Policy Number
122399489920
All State Complete Protect
Total Premium
$ 23, 540
Including $324 in taxes and fees
HO3
Approved
Effective Date30 November 2020 to 30 November 2020
Insured Name and Address
Marco Alves
1588 Wilmar Farm Road Washington, MD 20200
Home Owner Secondary Home
Coverages
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Coverage A
Dwelling
$ 293,393
-
Coverage C
Personal property
$ 33,393
Includes 10% of Coverage A -
Coverage A
Dwelling
$ 293,393
-
Coverage D
Loss of use Coverage A
$ 33,393
Includes 10% of Coverage A -
Coverage B
Other Structures
$ 33,393
Includes 10% of Coverage A -
Coverage D
Loss of use Coverage A
$ 33,393
Includes 10% of Coverage A
Primary Policy Holder
Primary Policy Holders Name
Marco Alves
Mailing Address
1588 Wilmar Farm Road Washington, MD 20200
Secondary Policy Holder
Secondary Policy Holders Name
Emilee Simchenko
Property Details
Estimated Valuation Range
$2,393,292
-
Number of Stories2
-
Foundation TypeSlab
-
Property TypeSingle Family
-
Construction TypeMasonry Veneer
-
Size of the home2354 sqft
-
Roof TypeComposition Shingles
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Year home was built2001
-
Roof Age9 years
Fire Department
-
-
Protection Class(in Miles)1
-
PPCVal1
-
-
Water SupplyFire Hydrant
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AltPPC:1X/10W/10
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Firestation Distance RangeGreater than 1 to 2 Miles
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Resp Fire StationColumbia Co FS 4
Electricals and Safety
Primary Heating Type
Central- Electric
Age of Electricals
9 years
Age of Plumbing
9 years
Burglar/Fire Alarm
None
Underwriting Questions
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Animals or exotic pets kept on premises?
Yes
Breed: French Bulldog
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Is the applicant owner of the property? Yes
-
Is any applicant considered high-profile such as politician, entertainer or professional athlete?
No
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Coverage declined, cancelled or non-renewed during the last 3 years? No
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Has applicant has a foreclosure, repossession, bankruptcy, judgement, or lien during the past 5 years? No
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Any business on the premises? No
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Does Unit have more than two mortgagees? Yes
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Is the Unit maintained in insurable condition and/or shows pride of ownership? Yes
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Does applicant have history of arson or fraud? Yes
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Does risk have aluminum or knob and tube wiring, cloth wiring, fuses, or double taps? Yes
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Does unit have cast iron, galvanized, polybutylene piping? Yes
Home Insurance History
Is the property currently insured?
Yes
Yes
Number of home insurance claims in last 3 years
02
Number of mortgagees on property
03
I have read the above application and any attachments. I declare that the information provided in them is true, complete and correct to the best of my knowledge and belief. This information is being offered to the company as an inducement to issue the policy for which I am applying
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Application form.docx3.5 mb 3 Nov 2020 -
Application form.docx3.5 mb 3 Nov 2020 -
Application form.docx3.5 mb 3 Nov 2020 -
Application form.docx3.5 mb 3 Nov 2020 -
Application form.docx3.5 mb 3 Nov 2020