Agent Name:	{field:agent_name_1610128087373}
Agent Email:	{field:agent_email_1609879583901}
Agent Phone:	{field:agent_phone_1587701150042}
Insured Name:	{field:insured_name_1585836409803}
Address:	{field:ins_address_1585836027847}
City:	{field:ins_city_1585836031527}
State:	{field:ins_liststate_1585836047379}
Zip:	{field:ins_zip_1585836051469}

Effective Date:	{field:effective_date_1585837369493}
Mortgagee Name:	{field:mortgagee_name_1608163920046}
Mortgagee Address:	{field:mortgagee_address_1608163941576}
City:	{field:mort_city_1608164040056}
State:	{field:mort_liststate_1608164046183}
Zip:	{field:mort_zip_1608164049386}

Name of Condominium:	{field:name_of_condominium_1587701846730}
Street Address:	{field:condo_street_address_1587701864113}
Unit #:	{field:condo_unit_1587701911519}
Bldg. #:	{field:condo_bldg_1587701937230}
Floor #:	{field:condo_floor_1587701997275}
City:	{field:condo_city_1586271175875}
State:	{field:condo_liststate_1586271191062}
Zip:	{field:condo_zip_1586271195787}
County:	{field:county_1620230827795}

Coverage Summary

Property Coverages

Coverage A Dwelling: Maximum Limit $75,000
Coverage C Personal property: Maximum Limit of $50,000
Coverage D Loss of Use: Maximum 40% of Coverage C
Wind & Hail Included
Earthquake Included
Flood Coverage for Coverage A & C Only

Ineligible Risks: Waterfront First Floor Units. Property on land whose boundary on one or more sides is adjacent to an ocean, bay, sound, inlet, marsh or stream.

Coverage A Dwelling	{field:coverage_a_dwelling_1605815094772}
Coverage C Personal Property	{field:coverage_c_personal_property_1605815712608}
Coverage D Loss of Use	{field:coverage_d_loss_of_use_1605815890043}
Total Limits:	${calc:total_limit}

Coverage E Personal Liability ($300,000 Included):	{field:coverage_e_personal_liability_1605205854526}
Coverage F Medical Payments ($5,000 Included):	{field:coverage_f_medical_payments_1605205936534}
Loss Assessment ($1,000 Included):	{field:loss_assessment_1605207499163}
Water Sewer Backup Sub-Limit:	{field:water_sewer_backup_sub-limit_1605207602563}
Limited Mold Sub-Limit:	{field:limited_mold_sub-limit_1605207685848}
Equipment Breakdown Sub-Limit:	{field:equipment_breakdown_sub-limit_1605207949678}

Subtotal (Minimum base premium $150)	${calc:subtotal_prem}
Policy Fee	$40.00
Delaware 3% Tax	${calc:tax_rate}
Total Premium Due	${calc:total_prem}

$1,000 deductible applies; refer to policy forms or deductibles and specific coverage.

Construction Type:	{field:construction_type_1586274570815}
Year Constructed:	{field:year_constructed_1586278471375}
Sq. Footage:	{field:sq_footage_1586278561159}
Number of Stories:	{field:number_of_stories_1586278595258}

Occupancy Type:	{field:occupancy_type_1605214607257}
Roof Type:	{field:roof_type_1605214950920}
Protection Class:	{field:protection_class_1605215074698}
Elevated Building:	{field:elevated_building_1605215101598}
Roof Covering:	{field:roof_covering_1586278718914}
Unit Improvements / Updates:	{field:unit_improvements_or_updates_1605218183646}
Protective Devices:	{field:protective_devices_1586281028542}
Hurricane Shutters:	{field:hurricane_shutters_1586281159605}

NOTICE OF INSURANCE INFORMATION PRACTICES.
PERSONAL INFORMATION ABOUT YOU, INCLUDING INFORMATION FROM A CREDIT REPORT, MAY BE COLLECTED FROM PERSONS OTHER THAN YOU.

Coverage is being provided by Certain Underwriters at Lloyd's, London. Neither the U.S. Brokers that handle this insurance nor the insurers that have underwritten this insurance will disclose non-public personal information concerning the buyer to non-affiliates of the brokers or insurers except as permitted by law.

I hereby certify that I have read the information supplied and the statements herein are true and that this information forms a basis upon which insurance may be issued.

{field:i_hereby_certify_that_i_have_read_the_information_supplied_and_the_statements_herein_are_true_and_that_this_information_forms_a_basis_upon_which_insurance_may_be_issued_1587696234276}

The Insurer can cancel this policy for which you are applying without cause during the first 120 days. That is the Insurer's choice. After the fist 120 days, the Insurer can cancel this policy for reasons stated in the policy.

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