HomeMy WebLinkAboutCRA-R-13-0057 BackupPublic Risk Insurance Agency
P. 0. Box 2416
Daytona Beach, FL 32115
Southeast Overtown Park West CRA
Southeast Overtown Park West Community Redevelopment Ass(
49NW5thSt
Suite 100
Miami, FL 33128
Please detach and return with payment
Customer: Southeast Overtown Park West CRA
30260
05/16/2013
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Invoice#30260
PK FL1 0134033 12-05
10, 577.0
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blic Risk Insurance Agency
O. Box 2416
'Daytona Beach, FL 32115
(386)252-6176
.14
07/19/2013
10,577.00
Thank You
Preferred Governmental Insurance Trust
Coverage Agreement Endorsement
Endorsement No.: 1
Member: Southeast Overtown Park West
CRA
Coverage Period: 10/01/2012 to 10/01/2013
Effective Date: 05/16/2013
Agreement No.: PK 1=L1 0134033 12-05
The Coverage Agreement is amended as follows:
In consideration of an additional premium of $10,577, the Coverage Agreement is amended as follows
Property
Changed
Location 002: Office / Art Gallery, Address: 249 NW 9th St, Miami, 33136 (Miami- Dade)
Building Value is decreased from: $400,000 to $251,920
Contents Value remains unchanged ($35,000)
Location 003: Overtown Shopping Center, Address: 1490 NW 3rd Ave, Miami, 33136 (Miami- Dade)
Building Value is� e from: $738,000 to $2,457,000
Contents Valuer actin nc anged ($500,000)
Revised TIV
Buildings: $ 2,758,920
Contents: $ 535,000
Total: $ 3,293,920
Subject otherwise to the terms, conditions and exclusions of the coverage agreement.
Issued: 07/19/2013
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Authorized by: �.