Certification of Insurance
J<id('lit~- ~lltioni" lnsur-.mt'c COmpllll)
P,O, Box 33003
Sf. Pt"tl','shurg, "'J, 33733-fW03
1-SOO-820-3242
BFL 99.001 0605
1390217
1/28/08
FIDELITY
PoNe uMbel"
09 2510082306 04
FLOOD DECLARATIONS PAGE
"'"
25100 2306 Issue
2000 25180 FLD RGLR
Policy Type
NATIONAL INSURANCE COMPANY'"
Pro ert Form
Poli PeriOd
From, 2/20/08 To, 2/20/09
Code
l'ft1;one
(305) 289-0213
Agent (305) 289-0213
THE JOHNSONS INSURANCE AGENCY
13361 OVERSEAS HWY
MARATHON FL 33050
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I'" ,.".. CC"MONROE COU TY BOARD OF COUNTY
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PO BOx.._1
KEY WEST FL 33041-1026
Insured Location (if other I~han above)
BLDG B UNIT 11 & 12 WINN DIXIE, SHOPPING CENTER, BIG PINE KEY FL 33043-0000
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Building Description Non-Residential
# of Floors One Floor
Basement/Enclosure None
Community Name MONROE COUNTY
Community # 125129
Community Rating 10 / 00%
Program Status Regular
Risk Zone AE
Condo Type N/ A
# of Units
Adjacent Grade 0
Elevation Difference 0
Location Description
Contents Location Lowes t
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Floor Only Above Ground Level
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. . Premfum Ii
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BUILDING
CONTENTS
~,200, 000
S122,300
$500
$500
$1,870.00
$929.00
$2,799.00
$.00
$6.00
$.00
~,'I'
ANNUAL SUBTOTAL:
DEDUCTIBLE CREDIT:
ICC PREMIUM:
COMMUNITY DISCOUNT:
DEAR MORTGAGEE
The Reform Act of 1994 reqUires you to notify
the WYO company for this policy Within 60 days
of any changes in the servic:er of this loan.
The above message applief; only when there is
a mortgagee on the insured location.
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
$2,805.00
$30.00
TOTAL PREMIUM:
Premium paid by:
$2,835.00
Insured
This policy covers only onE~ building, If you have more than one building on your property, please make sure they are all covered, See
Ill. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker. or insurance company,
Coverage Limitations may apply, Please refer to your Flood Insurance Policy for details,
GFL 99. OAP 1002 1002
BFLG99.100 0503 0503
GFLD99.311 0306 0306
BFL 99.116 1005 lOr
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This policy is issued by
Fidelity National Insurance Company
pages, if any.
Copy Sent To: As indicated on back or additional
008467709251008230608028
00006
Insured