DM-HO-2087341-06
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PO Box 2210
Viroqua, WI 54665
Driftless Mutual Insurance Company (855) 555-0112
driftlessmutual.example
Homeowners Policy Declarations
Policy number: DM-HO-2087341-06
Policy period: March 1, 2025 to March 1, 2026, 12:01 a.m. standard time at the insured
location
Named insured: Raymond C. Ostrander and Margaret A. Ostrander, Trustees of the
Ostrander Family Revocable Trust dated May 14, 2019
Insured location: 1846 Hawkstone Drive, Madison, WI 53711
Agent: Capitol Prairie Insurance Agency, Linda Schroedl, (608) 555-0136
Coverages
Coverage Limit
A. Dwelling $421,000.00
B. Other structures $42,100.00
C. Personal property, replacement cost $294,700.00
D. Loss of use $84,200.00
E. Personal liability, each occurrence $500,000.00
F. Medical payments to others, each person $5,000.00
Deductible: $1,000.00 for all perils except wind and hail, which carry a deductible of 1% of
Coverage A ($4,210.00).
Special limits inside Coverage C
Property Limit
Jewelry, watches and furs, loss by theft $2,500.00 in all
Silverware and goldware, loss by theft $2,500.00
Firearms, loss by theft $2,500.00
Money and bank notes $200.00
Watercraft, with trailers and motors $1,500.00
Endorsements
Water backup and sump overflow: limit $10,000.00, deductible $1,000.00
Roof surfaces: replacement cost (roof replaced August 2021)
This policy does not cover flood or earthquake.
Premium
Item Amount
Annual premium $1,731.00
Claim-free, protective device and multi-policy discounts included
Paid in full February 24, 2025
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| Value | Now |
|---|---|
| home-policy-2025.policy_number | DM-HO-2087341-06 |
| home-policy-2025.expiration | 2026-03-01 |
| home-policy-2025.insured_value | 421000 |
| home-policy-2025.deductible | 1000 |
| home-policy-2025.annual_premium | 1731 |
The values at render time were not recorded: the file was rendered before files/rendered.json existed. Rendering it again records them.