100****-**** ****** 209-**-**-****

State Farm Fire and Casualty Company

Homeowners Rate Quote

Prepared: July 24, 2018

Page 1 of 1

This example of available coverages and limits is not a contract, binder, or recommendation of coverage. This quote assumes you insure for 100% of the estimated replacement cost of your home. Higher limits are available at a higher premium. Coverage is available in a lesser amount, subject to restrictions and limitations. If information used for rating changes or different rates are effective at the time of policy issuance, this rate quote may be revised. All coverages are subject to the terms and conditions contained in the policy and endorsements. You must choose your limits and coverages.

Prepared for: ARNOLD, RALPH Prepared by:

4211 SHORT ST

DOUGLASVILLE, GA 30134-2658

Marvis Simpson

7447 Douglas Blvd Ste 104

Douglasville, GA 30135-1575

Phone: 678-***-****

Property Location: 4211 SHORT ST

DOUGLASVILLE, GA 30134-2658

Year Built: 1966 Subzone: 17 Quote Effective Date: 08/15/2018 Territory Zone: 05 Construction: Masonry veneer Num Families: 1 Rate IV: 100%

Quote Description: 100% Replacement Cost

Quote Results Limit Premium

Coverages

Dwelling (Coverage A) 229,000 1,923.00

Increased Dwelling - Option ID 45,800

Dwelling Extension 22,900

Personal Property (Coverage B) 171,750

Personal Liability (Coverage L) each occurrence 100,000 Medical Payments (Coverage M) each occurrence 1,000 Credit Card / Bank Card and Forgery 1,000

Damage to Property of Others (Each Occurrence) 1,000 Loss of Use 68,700

Loss Settlement Provision

Loss Settlement Option - Dwelling A1 - Replacement Cost - Similar Construction Loss Settlement Option - Personal Property B1 - Limited Replacement Cost Deductibles

Policy deductible 1,000 185.00

Charges / Credits

Claim free discount (94.00)

Home alert (23.00)

Home / Auto discount (635.00)

Policy Options and Endorsements

Jewelry and Furs 1,500 / 2,500 Option JF included

Silver / Goldware Theft - Option SG 2,500 included Business Property - Option BP 1,500 included

Building Ordinance or Law - Option OL (% of Coverage A) 10% 22,900 Firearms - Option FA 2,500 included

Back-Up Sewer/Drain - Dwelling/Contents, 5% of Dwelling 5% 11,450 11.00 Fire Department Service Charge Increased Limits 500 included Fungus (Including Mold) Limited Coverage 10,000 included Total Annual Premium 1,368.00

Monthly Premium (Service charge not included) 114.00

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