Aspera Insurance Services, Inc.

Form Library

ADF and Coverage Forms and Index

ADF Forms

Non-Stacking Endorsement - ADF2001_0824 Schedule of Forms - ADF4001_0110 Texas Notice - ADF9003_0723 U.S. Treasury Department Office of Foreign Assets Control (OFAC) Advisory Notice to Policyholders - ADF9009_0110 Notice of Privacy Policy - ADF9049_0823

Coverage Forms and Index

Homeowners Policy - HMES0001_0825 Homeowners Policy Index - HMES1000_0825 Homeowners Policy - Named Perils - HMES0002_0126 Homeowners Named Perils Policy Index - HMES1005_0126 Homeowners Policy - Manufactured Housing - MH0001_0625 Homeowners Policy Index - Manufactured Housing - MH0002_0625 Homeowners Policy - Manufactured Housing - Named Perils - MH0003_0126 Homeowners Policy - Manufactured Housing - Named Perils Policy Index - MH0004_0126

2000, 3000, 4000, 5000, and 9000 forms

2000

California Earthquake Coverage Endorsement - HMES2001_0924 Additional Coverage - Mold, Fungi, Bacteria, Wet or Dry Rot - HMES2002_0924 Loss Settlement Amendment - Dwelling Replacement Cost - HMES2003_1224 Loss Settlement Amendment - Personal Property Replacement Cost - HMES2004_1224 Prohibition - Assignment of Benefits - HMES2005_1224 Additional Coverage - Building Code Upgrade - HMES2006_1124 Total Loss Endorsement - HMES2007_1224 Amended Declarations - Separate Deductible - South Carolina - HMES2009_1224 Temperature Warranty Endorsement - HMES2010_1224 Loss Settlement Amendment - Dwelling Replacement Cost - Manufactured Housing - MH2003_0625 Loss Settlement Amendment - Personal Property Replacement Cost - Manufactured Housing - MH2005_0625

3000

Aluminum Wiring Exclusion - HMES3000_1224 Major Renovation or Repair Exclusion - HMES3001_1224 Specified Plumbing Materials Exclusion - HMES3002_1224 Cosmetic Damage to Roof Surfacing Exclusion - HMES3003_1224 Exclusion - Perfluoroalkyl And Polyfluoroalkyl Substances (PFAS) - HMES3004_1224 Exclusion - Existing Damage - HMES3005_1224 Exclusion - Lithium Battery - HMES3006_1224

4000

Wildfire Deductible - HMES4005_1124 Additional Coverage - Fungus, Mold, Bacteria, Wet or Dry Rot - Manufactured Housing - MH4007_0625

5000

Additional Insured - Residence Premises - HMES5001_1124

9000

Notice - Where to Report a Claim - HMES9001_1024 Important Flood Insurance Notice to Policyholder - HMES9004_0825 Important Earthquake Insurance Notice to Policyholder - California - HMES9005_0825 Special Provisions - Florida - HMES9006_0825 Important Flood Insurance Notice to Policyholder - Texas - HMES9007_0825 Special Provisions - South Carolina - HMES9010_0825 South Carolina Mandatory Disclosure Notice - Separate Named Windstorm or Wind/Hail Deductible - HMES9011_0825 Important Information Required by the South Carolina Department of Insurance - HMES9012_0825 Important Notice to Policyholder - North Carolina - HMES9014_0825 Special Provisions - California - HMES9015_0825 Special Provisions - Georgia - HMES9019_0825 Notice of Homeowners Insurance Policy Deductible Required by the Louisiana Department of Insurance - HMES9024_0825 Homeowners Insurance Policy Coverage Disclosure Summary - Louisiana - HMES9025_0825 Special Provisions - Louisiana - HMES9026_0326 Mississippi - Outline of Coverage and Comprehensive Policy Checklist - HMES9027_0825 Special Provisions - Mississippi - HMES9028_0726 Mississippi Policyholder Bill of Rights - HMES9029_0825 Important Flood and Earthquake Insurance Notice to Policyholder - Mississippi - HMES9030_0825 Special Provisions - Delaware - HMES9032_0825 Important Information About Your Homeowners Insurance - Delaware - HMES9033_0825 Summary of Coverage - Homeowners Policy - HMES9041_0825 Special Provisions - Texas - HMES9047_0726

Surplus Lines Disclosures

Georgia Surplus Lines Disclosure - BR902GA_0716 Mississippi Department of Insurance Informational Notice - BR902MS_0426

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