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Home My WebLink About2010-11Curran/Sale policy`F f C MR V High } :ce INSURED AND AGENT INFORMATION (Named Insured) Name and Mailing Address JOSH SALE AND MARGARET CURRAN 150 CHAPEL DR MILL VALLEY CA 94941 The Residence premises is located at 150 CHAPEL DR MILL VALLEY CA 94941 Agent Information GROSSLIGHT INS INC PO BOX 24946 LOS ANGELES, CA 90024 Mortgagee Name and Address 1. CITIMORTGAGE, INC IT'S SUCCESSORS AND/OR ASSIGNS PO BOX 7706 SPRINGFIELD OH 45501 LOAN NUMBER 001122229327 2. TOWN OF TIBUORN 1505 TIBURON BLVD. TIBURON CA 94920 LOAN NUMBER POLICY INFORMATION Homeowners Policy No. 982127447 637 1 Change Effective Date: 11/02/10 Reason for Change: Change to Mortgagee 1 TRAVELERS) POLICY CHANGE DECLARATIONS Value Homeowners Policy Your Insurer Travelers Commercial Insurance Company One of The Travelers Property Casualty Companies One Tower Square, Hartford, CT 06183 Policy Period 11/02/10 - 11/02/11 12:01 A. M. Standard Time at the residence premises No Change in Premium For Claim Service Call 1-800-CLAIM33 For Policy Service Call (310) 473-9621 Continued on next page 476/OH E950 PL-12630 6-06 Mortgagee Copy page 1 of 3 015039/04411 F3115MMD 7206 09/27/10 TRAVELERSJTOTAL POLICY PREMIUM $ 4,059.00 This is not a bill; you will be invoiced separately. POLICY COVERAGES AND LIMITS OF LIABILITY LIMIT Section I - Property Coverages A - DWELLING $ 2,067,000 B - OTHER STRUCTURES $ 206,700 C - PERSONAL PROPERTY $ 1,550,250 D - LOSS OF USE $ 1,033,500 LIMITED FUNGI, OTHER MICROBES OR ROT REMEDIATION Section I - Property Coverage $ 5,000 Section II - Liability Coverages E - Personal Liability (Bodily Injury and Property Damage) Each Occurrence.. $ 500,000 F - Medical Payments to Others Each Person $ 5,000 POLICY SAVINGS AND DEDUCTIBLES Your Savings The following credits or discounts reduced your premium: Account Discount, Loss Free Discount, Protective Devices Discount Deductibles DEDUCTIBLE Section I Property Coverages Deductible (All Perils) $ 2,500 In case of loss under section I, only that part of the loss over the stated deductible is covered. OPTIONAL ENDORSEMENTS AND COVERAGES LIMIT PREMIUM Optional Endorsements 58200 (05-03) Personal Liability Umbrella $ 473.00 Supplement 372-NS (11-50) Mortgagee Clause Included* 438BFU NS (05-42) Lender's Loss Payable Endorsement Included* Continued on next page 476/OHE950 PL-12630 6-06 Mortgagee Copy page 2 of 3 Adw TRAVELERS MANDATORY FORMS AND ENDORSEMENTS HV-3 (10-06) High Value Homeowners Dwelling Form HV-300 CA (06-09) Special Provisions - California HO-90 CA (05-07) Worker's Compensation Residence Employees The Declarations with your Homeowners Policy, HV-3 (10-06), and the optional Endorsements and coverages listed above, form your Homeowners Insurance Policy. *Note: The additional cost for any optional endorsement or coverage shown as "Included" is contained in the Total Policy Premium amount. Included* For Your Information Earthquake Coverage is not included in this policy. For information about how Travelers compensates independent agents and brokers, please visit www.Travelers.com or call our toll free telephone number 1-866-904-8348. You may also request a written copy from Marketing at One Tower Square, 2GSA, Hartford, Connecticut 06183. Thank you for insuring with Travelers. We appreciate your business. If you have any questions about your insurance, please contact your agent or representative. These declarations with policy provisions HV-3 (10-06) and any attached endorsements form your Homeowners Insurance Policy. Please keep them with your policy for future reference. 476/OHE950 PL-12630 6-06 Mortgagee Copy page 3 of 3 015040/04411 F3115MMD 7208 09/27/10 THE TRAVELERS KNOXVILLE BUSINESS CENTER P. O. BOX 59059 KNOXVILLE TN 37950-9059 04411 TOWN OF TIBUORN 1505 TIBURON BLVD TIBURON CA 94920-2530 PL-8682 12-96 015037/04411 F3115MMD 7206 09/27/10 TRAVELERS To: TOWN OF TIBUORN 1505 TIBURON BLVD TIBURON CA 94920-2530 To whom it may concern: This is to notify you, as mortgagee, that failure to immediately notify us of: • Any change in ownership (such as Foreclosure) • Occupancy, or • Substantial change in risk may result in denial of your interest in any claim that occurs under the policy. You can contact us at the following address: THE TRAVELERS KNOXVILLE BUSINESS CENTER P. O. BOX 59059 KNOXVILLE TN 37950-9059 PL-14268 10-08 Page 1 of 1 015038/04411 F3115MMD 7206 09/27/10