Back One Page Print Document

95G158381F

Policy Number

EVIDENCE OF INSURANCE

 

     

Replaced Policy Number

CONDOMINIUM/ ASSOCIATION POLICY

 

Coverage afforded by this policy is provided by the Company indicated below:

X      STATE FARM FIRE AND CASUALTY COMPANY   A Stock Company, Bloomington, Illinois

       STATE FARM GENERAL INSURANCE COMPANY   A Stock Company, Bloomington, Illinois

       STATE FARM FLORIDA INSURANCE COMPANY   A Stock Company, Winter Haven, Florida

       STATE FARM LLOYDS   A Lloyds Company, Dallas, Texas

This is to certify that the Company indicated above has the following insurance in force:

Unitowner’s Name and Mailing Address

     

Insured’s Name and Mailing Address

FAIRWAY VILLAS CONDOMINIUM ASSOCIATION              

C/O JOHN VODOPICH        

4942 HIGBEE AVE NW STE I 

CANTON OH   44718-2554   

Automatic Renewal - If the Policy Period is shown as 12 Months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee written notice in compliance with the policy provisions or as required by law.

 

 

The Policy Period begins and ends at 12:01 a.m. Standard Time at the building locations unless otherwise stated.

 

JUN-26-05

Effective Date

12 Months

Policy Period

JUN-26-06

Expiration of

 

Policy Period

    Noon Standard Time

Policy Type

 

       Basic Form 1

 

X      Special Form 3

 

Limits of Liability

Coverage

 

$ 8,941,400

A     Buildings

 

$ 4,000,000

L     Business Liability

 

Deductible

In case of a loss we cover only that part of the loss over the deductible stated.

 

$ 2500

 

Forms, Options & Endorsements

FP-6109      SPECIAL FORM 3  OPT DO 4000000   DIR & OFFICERS   OPT TP 12000 TREES PLANTS 

OPT ED 50000 EM DISHONESTY   FE-6235          AMENDATORY END   FE-6451      TREE DEBRS REM  

FE-6466         POLICY END   FE-6538.1        GLASS DED DEL    FE-6476.1    BLDG ORDINANCE

FE-6379         BLDG DAMAGE  FE-8431          EMPL LIAB-END    FE-6330.2    EARTHQUAKE END  

FE-6567         POLICY END   FE-6566          FUNGUS EXCL      FE-6494      ADDL INSD    

FE-6624         POLICY END   FE-6999          TERRORISM NOTE   FE-6587      INC COST DEMO

 

Unitowner Mortgagee

     

Loan Number

 

     

 

Agent’s Signature/Countersignature

                                  2119

 

Agent’s Code

( 330 ) 494 - 7400

Telephone Number

     

Date

 


Back One Page Print Document