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This homeowners insurance policy provides coverage for Francisco and Maria Guzman's property located at 7064 W Crawford Ave, Milwaukee, WI 53220-1441 from May 1, 2022 to May 1, 2023. The policy provides $236,000 in dwelling coverage, $177,000 in personal property coverage, and additional liability coverage up to $300,000. The policy declarations list the applicable discounts applied to the premium and the total premium due of $657.

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Carlos Andres Barrera Castilla
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175 views

printDecEmbed Do

This homeowners insurance policy provides coverage for Francisco and Maria Guzman's property located at 7064 W Crawford Ave, Milwaukee, WI 53220-1441 from May 1, 2022 to May 1, 2023. The policy provides $236,000 in dwelling coverage, $177,000 in personal property coverage, and additional liability coverage up to $300,000. The policy declarations list the applicable discounts applied to the premium and the total premium due of $657.

Uploaded by

Carlos Andres Barrera Castilla
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DECLARATIONS

WISCONSIN HOMEOWNERS POLICY - GOLD STAR SPECIAL DELUXE FORM (ED 06/94) WI
NON-ASSESSABLE POLICY ISSUED BY AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.
A MEMBER OF THE AMERICAN FAMILY INSURANCE GROUP MADISON, WI
PLEASE READ YOUR POLICY
POLICY NUMBER 48PT-1955-01

MORTGAGEE
NAMED INSURED REFERENCE NUMBER: 56533
GUZMAN, FRANCISCO & MARIA LANDMARK CREDIT UNION ITS SUCCESSORS
7064 W CRAWFORD AVE AND/OR ASSIGNS ATIMA
MILWAUKEE WI 53220-1441 PO BOX 390780
MINNEAPOLIS MN 55439-0780

EFFECTIVE
FROM 5/1/2022 TO 5/1/2023
ACCT 021-821-734-94
COVERAGES AND LIMITS PROVIDED
001 FAMILY MASONRY VENEER DWELLING
SECTION I LIMITS
DWELLING $236,000
PERSONAL PROPERTY ON PREMISES $177,000
PERSONAL PROPERTY OFF PREMISES 100% SUBJECT TO POLICY LIMITATION
FUNGI OR BACTERIA $10,000
LOSS OF USE - ACTUAL LOSS SUSTAINED WITHIN 12 MONTHS OF THE LOSS
DEDUCTIBLE AMOUNT - ALL PERIL $1,000
SECTION II
PERSONAL LIABILITY $300,000
DANGEROUS DOG AND EXOTIC ANIMAL LIABILITY $25,000
MEDICAL EXPENSE $1,000
ADDITIONAL PROTECTION / ENDORSEMENTS
OPTION 2 - EXTENDED COVERAGE ON JEWELRY, WATCHES AND FURS
OPTION 7 - ADDITIONAL PREMISES COVERAGE
OPTION 14 - PERSONAL PROPERTY REPLACEMENT COVERAGE
ADDITIONAL FORMS AND/OR ENDORSEMENTS MAY APPLY

THIS POLICY INCLUDES INCREASED BUILDING LIMIT COVERAGE UP TO 120% OF THE


DWELLING LIMIT SHOWN ABOVE, SUBJECT TO POLICY PROVISIONS

HOME AND AUTO DISCOUNT HAS BEEN APPLIED


HOME PURCHASE DISCOUNT HAS BEEN APPLIED
AGE OF CUSTOMER DISCOUNT HAS BEEN APPLIED
CUSTOMER LONGEVITY DISCOUNT HAS BEEN APPLIED
CLAIMS FREE DISCOUNT HAS BEEN APPLIED

TOTAL PREMIUM $657.00


LOCATION OF RISK: 7064 W CRAWFORD AVE MILWAUKEE WI 53220-1441

Form No. HO-47C Ed. 6/15 1 of 2 Stock No. 23281


Declarations effective on the date shown above. These declarations form a part of this policy and replace all
other declarations which may have been issued previously for this policy. If this declarations is accompanied by
a new policy, the policy replaces any which may have been issued before with the same policy number.

AUTHORIZED
REPRESENTATIVE President Secretary

AGENT 164-045 PHONE (414) 481-4400


JAIME S MERCADO - CLF, LUTCF, Agent USERID MDP027
709 W LAYTON AVE ENTRY DATE 10/06/2022 12:02 PM
MILWAUKEE WI 53221 SIS ID 100327922

Form No. HO-47C Ed. 6/15 2 of 2 Stock No. 23281

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