Loading...
HomeMy WebLinkAboutPermit Correspondence 1997-1-8 ,01/005:97 10:34 F.U . . 14191 lfavelersInsurarlce "Mt~r of Trrn'.:/asGrDlJ.PJ Travelers Insurance Americal~ Hood In$. SCryiCC5 PO Box 910: TeI800.333..0883 Rancho Cordova CA 9S741.()Ql0 D STA,\DARD nOOD INSl'R-\NCE POLICY RENEWAL DECLAR-\ nONS - J='lO!.JUL,a JVllme & Address In;'ured ,Name & ,~ddre,<.5 STEPHE!>i R /lclILLER 3850 J-lA. YDEY BRIDGE SPRI!l:GFiELD OR 97.\7; 1835 \'EEN VRA:\AS AGE\CY 870 \\iESTCENTEK}.;IAL . SPRI'\GFIE:LD OR 974770000 Poli()' Numb,,: 7770002S55 Polky Term From: 07.22-j99ti PaY(Jr: Insured tn 0;-22-1997 12:0] A,,M, u/ Ihe Insured propert)' location. PrODt!.T!\.. Address 3850 HA YDE~ BRIDGE SPRINGFIELD OR 97-177 Reason Producer ID: Producer Phone Numb",: Total Building Limit,: Toral COlltent Limi/s: 6930~5~530 503-7.\1.22S0 S7],500 SO COl..t!N.JFes-pnd Deducrihles ...... Basic COV('1'alle Rate Premium .. ... Additional Coverage Rate Premium .... Deductihle - u - -- - Towl.. . .. Amount Discnunt Premium BuiJdine ConlenlS $50,000 0,160 $1.1 0,121.1 $~O SO S21.500 0,070 $0 0,120 $15 $0 S500 SI.I 0,000 0,000 $95 $0 Rarinp Datu Community Numh<?rlName: -IIS5!)1 LA:\E COl:'NTY' Prowam Type: Rcglll~r Zone: A06 Building cOllstructed or substantial(v improved on: Januat\' (I L 1991 Elevmion (differenc<? round<?d fO nearest foot): J.owe,ff FloOt . +-t63.6 ,",-- IJa;e Flood 7'\62,5 Difference -1.0 Occupancy: Single Fnmily Buildhtf! Description: Two Floors Basement Typt!: \"one Content' Locmio,,: -I.. LO\\'eSl noor abO\'e ground and higher Annual Premium: PoliC}' Term: CRS Discourtl: Surcha'lle: Polk)' Fee: Expense Constant: 595 X 1 $0 Sf! $30 j;-I5 - Tota/'Ref1i1llun<:e: $170 Fi,.!!.7 l\1()rt1!tJ~er LOA:\# PA y or~'o '- Libcn\' Fedetal BJnk S8 hs Successors and/or Atisigns PO Box IOH8 Eugene OR 974-10 PFC0120 Date Issued: 07/16/96 ,R~~I'V..st-~ /-IS..~? BSH AFI l\