Beruflich Dokumente
Kultur Dokumente
Quote Detail
Insured Effective - Expiration Date Quote Number
KEN PLANTS 09/08/2010 - 09/08/2011 39 QT90682543 99
Agency Detail
Agency PALADIN INSURANCE GROUP LLC (100930)
Address PO BOX 2295,
MURRELLS INLET, SC 29576-2295
Phone Number (843) 651-7111
Community Detail
Community 450085 GEORGETOWN COUNTY *
Flood Zone X
Property Detail
Property Address 4305 LOTUS CT UNIT D
UNIT D
MURRELLS INLET, SC 29576-4318
Building Replacement Cost $ 94,000
Occupancy Type Other Residential
Building Type Two Floors
Building Elevated No
Location of Contents Lowest Floor Above Ground Level and Higher Floors
Condominium Coverage Unit
Special Notes
THIS IS NOT AN OFFER FOR INSURANCE.
THIS QUOTE IS SUBJECT TO CHANGE WITH VERIFICATION BY THE COMPANY.
Quote Detail
Insured Effective - Expiration Date Quote Number
KEN PLANTS 09/08/2010 - 09/08/2011 39 QT90682543 99
Coverage Rejection
I hereby certify that my agent offered primary flood insurance through FIRST COMMUNITY INSURANCE COMPANY. I
understand that because I declined to purchase this coverage, my agent will be held harmless and not liable in the event of a
loss.
I understand my rejection of this coverage will apply to all future renewals, continuations and changes unless I notify you
otherwise in writing.
____________________________ ____________________________
Print Name of Insured Signature of Insured