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USAA CASUALTY INSURANCE COMPANY
9800Fredericksburg Road，San Antonio，Texas 78288
HOMEOWNERS POLICY DECLARATIONS
Insured：Jay Carneo Policy Number：IA54987
POLICY PERIOD From：07/16/09To：07/16/10
（12：01a.m.Standard time at location of the residence premises）
COVERAGES AND LIMITS OF LIABILITY
SECTION I A.Dwelling $182，000
C.Personal Property $136，500
D.Loss of Use （UP TO 12MONTHS）$36，400
SECTIONII E.Personal Liability-Each Occurrence $300，000
F.Medical Payments to Others-Each Person $1，000
Your premium has already been reduced by the following.-
FIRE/BURGLARY CREDIT $18.84CR
BASIC PREMIUM $932.98
OTHER COVERAGES AND ENDORSEMENTS
Form.and Endorsements are printed on the following page.$211.94
DEDUCTIBLES （SECTION I ONLY）
We cover only that part of the loss over the deductible stated.
WIND AND HAIL $500
ALL OTHER PERILS $500
TOTAL POLICY PREMIUM $1，144.92
FIRST MORTGAGEE：
BANK OF AMERICA，133LOAN NR：07090952
ITS SUCCESSORS AND/OR ASSIGNS
PO BOX 1675
CORAOPOLIS，PA 15108
In Witness Whereof，this policy is signed on 07/09/09
Bradford W.Rich，Secretary Henry Viccellio Jr.，President
REFER TO YOUR POLICY FOR OTHER COVERAGES，LIMITS AND EXCLUSIONS.HD -D1（04-93）
SECOND MORTGAGEE：
BANK OF AMERICA，133
ITS SUCCESSORS AND/OR ASSIGNS
PO BOX 1675
CORAOPOLIS，PA 15108LOAN NR：09070943
ADDITIONAL INSUREDS：KATHRYN A FISHER LEGAL DESCRIPTION：LOT SUBDIVISION：CALVERT MANOR
SPECIFICALLY LISTED BELOW ARE THE DECLARATIONS AND PREMIUMS FOR ENDORSEMENTS MADE A PART OF THIS
POLICY AT THE TIME OF ISSUE.THE ENDORSEMENTS ARE ATTACHED STATING TERMS AND CONDITIONS.
QR3CIC （04-93）QUICK REFERENCE -SPECIAL FORM
HO -3R （04-93）HOMEOWNERS SPECIAL FORM
HO -MD （06-99）MARYLAND SPECIAL PROVISIONS
HO-17（07-00）ADJUSTED BUILDING COST
HO-41（10-96）ADDITIONAL INSURED
HO -216（04-93）FIRE/BURGLARY PROTECTION CREDIT
HO -125（04-93）HOME PROTECTOR $94.18
HO -208MD （07-00）WATER BACKUP OR SUMP PUMP OVERFLOW $25.00
HO -513（04-93）PERSONAL COMPUTER COVERAGE $8.00
HO -728（06-97）REPLACEMENT COST COVERAGE $84.76

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