HomeMy WebLinkAboutMerrie AsherPOLICY DECLARATIONS
American Modern Property and Casualty Insurance Company
Dwelling Basic
Policy Change
Premium Summary
Dwelling #1:
$580.06
4321 AVIATION WAY
NO 213
CALDWELL ID 83605-1836
Policy Coverages
$0.00
Additional Costs
$0.00
Total Policy Premium
$580.00
Note: a minimum earned premium of $100.00 applies to
this policy.
Policy Summary
Policy Number:
104-277-433
American
MODERN,.
Policy Period:
04/10/2024 to 04/10/2025 12:01 A.M. Standard Time
Named Insured(s):
MERRIE ASHER
PO BOX 5263
BOISE I D 83705-0263
Policy Discounts
Contracted Agency:
Auto/Home Discount
IVANTAGE SELECT AGENCY INC - #302619
Paperless Discount
POST OFFICE BOX 5323
Claims Free Discount
CINCINNATI OH 45201
Paid in Full Discount
Your Agent:
Dwelling Discounts ERIC C JEGLUM - #064369
The following discounts apply to one or more dwellings 894 E BOISE AVENUE
on this policy. BOISE ID 83706-5122
4321 AVIATION WAY, NO 213, CALDWELL ID
83605-1836
Deadbolts, Smoke Alarm and Fire Extinguisher
Additional Named Insureds and Desianees
Name: Address:
JOHN TYSON, JR. 3832 S POWERLINE RD, MELBA ID 83641-5032
Relationship to Primary Named Insured: Description of Interest:
Child ADDITIONAL NAMED INSURED
Dwelling #1: 4321 AVIATION WAY, NO 213, CALDWELL ID 83605-1836
Occupancy: Residence Type: Construction Type: Year Built: Protection Class Code: Territory:
Not A Residence Non -dwelling Structure Frame 2024 3 1
(Pole Barn, Camping
Structures, etc.)
SQyerage Detail _.,,.._.
Coverage Limit / Description Premium
Dwelling (Fire & Extended Coverage)
Limit
Loss Settlement
All Other Peril Deductible
Other Structures
Loss Settlement
Personal Property
Loss Settlement
RECEIVED BY $431.00
300,000 CALDWELL CITY CLERK
Full Repair Cost 0 C T 10 2024
2,500
30,000 Included
Full Repair Cost
10,000 $24.00
Actual Cash Value
DW-CW-D-0001 (01-15) Page 1 of 3 Transaction Effective Date: April 22, 2024