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Policy DW00707347-01 <br />Processed Date: 10/20/2023 INSURED <br />DCL 10 17 2 of 2 <br />COVERAGES LIMIT OF LIABILITY PREMIUM <br />Coverage A - Dwelling $200,000 $707.00 <br />Coverage B - Other Structures $20,000 Included <br />Coverage D - Fair Rental Value $20,000 Included <br />Coverage E - Additional Living Expense $20,000 Included <br />Coverage D and E are combined and equal a max combined limit of 10% of <br />Coverage A $20,000 Included <br />Residential Crime $5,000 $85.00 <br />(Refer to PF 01 04 12 17 for Crime Deductible.) <br />TOTAL LOCATION PREMIUM $792.00 <br />Endorsements Form Number and Edition <br />Dwelling Policy Jacket (FAIR)FJD25 11 16 <br />Dwelling Property 2 - Broad Form DP 00 02 07 14 <br />Special Provisions - North Carolina DP 32 32 01 21 <br />Non-Assignability of Policy PF 01 01 08 21 <br />Residential Crime Coverage Part PF 01 04 12 17 <br />Insert - North Carolina DP 32 46 09 07 <br />Premises Alarm or Fire Protection System - North Carolina DP 32 50 09 07 <br />Inflation Guard Endorsement - North Carolina DP 32 70 09 07 <br />Notice of Information Practices RN 00 18 06 17 <br />DocuSign Envelope ID: 37E6FC08-EFB2-4BED-84D4-D670E87CC3BC