MPC-110*-***-****
HD**GA 1018
Farmers
Economy Preferred Insurance Company
Renters Insurance Declarations Page Policy Number: H7996996080 Named Insured: CLIFFORD BUSH
SHERRY SHENA BUSH
Email Address: ad06wq@r.postjobfree.com
Mailing Address: 165 SOUTHWIND CIR
NEWNAN,GA 30265-6287
Policy Period: December 16, 2022 through December 16, 2023 Change Effective Date: July 21, 2023 at 12:01 a.m. standard time Payment Method: Payroll Deduction Residence Premises
165 SOUTHWIND CIR
NEWNAN, GA 30265-6287
Total Annual Premium $ 274.00
Adjusted Term Premium $ 310.63
Changes in premium from 07/21/2023 through 12/16/2023 $ -21.49 This Declarations Page does not supersede any cancellation notices you have received. Discounts
Congratulations, with the discounts listed below, your total premium has been reduced by -$ 97.00. Discount availability varies by state. You may contact us to ensure you are receiving all discounts and savings that you qualify for. Account Deviation Automatic Sprinklers
Bundle Claim Free
Multi-Policy Paperless
Payment Type
Amount of Insurance Premiums
Section I
Coverage A - Dwelling $ 1,069 Included
Coverage B - Private Structures $ 1,069 Included
Coverage C - Personal Property $ 21,380 $ 274.00
Coverage D - Loss of Use $ 5,345 Included
Section II
Coverage E - Personal Liability $ 100,000 each occurrence Included Coverage F - Medical Payments to Others $ 1,000 each person Included Basic Policy Coverages
Policy Number: H7996996080
CLIFFORD BUSH
MPC-110*-***-****
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08/24/2023
HD10GA 1018
Coverage C – Special Limitations on Personal Property Amount of Insurance Amount of Insurance
$ 1,500 aggregate Jewelry (Theft) $ 2,500 Firearms (Theft)
$ 1,500 aggregate Furs (Theft) $ 5,000 Motorized Tractors
$ 2,500 Silverware and Goldware (Theft) $ 500 Motor Vehicle Parts
$ 5,000 Memorabilia $ 1,500 Watercraft
$ 1,500 Coin, Currency, and Stamp Collections $ 1,500 Trailers
$ 200 Money $ 2,500 Business Property
$ 1,500 Securities $ 5,000 Business Use Computers
$ 1,500 Manuscripts $ 5,000 Tools (Theft)
$ 1,500 Motorized Toys for Children
Deductibles
$ 1,000 All Perils $ 250 Loss Assessment
Causes of Property Loss
Dwelling and Private Structures Comprehensive Perils Personal Property Broad Named Perils
Building Property Loss Settlement Replacement Cost Personal Property Loss Settlement Actual Cash Value on Contents Causes of Property Loss and Property Loss Settlements Amount of Insurance Premiums
Identity Theft and Credit Protection
Identity Theft Protection and Resolution Included
Identify Theft Expenses $ 25,000 Included
Credit Card Protection $ 10,000 Included
Additional Coverages
Policy Forms and Endorsements
HD10GA 1018 Home Declarations Page HP1000 0118 Home Table of Contents HP1100 0117 Home General Definitions HP1200 0117 Dwelling and Private Structures HP2000 0118 Contents, Loss of Use, and Additional
Coverages
HP3003 0118 Causes of Property Loss Special Perils HP3007 0118 Named Covered Perils and Major Exclusions HP3008 0118 Losses We Do Not Cover - General Exclusions HP4000 0117 Building and Structures - Replacement Cost HP4900 0117 Personal Property - Actual Cash Value on Contents
HP5000 0118 Property Conditions HP6000 0118 Liability and Medical Expense HP7000 0118 Home General Conditions HE4300 0118 Identity Theft and Credit Protection LE1000 0118 Single Loss Deductible
Policy Number: H7996996080
CLIFFORD BUSH
MPC-110*-***-****
Page 3 of 3
08/24/2023
HD10GA 1018
Messages
Your policy declarations, coverages, limits, deductibles, forms, and/or endorsements may have changed. You should carefully review your policy to assure yourself that you have purchased sufficient coverage from us. It is your responsibility to know and understand the amount of insurance you have purchased. If you believe anything on your policy declarations or rating information is incorrect, please contact us.
The cost of any coverage indicated as “included” is included in the basic coverages premium amount. This policy does not protect you against losses from flood. If you have any questions, visit www.farmers.com/css/login. Through our website, you can also send us e-mails, pay your premium, upload a document, submit a photo or service your personal account. For policy questions, changes, billing or other customer service needs contact us at 800-***-****. You can reach us Monday – Friday 8:00 AM to 10:30 PM EST/EDT, Saturday 9:00 AM to 5:30 PM EST/EDT. For general inquiries (please do not send payment): ATTENTION: SERVICES
FARMERS
PO BOX 6060
SCRANTON PA 18505-6060