Title
Dearing Place Insurance Form, 1928
Subject
Insurance companies
Houses and homes
Description
An insurance form taken out by Mrs. Hannah Friedman and Mrs. Carrie F. Winston for 1704-06 Dearing Place in Tuscaloosa. The insurance was with London and Lancashire Insurance Co.
Creator
London and Lancashire Insurance Co.
Source
Chuck's Fish
Date
February 23, 1928
Contributor
Tuscaloosa Public Library
Type
Document
Identifier
2261
Coverage
Tuscaloosa (AL)
Text
No.C.D. 45081
Fire and Lightning Amount, $4000Rate.43Premium$17.20
Tornadoes, Cyclones, Windstorms, Amount,$nil Rate nil Premium, $__ Total Premium $17.20
In Consideration of the Terms and Stipulations herein named and the Total Premium above sated Does Insure Mrs. Hannah Friedman & Mrs. Carrie F. Winston for the term of one year years, from the 23rd day of February, 1928, at noon, to the 23rd day of February, 1929, at noon against all direct Loss or Damage by FIRE, LIGHTNING, WINDSTORMS, CYCLONES AND TORNADOES except as hereinafter provided, to an amount not exceeding; as to each hazard insuranced against, the separate sum stated, as applicable to each such hazard; to the following described property while located and conatined as described herein and not elsewhere, to wit:
Fire and Lightning Tornadoes Cyclones and Windstorms
No. 1 $4000.00 $nil
No. 2 $nil $nil
No. 3 $nil $nil
No. 4 $nil $nil
No. 5 $nil $nil
No. 6 $ $___
No. 7 $ $___
On the one story comp. roof, B-V dwelling and additions attached thereto, including foundations, heating, lightning, and all other permanent fixtures, only while occupied as a DWELLING by owners situated No 1704-06 Dearing Place Lot No___ Block No____ Map Sheet No____, in Tuskaloosa, Alabama.
On Household Furniture, useful and ornamental , Beds, Bedding, Linen, Wearing Apparel of Family, Printed Books, Pictures, Paintings, Engraving and their Frames (value on said Pictures, Paintings, Engravings and their Frames, in case of loss not to exceed cost), Musical Instruments, Plate and Plated Ware, China, Glass and Crockery Ware, Watches and Jewelry in use, Sewing Machine, Trunks, Valises, Bicycles, Firearms, Sporting Goods, Fuel and Family Stores while contained in the above described building.
On the ____story, ___roof,___building and additions attached thereto, only while occupied as a SERVANTS HOUSE, and situated on the above described premises.
On the___story,___roof,___building and additions attached thereto, only while occupied as a GARAGE, and situated on the above described premises.
On the__story,___roof,___building and additions attached thereto, only while occupied as a STABLE, and/or BARN, and situated on the above described premises.
On______________________________
Total concurrent fire insurance permitted, including this policy $16,000.00 on Dwelling, $___ on Household Goods,$____ on Servants' House, $____ on Garage$____ on Stable and/or Barn $_____ on_____
It is understood and agreed that no Fire insurance is permitted in addition to this policy unless the total insurance, including this policy, is entered in paragraph above. Other Tornado insurance, warranted concurrent herewith, permitted without notice until required.
Loss, if any, on Building payable to____ as interest may appear, subject, nevertheless to all the conditions of this Policy.
This Policy is made and accepted subject to the foregoing stipulations and conditions, and to the following stiupluations and conditions printed on back and inside hereof, which are herby specially referred to and made a part of this Policy, together with such other provisions, agreements or conditions as may be endorsed hereon or added hereto; and no officer, agent or other representative of this Company shall have power to waive any provision or condition of this Policy except such as by the terms of this Policy may be the subject of agreement endorsed heron or added hereto; and as to such provisions and conditions no officer, agent or representative shall have such power or be deemed or held to have wavied such provisions or conditions unless cuh waiver, if any, shall be written upon or attached hereto, nor shall deemed or held to have waived such provisions or permission affecting the insurance under this Policy exist or be claimed by the insured unless so written or attached.
Provisions Required by Law to be Stated in this Policy.-This Policy is in a stock corporation.
Fire and Lightning Amount, $4000Rate.43Premium$17.20
Tornadoes, Cyclones, Windstorms, Amount,$nil Rate nil Premium, $__ Total Premium $17.20
In Consideration of the Terms and Stipulations herein named and the Total Premium above sated Does Insure Mrs. Hannah Friedman & Mrs. Carrie F. Winston for the term of one year years, from the 23rd day of February, 1928, at noon, to the 23rd day of February, 1929, at noon against all direct Loss or Damage by FIRE, LIGHTNING, WINDSTORMS, CYCLONES AND TORNADOES except as hereinafter provided, to an amount not exceeding; as to each hazard insuranced against, the separate sum stated, as applicable to each such hazard; to the following described property while located and conatined as described herein and not elsewhere, to wit:
Fire and Lightning Tornadoes Cyclones and Windstorms
No. 1 $4000.00 $nil
No. 2 $nil $nil
No. 3 $nil $nil
No. 4 $nil $nil
No. 5 $nil $nil
No. 6 $ $___
No. 7 $ $___
On the one story comp. roof, B-V dwelling and additions attached thereto, including foundations, heating, lightning, and all other permanent fixtures, only while occupied as a DWELLING by owners situated No 1704-06 Dearing Place Lot No___ Block No____ Map Sheet No____, in Tuskaloosa, Alabama.
On Household Furniture, useful and ornamental , Beds, Bedding, Linen, Wearing Apparel of Family, Printed Books, Pictures, Paintings, Engraving and their Frames (value on said Pictures, Paintings, Engravings and their Frames, in case of loss not to exceed cost), Musical Instruments, Plate and Plated Ware, China, Glass and Crockery Ware, Watches and Jewelry in use, Sewing Machine, Trunks, Valises, Bicycles, Firearms, Sporting Goods, Fuel and Family Stores while contained in the above described building.
On the ____story, ___roof,___building and additions attached thereto, only while occupied as a SERVANTS HOUSE, and situated on the above described premises.
On the___story,___roof,___building and additions attached thereto, only while occupied as a GARAGE, and situated on the above described premises.
On the__story,___roof,___building and additions attached thereto, only while occupied as a STABLE, and/or BARN, and situated on the above described premises.
On______________________________
Total concurrent fire insurance permitted, including this policy $16,000.00 on Dwelling, $___ on Household Goods,$____ on Servants' House, $____ on Garage$____ on Stable and/or Barn $_____ on_____
It is understood and agreed that no Fire insurance is permitted in addition to this policy unless the total insurance, including this policy, is entered in paragraph above. Other Tornado insurance, warranted concurrent herewith, permitted without notice until required.
Loss, if any, on Building payable to____ as interest may appear, subject, nevertheless to all the conditions of this Policy.
This Policy is made and accepted subject to the foregoing stipulations and conditions, and to the following stiupluations and conditions printed on back and inside hereof, which are herby specially referred to and made a part of this Policy, together with such other provisions, agreements or conditions as may be endorsed hereon or added hereto; and no officer, agent or other representative of this Company shall have power to waive any provision or condition of this Policy except such as by the terms of this Policy may be the subject of agreement endorsed heron or added hereto; and as to such provisions and conditions no officer, agent or representative shall have such power or be deemed or held to have wavied such provisions or conditions unless cuh waiver, if any, shall be written upon or attached hereto, nor shall deemed or held to have waived such provisions or permission affecting the insurance under this Policy exist or be claimed by the insured unless so written or attached.
Provisions Required by Law to be Stated in this Policy.-This Policy is in a stock corporation.
Original Format
Form