HomeMy WebLinkAboutSKMBT_C35113042915483KEMPER
PREFERRED
BROWN & BROWN OF NORTH
Insurance Provided By
CALIFORNIA
9 COMMERCIAL BLVD STE #100
KEMPER INDEPENDENCE
NOVATO CA 94949
INSURANCE COMPANY
Agency Phone (800)367 -6562
12926 Gran Bay Pkwy W - Jacksonville, FL 32258
Named Insured and Mailing Address
Policy Number Policy Period
0000456 SP '•SNGLP T62410394920- 254107 - C05 -14
12144 UP 887039 Effective: 07 -11 -2012
Expiration: 07 -11 -2013
TIBURON CA 94920
Producer Code 12:01 a.m. standard time at the
THERESE M. HENNESSY
53 -2472 location of the residence
7 MARSH RD
premises/dwelling.
TIBURON CA 94920 -2541
POLICY DECLARATIONS - HOMEOWNERS POLICY
This certificate continues your policy in force for the policy period shown. It will become effective only if the required premium is paid
before the effective date of the Policy Period stated. The required premium will be billed under the Kemper Billing System.
Please attach this certificate to your policy.
HOME INFORMATION
The residence premises covered by this policy is located at the address below:
7 MARSH RD
TIBURON CA 94920
COVERAGES Coverage applies only if a premium or.
Limit of '
Annual
limit of liability is shown for the coverage.
Liability
Premium
SECTION I — COVERAGES
• A. Dwelling
$ 27,100
$ 21.00
B. Other Structures
• C. Personal Property
$ 100,100
$ 404.00
• D. Loss of Use
$ 40,040
SECTION 11— LIABILITY
E. Personal Liability: each occurrence
$ 500,000
$ 40. 00
F. Medical Payments to Others: each person
$ 1,000
DEDUCTIBLE — SECTION I — In case of loss we cover only
that part of the loss over the deductible stated below:
Policy $ 250
Total Premium for Endorsements
INCLUDED
$ 10.00
TOTAL RESIDENCE PREMIUM $ 475.00
For information about additional costs to you related
to this policy, please read endorsement BC0001.
The limit of liability for this structure (Coverage A) is based on an estimate of
the cost to rebuild your home, including an approximate cost for labor and materials
in your area, and specific information that you have provided about your home.
Payment Expected From: Insured
* Indicates a change was made to your policy
AK 5035 (0800) CONTINUED ON REVERSE
00402 1 0000456
Named Insured THERESE M. HENNESSY Policy Number UP 887039
HOMEOWNERS DISCOUNTS AND CREDITS APPLIED
The Total Residence premium shown above reflects savings to you as follows:
Loss Free Discount Mature Homeowner Credit Protection Devices Credit
Res Safety Package Credit
RATING INFORMATION
Construction Frame Not more than 50 ft from hydrant Miles from Dept. 1
County MARIN Occupied Condominium Yr Construction 1987
Prot Class 3 Terr. 34 State 04
HOMEOWNERS ENDORSEMENT(S)
Edition
Annual
Number
Date
Description
Premium`
H00006
04 -91
UNIT- OWNERS FORM
AK5743
08 -09
POLICY INFORMATION
*VS1479
08 -11
SPECIAL POLICY PROVISIONS - CALIFORNIA
VK1044
08 -85
UNIT - OWNERS BUILDING ITEMS
H00453
04 -91
CREDIT CARD COVERAGE - INCREASED LIMIT
Total Limit of Liability $ 1,000
H02490
01 -93
WORKERS COMPENSATION RESIDENCE EMPLOYEES
H00416
04 -91
PREMISES ALARM OR FIRE PROTECTION SYSTEM
Premium Credit 10%
*VS2271
01 -11
LIMITED WATER BACK -UP COVERAGE
$ 5.00
Limit of Liability $ 5,000
VS2317
10 -09
SPECIAL HOMEOWNERS ENDORSEMENT
VK1046
04 -91
UNSCHEDULED, JEWELRY, WATCHES AND FURS
Total Amount of Insurance is $ 2,500
*VS2394
01 -11
SECTION I - EXCLUSIONS
BC0001
04 -09
ADDITIONAL CHARGES AND FEES ENDORSEMENT
VK1012
02 -85
RESIDENCE SAFETY PACKAGE
H00487
04 -03
IDENTITY FRAUD EXPENSE COVERAGE
$ 5.00
VS1987
05 -04
LIMITED MOLD, FUNGI & OTHER MICROBES COV
H00496
04 -91
NO COVERAGE FOR HOME DAY CARE BUSINESS
ADDITIONAL POLICY INFORMATION
This Policy Excludes Loss Caused by the Peril of Earthquake
This Policy Includes Buildina
Code UDarade Coveraae
All 1Ak;MM'tN1 i
Edition
Number Date Description
AK3161 02 -90 FAIR CREDIT /PRIVACY LAW
VS1028 10 -11 CONSUMER INFORMATION RIGHTS & CONTACT
VS1296 10 -07 AVAILABLE DISCOUNTS NOTICE
VS1199 07 -11 RESIDENTIAL PROPERTY INS DISCLOSURE
AK5270 01 -10 PRIVACY STATEMENT
AK5283 07 -11 RESIDENTIAL PROPERTY INS BILL OF RIGHTS
AK5295 06 -09 CLAIM SERVICE CARD
AK5360 01 -06 YOUR RIGHT TO PERSONAL INFO IN CA
AK5438 05 -06 NOTICE - UNEARNED PREMIUM
AK5458 11 -06 FLOOD NOTICE
AK5943 04 -11 NOTICE OF COVERAGE INCREASE
AK5949 06 -11 CA- STABILITY OF INSURANCE RATES NOTICE
AK5963 06 -11 INFORMATION REGARDING WATER BACK -UP COV
ILN018 09 -03 CALIFORNIA FRAUD STATEMENT
Indicates a change was made to your policy
AK 5035 (0800)
00403 2 0000456
ADDITIONAL CHARGES AND FEES ENDORSEMENT
All Coverage Parts included in this policy are sub-
ject to the following conditions.
This endorsement describes the charges and fees
"you" agree to pay when "you" use one of the
plans "we" offer. For the purpose of this endorse-
ment only, "you" and "your" also means the person
responsible for paying for this insurance coverage
and for making the decision to keep this coverage
in force. For the purpose of this endorsement only
'We ", "us" or "our" also means the company on the
declarations page that issued this policy.
ADDITIONAL CHARGES AND FEES
In addition to the premium listed on the declara-
tions page, "you" may be required to pay other
charges and fees depending on the payment plan
"you" have selected and "your' payment history.
I. Billing Charges
"You" will be required to pay installment
charges (Billing Charges) as shown below
unless "you" pay the premium in full for the en-
tire policy term on or before the policy effec-
tive date.
A. If "you" make payments to "us" via recur-
ring charge to "your' credit/debit card pur-
suant to a company approved payment
plan for which "you" have authorized "us"
to charge /debit recurring payments, a
$ 1.00 Billing Charge will be charged for
each payment transaction.
B. If "you" make payment to "us" via "our"
automatic recurring withdrawal of payment
due from "your" checking or savings ac-
count, a $ 1.00 Billing Charge will be
charged for each payment transaction.
C. If `you" make payments to "us" other than
shown in A. or B. above, a $ 6.00 Billing
Charge will be charged for each bill.
II. Other Charges And Fees Which May Be
Associated With "Your" Policy Based Upon
"Your" Payment History
Nothing in this section II shall be deemed to
require "us" to continue or reinstate "your" pol-
BC 0001 (04 09)
icy if "we" do not receive "your" payment when
due.
A. LATE CHARGES
"We" may accept late payment from "you ".
The fact that "we" may accept late pay-
ment from "you" one or more times does
not effectuate any waiver of "our' right to
cancel or refuse to reinstate "your" policy
at other times when "your" payment is not
timely.
If "we" do not receive payment within five
(5) calendar days after its due date, a Late
Charge in the amount of $20.00 will be
added to 'your" balance. This charge will
be included on the next bill issued along
with any applicable billing charges.
B. RETURNED PAYMENT FEES
If `your" payment to "us" is justifiably dis-
honored or not permitted by the financial
institution to which 'you" directed 'We"
should receive payment, `you" must pay
"us" a $30.00 Returned Payment Fee.
This fee will be included on the next bill is-
sued after "we" receive notice of the dis-
honor from the financial institution.
C. REINSTATEMENT FEES
"You" must pay "us" a Reinstatement Fee
if '*e" agree to reinstate "your" policy after
it has been cancelled for non - payment
during the policy term. The fee, which will
be no greater than $15.00 , will be added
to "your" balance and will be included on
the first bill issued after the reinstatement.
III. Cumulative Nature of Charges and Fees
The charges and fees set forth above in sec-
tion II may be cumulative. For example, a late
payment that "we" agree to accept could result
in one or more additional Billing Charge(s),
Late Charges, Returned Payment Fees, or
Reinstatement Fees.
All other provisions of this policy apply
00404 3 0000456