PROGRESSIVE PROPERTY INSURANCE COMPANY
1 ASI WAY
ST. PETERSBURG, FL 33702
Homeowners Declaration Page
Agent:
Progressive Specialty Insurance Agency, Inc - DTC
P.O. Box 23039
Saint Petersburg, FL 33742
Total Policy Premium:
Policy Number:
Plan Type:
Policy Inception:
Policy Expiration:
449972
(855)798-5735
866-274-5677
Agent Code:
For Policy Service, Call:
To File a Claim, Call:
$423.06
LAL173481
HOR
08/16/2021
08/16/2022
(At 12:01 AM Standard Time at the residence premises)
Named Insured:
TAHJ S WHITFIELD
1400 N BERTRAND DR
APT 1222B
LAFAYETTE, LA 70506
Effective Date of This Transaction:
Activity of This Transaction:
8/16/2021
New Business
Residence Premises:
1400 N BERTRAND DR APT 1222B
LAFAYETTE, LA 70506-3040
Apartment
Type of Residence :
Coverage at the residence premises is provided only where a limit of liability is shown or a premium is stated.
Coverages and Limits of Liability
SECTION I:
SECTION II:
C. Personal Property
D. Loss of Use
E. Personal Liability - Each Occurrence
F. Medical Payments to Others - Each Person
Limit
Premium
$20,000
$8,000
$100,000
$1,000
158.29
Included
30.00
5.00
OTHER COVERAGES AND ENDORSEMENTS:
(Printed on the following page)
DEDUCTIBLE:
Special Messages:
$250
OTHER COVERAGES, LIMITS AND EXCLUSIONS APPLY - REFER TO YOUR POLICY FOR DETAILS
THIS POLICY DOES NOT INCLUDE COVERAGE FOR FLOOD LOSSES.
A MINIMUM EARNED PREMIUM OF $50 APPLIES TO ALL POLICIES REGARDLESS OF HOW LONG THE POLICY IS IN FORCE.
THIS IS NOT REFUNDED WHEN THE POLICY IS CANCELLED.
Countersigned by Authorized Representative
St. Petersburg, FL
Date:
The ASI
is an affiliate
of The Progressive
Corporation
ASI
HOR
DEC
19
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08/15/2021
Page 1 of 2
Named Insured(s):
TAHJ S WHITFIELD
Other Coverages And Endorsements
Additional Interest
Renters Protection Policy
E-Policy (Paperless)
Citizens FAIR Plan Emergency Assessment
Tier Factor Premium
Household Factor
Fixed Base Premium
All Perils Deductible
Type of Dwelling
Scheduled Items:
Category
Policy Number:
Form Number
ASI HO AINT 06 15
ASI HOR LA 12 19
LAL173481
Limit
-10.00
10.28
154.90
-11.82
50.00
60.28
-23.87
250
Description of Property
Premium
Value
Premium
Additional Interest:
edge student living
1400 N bertrand Dr
lafayette, LA 70506
Interest:
Co-Owner
Special Conditions:
PLEASE READ YOUR POLICY DOCUMENTS CAREFULLY AS SPECIAL CONDITIONS AND EXCLUSIONS APPLY.
THESE INCLUDE, AMONG OTHERS:
1. LIMITED LIABILITY FOR WATERCRAFT AND RECREATIONAL VEHICLES
2. NO LIABILITY COVERAGE FOR PROHIBITED ANIMALS
Notes:
The ASI Group
is an affiliate ofonThe
Progressive
Corporation
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ASI HOR LA DEC 12 19