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MERCURY <br /> Homeowners Insurance Declarations Page INSURANCE <br /> ADDITIONAL./OPTIONAL,COVERAGES is , Li bi�ty i 4 k �'',Premium <br /> Bodily Injury <br /> by Disease <br /> Occasional Servants <br /> Damage to Property of Others $1,000 Included* <br /> Optional Coverage Premium: $81.00 <br /> Seismic Safety Fee: $0.12 <br /> Total Policy Premium: $1,421.12 <br /> * The additional cost for any additional/optional coverage shown as "Included" is contained in the Total Policy <br /> Premium amount. <br /> **Ordinance or Law coverage is also known as Building Code Upgrade coverage. Additional terms, conditions, or <br /> restrictions related to your Ordinance or Law coverage are listed on a separate enclosed disclosure form. <br /> DISCOUNTS: <br /> Loss Free <br /> Water Leak Detection: No <br /> Fire Protection: Fire Extinguisher Smoke Alarm <br /> Theft Protection: Deadbolt <br /> FORMS AND ENDORSEMENTS: <br /> H0003 (09/2014) Policy Jacket for H03 <br /> H0082 (09/2014) Personal Injury <br /> H0208 (05/2010)Water Back-Up and Sump Discharge or Overflow <br /> H0290CA(10/2018) Personal Property Replacement Cost Loss Settlement <br /> H0420CA(02/2021)Additional Replacement Cost Protection -Specified Amount <br /> H0443CA(10/2018) Replacement Cost Loss Settlement for Certain Non-building Structures on the Residence <br /> Premises <br /> H0455 (01/2013) Identity Fraud Expense and Resolution Services Coverage <br /> H0999 CA(08/2022) Special Provision -California <br /> H0653 (08/2018) Home-sharing Host Activities Amendatory Endorsement <br /> 438BFU NS (05/1942)Lender's Loss Payable <br /> H0090CA(12/2012)Workers'Compensation Residence Employees <br /> IMPORTANT INFORMATION: <br /> Date Sent: 08/21/2025 <br /> This policy was rated with 1960 as the named insured's year of birth. Please contact your agent if this information is <br /> incorrect. <br /> The limit of liability for this structure(Coverage A) is based on an estimate of the cost to rebuild your home, including <br /> an approximate cost for labor and materials in your area, and specific information that you have provided about your <br /> home. <br /> Please verify that the year built and the square footage shown in this declaration are correct, reflecting any <br /> changes or additions to your dwelling. Please contact your agent if any corrections are needed. <br /> It is your responsibility to select and maintain adequate amounts of insurance on your dwelling and personal <br /> property. The coverage limits selected by you will be adjusted annually based on estimated changes in rebuilding <br /> and replacement costs, but the company does not guarantee that the coverage limits shown in these declarations will <br /> CAHDEC01 (08/2024) Page 3 of 4 10/16/2025 12:01 AM PT <br />