AMERICAN STRATEGIC INSURANCE CORP

1 ASIWay

St. Petersburg, FL 33702

Homeowners Declaration Page

Named Insured: KEITH A LEGGETT AND KRISTAN M LEGGETT

3634 VILLAMORE LN

ODESSA, FL 33556

Effective Date of This Transaction:

Activity of This Transaction: Residence Premises: 3634 VILLAMORE LN

ODESSA, FL 33556-4193

12/7/2020

Renewal

PROGREIIIVE® HOME

Total Policy Premium: $1,195 Policy Number: FLA390680

Agent: Westwood Ins Agency Inc

8407 Fallbrook Ave #200

West Hills, CA 91304

Agent Code: 411187

For Policy Service, Call: (800)676-5066

Policy Period: From: 12/07/2020 To: 12/07/2021 (At 12:01 AM Standard Time at the residence premises)

Plan Type: NH3

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: A. Dwelling Coverage

B. Other Structures

C. Personal Property

D. Loss of Use

SECTION II: E. Personal Liability - Each Occurrence

F. Medical Payments to Others - Each Person

OTHER COVERAGES AND ENDORSEMENTS:

(Printed on the following page)

Deductibles: HURRICANE: ALL OTHER COVERED PERILS:

Mortgagee: 1st Mortgagee:

2%- $7220 $1000

WELLS FARGO BANK NA #936 ISAOA

PO BOX 100515

FLORENCE, SC 29502-0515

Loan #0593152598 Escrow: Yes

Limit

$361,000

$7,220

$180,500

$36,100

$300,000

$1,000

2nd Mortgagee:

Countersigned by Authorized Representative St. Petersburg, FL Date: 10/07/2020

ASI HO FL DEC 10 18 The ASI Group is an affiliate of The Progressive Corporation

Premium

5351.08

Included

Included

Included

15.00

Included

Page 1 of2

Named lnsured(s): KEITH A LEGGETT AND KRISTAN M LEGGETT Policy Number: FLA390680

Other Coverages And Endorsements: Form Number Limit Premium Homeowners Policy Outline ASI HO 09 OTL 01 10

Homeowners 3 - Special Form HO 00 03 04 91

Special Provisions for Florida ASI HO 09 SP 12 13

Home Day Care Explanation HO 04 96 04 91

Catastrophic Ground Cover Collapse Coverage - Florida ASI HO 09 CG 08 12

Hurricane Deductible Endorsement ASI HO 09 HD 05 05

Assignment Agreement Endorsement - Florida ASI HO FL AAE 01 20

Ordinance or Law Coverage Notification Form - Florida ASI HO FL OLR 08 16

Windstorm Protective Devices HO 04 2110 94

Burglar Protection ASI HO 09 PA 06 07 -25.75

Increased Repl Cost on Dwelling ASI HO FL IRC 08 16 72200 100.73

E-Policy (Paperless) -4.89

Windstorm Loss Reduction -1825.90

NHR Deductible 1000 -37.15

HUR Deductible 7220 -99.11

Animal Liability ASI HO FL AL 01 18 50000 25.00

Replacement Cost on Contents HO23 86 0106 302.20

Limited Fungi,Mold,Wet/Dry Rot ASI HO FL LF 0118 $10,000 Included

PC I Construction Factor -46.17

Age of Dwelling -2050.55

Number of Stories 60.45

Age of Roof -446.30

BCEG -151.09

Fees and Assessments: Managing General Agent Fee 25.00

Emergency Management Preparedness Assistance Fee 2.00

Scheduled Items: Category Description of Property Value Premium

The Hurricane Coverage portion of your Total Premium is: $607

The Non-Hurricane Coverage portion of your Total Premium is: $588

Additional Insured: Additional Interest:

Rating Information: Construction Type:

Type of Residence:

Year Built:

Notes:

Pagel of2

Frame

Single Family

2018

Interest:

Total Square Feet:

ASI Territory:

County:

The ASI Group is an affiliate of The Progressive Corporation

2,585

471A

HILLSBOROUGH

ASI HO FL DEC 10 18