HomeMy WebLinkAboutInsurance Policy 011824DATE (MM/DD/YYYY)
,a�oizo® EVIDENCE OF PROPERTY INSURANCE
Ol/16/2024
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
AGENCY A/CNNo Ext : 4 7 9 7 8 5- 2 912 COMPANY
CROSS POINTE INS ADVISOR TRAVELERS PERSONAL INSURANCE COMPANY
PO BOX 1747 ONE OF THE TRAVELERS PROPERTY CASUALTY COMPANIES
FT SMITH, AR 72902-1747 ONE TOWER SQUARE, HARTFORD, CT 06183
IA/C,NoI: (888) 279-85731 ADDRESS:
CODE: OHE3 8 8 SUB CODE:
INSURED LOAN NUMBER POLICY NUMBER
BRIAN HARDIN 0051230775 611564973 653 1
SARAH KING EFFECTIVE DATE EXPIRATION DATE
5921 AMPERSAND ST CONTINUED UNTIL
04/01/2023 04/01/2024 TERMINATED IF CHECKED
LITTLE ROCK, AR 72 2 0 7 - 5 0 01 THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION/DESCRIPTION
1711 N GRANT ST
LITTLE ROCK, AR 72207-5103
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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COVERAGE / PERILS / FORMS
AMOUNT OF INSURANCE
$ 317,000
DEDUCTIBLE
Coverage A - Dwelling
Coverage B - Other Structures
$ 31,700
Coverage C - Household Furnishings
$ 6,118
Coverage D - Loss of Use
$ 31,700
Coverage E - Premises Liability (each occurrence)
$ 500,000
Coverage F - Medical Payments to Others(each person)
$ 5,000
Property Coverage Deductible (All Perils)
$ 10,000
TOTAL PREMIUM $1,626.00
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Make checks payable to: Travelers Indemnity and affiliates
Mail payments to: Travelers Personal Insurance
PO Box 660307
Dallas, TX 75266-0307
SEE ADDITIONAL REMARKS SCHEDULE FOR MORE INFORMATION (ACORD 101)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
NAME AND ADDRESS
ADDITIONAL INSURED LENDER'S LOSS PAYABLE LOSS PAYEE
LAKEVIEW LOAN SVC, LLC C/O LLC
4 MORTGAGEE
PO BOX 202049
LOAN#
FLORENCE, SC 29502
0051230775
AUTHORIZED REPRESENTATIVE
SEE FORM 101 FOR ADDITIONAL INTERESTS
ACORD 27 (2016/03) " 1993-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC #:
,4�oizo® ADDITIONAL REMARKS SCHEDULE
Page 1 of 1
AGENCY
NAMED INSURED
CROSS POINTE INS ADVISOR
BRIAN HARDIN
SARAH KING
5921 AMPERSAND ST
POLICY NUMBER
611564973 653 1
LITTLE ROCK, AR 72207-5001
CARRIER
NAIC CODE
TRAVELERS PERSONAL INSURANCE COMPANY
�38130
EFFECTIVE DATE: 0 4/ 0 1/ 2 0 2 3
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 27 FORM TITLE: EVIDENCE OF PROPERTY INSURANCE
Policy Type — Landlord Dwelling
Optional Coverages
Optional Coverages
Special Coverage
Water Back Up and Sump Discharge or Overflow
Coverage
Additional Replacement Cost Protection Coverage
25% of Coverage A - Dwelling Limit
Household Furnishings Replacement Cost Loss
Settlement Landlord
Endorsement Limit
HQ-003 CW (05-18)
HQ-208 CW (08-20) $5,000
HQ-420 CW (11-18) $79,250
HQ-859 CW (11-18)
*Note: The additional cost or premium reduction for any optional coverage or package shown as
"Included" is contained in the Total Policy Premium Amount.
Additional Interest
Interest
ADDITIONAL INSURED
Name and Address:
SWK PROPERTIES, LLC
5921 AMPERSAND
LITTLE ROCK, AR 72207
Loan#
ACORD 101 (2008/01 ) ° 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD