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ACORD EVIDENCE OF PROPERTY INSURANCE DATE <br /> 05/19/2005 <br /> THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED , IS IN FORCE , AND CONVEYS ALL THE <br /> RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. <br /> PRODUCER PHONE <br /> - 772 -794,4700 COMPANY <br /> Great Florida Insurance Universal Property & Casualty Insurance Company <br /> 931 - 15th Place <br /> Vero Beach , FL 32960 <br /> CODE : 9JI95 SUB CODE: <br /> AGENCY <br /> INSURED <br /> LOAN NUMBER POLICY NUMBER <br /> VIVIAN GRUSKOS <br /> 810 27TH AVE EFFECTIVE DATE EXPIRATION DATE <br /> Vero Beach , FL 32962 05/19/2005 05/19/2006 CONTINUED UNTIL <br /> Indian River <br /> TERMINATED IF CHECKED <br /> THIS REPLACES PRIOR EVIDENCE DATED: <br /> PROPERTY INFORMATION <br /> LOCATION/DESCRIPTION <br /> 810 27TH AVE <br /> COVERAGE INFORMATION <br /> COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE <br /> HO 00 04 = Contents Broad Form <br /> C . Personal Property 11000 <br /> D . Loss of Use 209000 <br /> E . Liability Limit 4, 000100 , 000 <br /> F . Medical Payments 1 , 000 <br /> Hurricane Deductible <br /> 2% <br /> REMARKS I cluding Special Conditions <br /> Total Estimated Premium : <br /> 221 . 00 <br /> CANCELLATION <br /> THE POLICY IS SUBJECT TO THE PREMIUMS , FORMS , AND RULES IN EFFECT FOR EACH POLICY PERIOD . SHOULD THE <br /> POLICY BE TERMINATED , THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW <br /> WRITTEN NOTICE , AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT DAYS <br /> INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. <br /> ADDITIONAL INTEREST <br /> NAME AND ADDRESS <br /> INDIAN RIVER COUNTY MORTGAGEE :HAI <br /> DDITIONAL INSURED <br /> LOSS PAYEE <br /> 1840 25TH ST LOAN # <br /> VERO BEACH , FL 32960 AUTHORIZED R PRESE ATI <br /> ACORD 27 (3/93) © ACORD CORPORATION 1993 <br />