i@:j:i::i.?i:iIU@htIMif:::i,:}?:tti:I,:!/@!::i::!:PREMIUM::/"/::1 <br /> <br />Option E - Scheduled Personal Property <br />Option YY - Water Back-up and Sump Overflow <br />Option KK - Special Personal Property <br /> <br />$ <br /> <br />113.00 <br />65.00 <br />61.00 <br /> <br />15,765 $ <br />5,000 <br /> <br />t!:iciaiiTs}!{tt{::{i/:?':::::{:i,:t{{{)::{{:UI::,:II::II:{({:!:!i:i:{i::::!{:::t!ij{'{!:!:j:::j{{:,i.iii!{i::U:{iii?!i:mL{::::mji::paicENTAG.a:m:m:m??ri!Ur::::{:::::::$A~iNG$r{{:::::j:l <br /> <br />Renewal Credit <br /> <br />I O~~ <br /> <br />$ <br /> <br />-76.00 <br /> <br />liine~u6Tiitel$i{{i/:??iti/:::f:::::,:::,::':{?ij'::.{{i!f::!i!:]ii.{:I!i::,:':paicENTAG.,'.:::i:i::{:ibt:::{::fAMOUNT:\::i!:i'i:?i{] <br /> <br />Section I, except as noted below <br />Windstorm or Hail Deductible <br /> <br />$ <br /> <br />500 <br />1,000 <br /> <br />N/A <br />N/A <br /> <br />I..................................................................................1 ~ <br />............................................................................ :~:,: '::':: n: j !. : 0.' ,',: <br />:::'::,y:::',::r~u:~~:::::j~"~j~i{]~~~"Jy.~::':}\:,:::::::y::::::::,::}}::: << . :::::,>:;::::::::",).ss~,o.o:::{:::: <br /> <br />You can pay your premium in full or in installments. If you pay in installments, a <br />$4.00 service charge will apply to each installment. If you pay by automatic <br />deduction, no service charge will apply. <br />