Form ****** **/**

CERTIFICATE OF INSURANCE

New Hampshire:

This certifi cate is issued as a matter of information only and confers no rights upon the certifi cate holder. This certifi cate does not amend, extend, or alter the coverage, terms, exclusions, and conditions afforded by the policy or policies referenced herein.

All Other States:

This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not affirmatively or negatively amend, extend or alter the coverage, terms, exclusions, conditions, or other provisions afforded by the policy referenced herein. In the event the policy is canceled prior to the expiration date, notice will be delivered in accordance with the policy provisions.

YOU AS NAMED INSURED AND YOUR ADDRESS

Policy Number:

Policy Period: From To 12:01 A.M. Standard Time

Effective Date of Change: (EN only)

Underwritten by:

DWELLING INFORMATION Serial Number: (MH only)

Address: Unit Covered: (MH only)

Policy Form: Dwelling Use:

ADDITIONAL INTEREST #1 Loan Number:

Type:

ADDITIONAL INTEREST #2 Loan Number:

Type:

To obtain additional policy information, please contact: Agent Name:

Telephone Number:

PAGE 1 CONTINUED

Date: 12/14/2023

LARRY HOOVER

2242 S PRINCETON AVE

CHICAGO, IL 60637

381-501-***-****-01

12/14/2023 12/14/2024

Foremost Insurance Company Grand Rapids, Michigan NAIC# 11185 2242 S PRINCETON AVE, CHICAGO, IL 60616-1865

Foremost Homeowners Primary

CHASE HOME EQUITY

PO BOX 47208

ATLANTA, GA, 30362-0208

First Mortgagee

NSURE INSURANCE SERVICES INC

561-***-****

Form 745158 02/19 PAGE 2

(CONTINUED)

Coverages: This policy provides only the coverages as shown below and your additional coverages described in the policy.

COVERAGES / ENDORSEMENTS Amounts of Insurance / Limits of Liability SECTION I - DEDUCTIBLE

Section I losses or Amounts of Insurance are subject to a deductible of unless stated otherwise in your policy including Endorsements. TOTAL ANNUAL PREMIUM

Payment Mailing Address Information: <<Include Policy Number>> Foremost Insurance Group, PO Box 0915, Carol Stream, IL 60132-0915

* The Total Annual Premium listed is the yearly policy cost. Any policy payments made are not refl ected in this amount. See the most recent policy bill for the current amount due. For Flood Verifi cation - Check if applicable:

This document serves as verifi cation that the policy listed includes the peril of fl ood. For Golf Cart Liability Verifi cation: (Applies to Owner-Occupied and Tenant MH only) All States Except North Carolina - Golf cart liability is insured unless the golf cart: 1 - is used for farming or ranching; or

2 - is required to be licensed by applicable state law. For Certifi cates issued LA Dept. of Ins. Cert. of Ins. Assigned LDI No. Date (mm/year) in Louisiana: LDI COI

Policy Number: 381-501-***-****-01

Dwelling $204,000

Other Structures $20,400

Personal Property $112,200

Replacement Cost Personal Property $112,200

Additional Living Expense $40,800

Comp Personal Liability $300,000

Medical Payments $1,000

$2,500 Wind or Hail Deductible

Water Backup of Sewers or Drains $5,000

$1,000

$3,263.00

N/A N/A

Contact this candidate