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    Proof of Insurance

    Uploaded by

    elmerreyes514

    Copyright:

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

    Proof of Insurance

    Uploaded by

    elmerreyes514
    89 views2 pages

    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
    89 views2 pages

    Proof of Insurance

    Uploaded by

    elmerreyes514

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    CoverMyStuff Insurance Program

    Issued by HOMESITE INSURANCE COMPANY


    P.O. Box 5300 Evidence of Insurance For Policy
    Binghamton, NY 13902-9953 Number 40798398
    Tel. (844) 379-3731 Fax(877) 273-2984 This policy covers the listed location(s) from:
    12:01 AM December 22, 2023 through
    Insured Name and Mailing Address: 12:01 AM December 22, 2024 (local time)
    NIXSON REYES
    5203 MONMAUTH LN
    06-102 Send payment to:
    PO Box 414356
    DALLAS, TX 75211
    Boston, MA 02241-4356

    Insured Location
    5203 MONMAUTH LN 06-102 DALLAS, TX 75211

    Deductible: $500
    Coverage Limit
    Section I - Property
    C. Personal Property $15,000
    D. Loss of Use $4,500

    Section II - Liability
    E. Personal Liability $100,000
    F. Medical Payments to Others $1,000
    $218.00
    Total Policy Premium

    Total Amount Due $181.83

    Total Amount Paid *$36.17


    *Please note that installment fees are not included in these totals and vary by payment plan option.

    Notes:
    H04 – Renters
    HA 90 06 - Animal Liability Exclusion Endorsement

    HH D1 06 CW 11 14 Page 1 of 2
    All information and representations herein are subject to the policy terms and conditions. Coverage is
    contingent upon receipt of the initial payment of premium prior to the effective date of the policy.

    Authorized Representative Date December 11, 2023


    This evidence of property insurance is issued as a matter of information only and confers no
    rights upon the certificate holder. This evidence of property insurance does not amend, extend
    or alter the coverage afforded by the policy above.

    HH D1 06 CW 11 14 Page 2 of 2

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