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HP 6229793 15697 COINSURANCE CONTRACT
<br /> NORTH CAROLINA FARM BUREAU MUTUAL INSURANCE COMPANY PART B DECLARATION PAGE
<br /> P.O.BOX 27427 RALEIGH,NORTH CAROLINA 27611-7427 HOMEOWNERS POLICY
<br /> POLICY RENEWAL DECLARATION — COVERAGE WILL
<br /> EXPIRE ON 10/28/16 IF PREMIUM IS NOT PAID. $:
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<br /> HP 6229793 10/28/16 10/28/17 0916085 HO DEC 0913 0683993
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<br /> DWIGHT E COMPTON SR
<br /> BETTY COMPTON
<br /> 5900 COMPTON RD DALE DIXON, ORANGE
<br /> CEDAR GROVE, NC 27231 -9353 TELE: C919) 732-7430
<br /> 110 MILLSTONE DR
<br /> HILLSBOROUGH, NC 27278
<br /> TOTAL ANNUAL PREMIUM - — — — — — — — - - - — - $1 ,261
<br /> THE PREMISES COVERED BY THIS POLICY IS LOCATED
<br /> 5900 COMPTON RD CEDAR GROVE NC 27231 ORANGE CNTY.
<br /> RATING INFORMATION- AUTOMATIC VALUE-UP AT RENEWAL, FRAME, CONSTRUCTED IN 1891 ,
<br /> PRIMARY RESIDENCE, FIRE PROTECTION — CEDAR GROVE FD, PROTECTION CLASS 9S,
<br /> ANNUAL INCREASE IN SECTION I COVERAGES IS 3. 0%, TERRITORY 280,
<br /> HYDRANT WITHIN 1000 FEET, $1000 SECTION I LOSS DEDUCTIBLE, 1 FAMILY.
<br /> COVERAGE AT THE ABOVE DESCRIBED LOCATION IS PROVIDED ONLY WHERE A LIMIT OF
<br /> LIABILITY IS SHOWN OR A PREMIUM IS STATED
<br /> SECTION I COVERAGE LIMIT OF LIABILITY PREMIUMS
<br /> A. DWELLING $270 ,000 $1 ,213
<br /> B. OTHER STRUCTURES $27,000 I
<br /> C. PERSONAL PROPERTY $189,000 $81 a
<br /> D. LOSS OF USE $54,000
<br /> SECTION II COVERAGE
<br /> E. PERSONAL LIABILITY $1 ,000,000 EACH OCCURRENCE
<br /> F. MEDICAL PAY. TO OTHERS - $1 ,000 EACH PERSON $16
<br /> BASIC PREMIUM - - - - - - - - — — — — — $1 ,310 {
<br /> ADDITIONAL PREMIUMS
<br /> SPECIFIED ADD' L AMOUNT OF INSURANCE—COV A ONLY, HO-3220 $24
<br /> INCIDENTAL—FARM, HO-2472 $59
<br /> PERSONAL PROPERTY REPLACEMENT COST, HO-0490 $65
<br /> REFRIGERATED PROPERTY, HO-0498 $10
<br /> CREDIT FOR PROTECTIVE DEVICES, HO-0416 $13CR
<br /> OPTIONAL DEDUCTIBLE $194CR
<br /> ADDITIONAL PREMIUMS — - — — — — — — — — — — — $49CR
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