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    Policyconfirmation

    Uploaded by

    Tascie Cook
    This document provides a proof of insurance notice for Brandy Harrison. It lists the policy holder, policy number, effective dates, coverage amounts for personal property, additional living expenses, personal liability, and medical payments. It also lists additional insured coverages, the insurance company, claims contact information, and notices regarding policy cancellation, premium installment charges, and how to add or remove additional insureds.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Policyconfirmation

    Uploaded by

    Tascie Cook
    347 views1 page
    This document provides a proof of insurance notice for Brandy Harrison. It lists the policy holder, policy number, effective dates, coverage amounts for personal property, additional living expenses, personal liability, and medical payments. It also lists additional insured coverages, the insurance company, claims contact information, and notices regarding policy cancellation, premium installment charges, and how to add or remove additional insureds.

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    101632555-policyConfirmation

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    This document provides a proof of insurance notice for Brandy Harrison. It lists the policy holder, policy number, effective dates, coverage amounts for personal property, additional living expenses, personal liability, and medical payments. It also lists additional insured coverages, the insurance company, claims contact information, and notices regarding policy cancellation, premium installment charges, and how to add or remove additional insureds.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    347 views1 page

    Policyconfirmation

    Uploaded by

    Tascie Cook
    This document provides a proof of insurance notice for Brandy Harrison. It lists the policy holder, policy number, effective dates, coverage amounts for personal property, additional living expenses, personal liability, and medical payments. It also lists additional insured coverages, the insurance company, claims contact information, and notices regarding policy cancellation, premium installment charges, and how to add or remove additional insureds.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Proof of Insurance

    NOTICE DATE INTERESTED PARTY


    5/11/2021 Riata Austin-
    Mosaic Greymoss
    At Mueller
    12300 Riata
    4600 Mueller Blvd, Trace
    Austin, TX,Pkwy, Austin, TX 78727
    78723

    Primary Policy Holder Policy # Effective Dates

    Brandy Harrison 101632555 05/11/21 - 05/11/22


    12320 Alameda
    4600 TraceApt
    Mueller Blvd Circle
    3115#713
    Austin, TX
    Austin TX78727
    78723 Personal Property Coverage $40,000
    (737) 278-8510 Additional Living Expenses -
    brandyk2021@aol.com Personal Liability Coverage $100,000
    Medical Payments to Others $1,000
    Deductible $250
    Mailing Address (if different from above)
    12320 Alameda
    4600 Mueller Trace Circle #713
    Blvd
    Apt 3115
    Austin, Tx 78727 ADDITIONAL COVERAGES
    Austin TX 78723
    Pet Damage Liability Coverage
    TX Fair Plan Tax
    ADDITIONAL INSURED Water Backup of Sewers and Drains
    Any new resident must be added to the policy in order to be
    eligible for coverage. Residents can be added or removed by
    creating an account at erenterplan.com

    INSURANCE COMPANY
    PREMIUM INSTALLMENT PLAN This company manages your claim submissions. Claims can be
    You will be charged annually on the following date: 04/26/2022 submitted by creating an account at erenterplan.com or calling
    the number below

    American Modern Home Insurance Company

    Claims 1 (800) 375-2075 (Toll Free)


    NAIC 23469
    Agent LeasingDesk Insurance Services
    License 15986

    Insuring Agreement: Notice of Cancellation:


    Your complete policy will be mailed to you via U.S. Mail within 15 days of the Your leasing office or apartment community manager may be noticed of any notice of
    policy effective date. The policy is your contract for insurance, not this cancellation or non-renewal of your policy.
    Confirmation of Insurance. Please review all information closely for accuracy Premium Installment Charges:
    when received. The information given here is only a summary of coverage to be If you have chosen to have your periodic premium installment payments debited from
    provided to you by this policy. We will provide insurance described in the policy in your bank account or credit card, please note that these periodic installments will be
    return for the premium and your compliance with all provisions of the policy charged to your account roughly 7 to 14 days prior to your installment due date. This
    including endorsements. is for your protection and allows us sufficient time to notify you in writing in the event
    Policy Cancellation: your account is closed or your credit card is declined by your issuing bank.
    Your policy will NOT automatically terminate when you move-out. You must
    inform us of your cancellation in writing to avoid any further premium being billed
    to you or deducted from your account. You may also cancel your policy on-line at
    https://www.eRenterPlan.com.
    P.O. Box 17478, Irvine, CA 92623-7478
    Form COI-001

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