Homeowners Policy 8/6/27
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PO Box 4410
Columbus, OH 43216
Harborline Mutual Insurance (800) 555-0142
harborline.example
Homeowners Policy Declarations
Policy number: HO-7719024-06
Policy period: August 6, 2026 to August 6, 2027, 12:01 a.m. standard time
Named insured: Leah M. Brandvold and Marcus D. Adeyemi
Insured location: 2714 Quillfeather Lane, Westerville, OH 43081
Coverages
Coverage Limit
A. Dwelling $412,000
B. Other structures $41,200
C. Personal property $206,000
D. Loss of use $82,400
E. Personal liability, each occurrence $300,000
F. Medical payments to others, each person $5,000
Deductible: $1,000.00 for all perils except wind and hail, which carry a 1% deductible
($4,120).
Premium
Item Amount
Annual premium $1,637.00
Protective device discount included
Multi-policy discount included
The premium is billed to the mortgage servicer, Tessaly Home Lending, loan 0047-338-21965.
Endorsements
Water backup and sump overflow, limit $10,000
Scheduled personal property: none
This policy does not cover flood. Flood insurance is sold separately.
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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.policy_number | HO-7719024-06 |
| home-policy.expiration | 2027-08-06 |
| home-policy.deductible | 1000 |
| home-policy.annual_premium | 1637 |
| mortgage-house.account_number | 0047-338-21965 |
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