INSURANCE POLICY AUTHORIZATION

Unit Owner: _____________________________________ Unit #: ______________

Mailing Address: ______________________________________________________

City/State/Zip:  _______________________________________________________

Insured Property: _____________________________________________________

Agent Name: ________________________________________________________

Agent Phone #: _____________________________________

Agent E-mail:________________________________________

Policy #: _____________________________________________________________

Homeowner’s Signature______________________________________________

Please submit an updated Homeowner’s Insurance Declaration page to the e-mail address below

Thank you.

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The Association requires Owners to submit annually, proof of maintenance of fire and extended coverage insurance on Residences, such insurance is to be in an amount at least equal to 100% of the replacement value of such property.