Cogitate RPS

Coverage Details

Base premium includes the following minimum amounts of insurance/limits of
liabilty and coverage relationships

Wind Only

Yes

No

Wind/Hail Deductible
$1,000 $2,500 $5,000 $25,000
Water Deductible
$1,000 $2,500 $5,000 $25,000 $50,000

All Other Perils
$1,000 $2,500 $5,000 $25,000

Coverage Types

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Personal Property (Coverage C)

Loss of use (Coverage D)
Liability (Coverage E)

Medical Payments (Coverage F)
Mold

Water backup

Loss Assessment
Special Coverage C

Yes

No

Add management Company AI

Yes

No

Catastrophic Ground Collapse

Yes

No
Risk Premium

Minimum Retained Premium (normal)

Home Insurance History

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Is the property currently insured?

Yes

No
Prior Insurance Company

Prior Insurance Expiration Date
No of Insurance claimed in the last 3 years
0 1 2 3 or more
Date of Loss

Amount Paid
Type of incident

Claim Description
Is the Claim still open / unrepaired Damage?

Yes

No

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Mortgagee Details

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Number of mortgagees on property
0 1 2 3

Mortgagee Details 1

Name

Address

Loan No

Mortgagee Details 2

Name

Address

Loan No

Additional Insured

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Name

Address
Interest

Additional Interest

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Name

Address
Interest

$550,000

Allstate Insurance