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    0230557991 (1)

    Uploaded by

    Christopher Boyce

    Copyright:

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

    0230557991 (1)

    Uploaded by

    Christopher Boyce
    5 views1 page

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

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

    0230557991 (1)

    Uploaded by

    Christopher Boyce

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Mailing Address:

    P.O. Box 17478, Irvine, CA 92623-7478


    Confirmation
    Notice Date: 8/21/2019
    Customer Service: 1-888-205-8118
    M-F 6:30am PST to 5:30pm PST
    Interested Party: Thirty377
    81450560

    Name and Address of Insured: Additional Insured(s):

    TRISTAN SMITH
    3355 BLACKBURN ST Apt 7303
    DALLAS TX 75204
    Any new resident must be added to the policy in order to be eligible for coverage. Resi-
    dents can be added or removed by logging onto http://www.eRenterPlan.com

    Mailing Address: Policyholder Contact Information:


    3355 BLACKBURN ST
    Telephone #: (972)-738-1902
    APT 7303
    DALLAS TX 75204 Email Address: SMITHTRISTAN1985@GMAIL.COM

    Policy Summary: Insurance Company:


    Policy Number: 0230557991 Insurance Company: American Modern Home Insurance
    Company
    Effective Date: 08/21/2019 12:01 AM STD
    Expiration Date: 08/21/2020 12:01 AM STD
    Coverage Limit Claims (Toll Free): 1-800-375-2075
    Personal Property Coverage $30,000 NAIC#: 23469
    Additional Living Expenses Agent: LeasingDesk Insurance Services

    Personal Liability Coverage $100,000 Lic#: 15986


    Medical Payments to Others $1,000
    Deductible: $250

    Optional Coverages: Premium Installments:


    TX Fair Plan Tax,Water Backup of Sewers and Drains Your credit/debit card will be debited Monthly for your
    period premium installments. The debit will occur on or
    about the following dates : 08/21/2019, 09/06/2019,
    10/06/2019, 11/06/2019, 12/06/2019, 01/06/2020, 02/06/2020,
    03/06/2020, 04/06/2020, 05/06/2020, 06/06/2020, 07/06/2020,
    08/06/2020

    Important Information

    Insuring Agreement:
    Your complete policy will be mailed to you via U.S. Mail within 15 days. The policy is your contract for insurance, not the Insurance Election
    Form or this Confirmation of Insurance. Please review all information closely for accuracy when received. The information given here is only a
    summary of coverage to be provided to you by this policy. We will provide insurance described in the policy in return for the premium and your
    compliance with all provisions of the policy including endorsements.
    Policy Cancellation:
    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 http://www.eRenterPlan.com.
    Notice of Cancellation:
    Your leasing office or apartment community manager may be noticed of any notice of cancellation or non-renewal of your policy.

    Premium Installment Charges:


    If you have chosen to have your periodic premium installment payments debited from your bank account or credit card, please note that these
    periodic installments will be charged to your account roughly 7 to 14 days prior to your installment due date. This is for your protection and allows us
    sufficient time to notify you in writing in the event your account is closed or your credit card is declined by your issuing bank.

    Revised 09/2005 Form: COI-001


    Printed: 8/21/2019

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