GH-2046718-09

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PO Box 7720
Nashville, TN 37202

Greybridge Mutual Insurance (888) 555-0152
greybridgemutual.example

Homeowners Policy Declarations
Policy number: GH-2046718-09

Policy period: August 18, 2026 to August 18, 2027, 12:01 a.m. standard time

Named insured: Walter E. Pruitt Jr.

Insured location: 5309 Tolliver Bend Road, Chattanooga, TN 37421. One-family dwelling,
frame, built 1994, roof replaced 2020.

Coverages

Coverage Limit

A. Dwelling $318,000.00

B. Other structures $31,800.00

C. Personal property $159,000.00

D. Loss of use $63,600.00

E. Personal liability, each occurrence $300,000.00

F. Medical payments to others, each person $5,000.00

Deductible: $1,500.00 for all perils except wind and hail. Wind and hail carry a deductible of
1% of Coverage A, which is $3,180.00.

Premium
Item Amount

Annual premium $1,684.00

Claim-free discount included

Auto and home discount included

The premium is billed to the mortgage servicer, Marlowe Ridge Mortgage, loan 3300-417-
88021.

Endorsements
Water backup and sump overflow, limit $10,000
Roof surfaces: replacement cost
Scheduled personal property: none
This policy does not cover flood or earthquake. Flood insurance is sold separately.

Claims
Report a loss at any hour at (888) 555-0152 or at greybridgemutual.example. Have this policy
number ready. Prior losses on this policy: wind, April 12, 2020, closed.

Comments

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Record

GH-2046718-09 Home Insurance Policy · saved Nov 26, 2022

Values from records

6render unknown

The record values this file is made from: the ones its text names with {{record.field}}, and the fields its template reads. A value here is in the file's source; whether it is readable depends on the look.

Value	Now
home-policy-walt.policy_number	GH-2046718-09
home-policy-walt.expiration	2027-08-18
home-policy-walt.insured_value	318000
home-policy-walt.deductible	1500
home-policy-walt.annual_premium	1684
mortgage-walt.account_number	3300-417-88021

The values at render time were not recorded: the file was rendered before files/rendered.json existed. Rendering it again records them.

Planted

only_in_file The extra-furosemide rule, one sentence on page 5 of the ten-page January 2025 discharge packet (one extra 20 mg tablet for a gain of 3 lb in a day or 5 lb in a week, call cardiology the same day, not more than two days running); the POA clause that lets Walt sell her house only after a physician's written statement and 30 days' notice to Russ; the principal balance on the September 2026 mortgage statement ($171,717.32); the memory test score (19 of 30); next year's drug plan premium ($46.20); the long-term-care daily benefit ($150); the 401(k) balance ($318,406.12 on June 30, 2026); every number on the September labs, which exist only as a portal screenshot (eGFR 33, A1c 7.9); the wind and hail deductible on Walt's house ($3,180); the owner and the title number on the Buick's title, which is a scan with no text (WALTER E PRUITT, 14 177 406219, no lien); the FMLA entitlement (480 hours for 2026); the lease clause that makes renter's insurance a condition, with $15 a month charged until proof is given; what Gentle Ridge has billed this year ($17,284.00 through September); mortgage interest paid in 2025 ($6,912.51); Camille's immunization dates.

two_of_a_kind Two houses with their own policies, Wi-Fi, codes, furnace filters, trash days and bills, so "the house" is ambiguous (and Camille's apartment is a third property). Three cars.

attachments.yaml

record: home-policy-walt
template: document
style: statement
org:
  name: Greybridge Mutual Insurance
  lines:
  - PO Box 7720
  - Nashville, TN 37202
  phone: '8885550152'
  web: greybridgemutual.example
  color: '#3d4f5c'
title: Homeowners Policy Declarations
body: '**Policy number:** {{home-policy-walt.policy_number}}


  **Policy period:** August 18, 2026 to {{home-policy-walt.expiration}}, 12:01 a.m. standard time


  **Named insured:** Walter E. Pruitt Jr.


  **Insured location:** 5309 Tolliver Bend Road, Chattanooga, TN 37421. One-family dwelling, frame, built
  1994, roof replaced 2020.


  ## Coverages


  | Coverage | Limit |

  |---|---|

  | A. Dwelling | {{home-policy-walt.insured_value|money}} |

  | B. Other structures | $31,800.00 |

  | C. Personal property | $159,000.00 |

  | D. Loss of use | $63,600.00 |

  | E. Personal liability, each occurrence | $300,000.00 |

  | F. Medical payments to others, each person | $5,000.00 |


  **Deductible:** {{home-policy-walt.deductible|money}} for all perils except wind and hail. Wind and
  hail carry a deductible of 1% of Coverage A, which is $3,180.00.


  ## Premium


  | Item | Amount |

  |---|---|

  | Annual premium | {{home-policy-walt.annual_premium|money}} |

  | Claim-free discount | included |

  | Auto and home discount | included |


  The premium is billed to the mortgage servicer, Marlowe Ridge Mortgage, loan {{mortgage-walt.account_number}}.


  ## Endorsements


  - Water backup and sump overflow, limit $10,000

  - Roof surfaces: replacement cost

  - Scheduled personal property: none

  - This policy does not cover flood or earthquake. Flood insurance is sold separately.


  ## Claims


  Report a loss at any hour at (888) 555-0152 or at greybridgemutual.example. Have this policy number
  ready. Prior losses on this policy: wind, April 12, 2020, closed.

  '