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COMMERCIAL PROPERTY COVERAGE PART DECLARATIONS <br />Policy No.CP 2634658 <br />Effective Date:02/28/2020 <br />12:01 AM STANDARD TIME <br /> DESCRIPTION OF PREMISES <br />PremBldgLocation, Construction, Occupancy and Other InformationTerritoryFire Code <br />11211 North Main St, South Bend, IN 466010040542 <br />Description:Caterer/Restaurant <br />Covered Causes of Loss:BasicProtection Class1 <br />Construction:Masonry Non CombustibleSquare Footage: <br />Special Deductible:NoneSpecial Deductible Type: <br />- INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN <br /> COVERAGES PROVIDED <br />Limits of Coinsurance % or <br />PremBldgCoverage+ValuationPremium <br />InsuranceDeductibleMonthly Indemnity <br />11Business Personal Property$100,000$2,50080%RC$677 <br />11Equipment BreakdownIncluded$1,000$100 <br />MINIMUM PREMIUM FOR PROPERTY COVERAGE PART:$475 <br />TOTAL PREMIUM FOR PROPERTY COVERAGE PART:$777 <br />MP - minimum premium <br />+Valuation: ACV - Actual Cash Value; RC - Replacement Cost; RC/ACV - Replacement Cost/ACV Roof <br />FBV - Functional Building Value; AA - Agreed Amount; ALS - Actual Loss Sustained <br />LOSS PAYABLE(S): NONE <br />Coverage Form(s)/Part(s) and Endorsement(s) made a part of this policy at time of issue: <br />See Endorsement EOD (01/95) <br />THESE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. <br />Includes copyrighted material of ISO Commercial Risk Services, Inc., with its permission. <br />Page1Of1 <br />Copyright, ISO Commercial Risk Services, Inc., 1983, 1984, 1988 <br />CF 150 (01/03) <br /> <br />