type, category, person, date, source
type
category
person
date
source
financial
dmv
Yanxin Lu, Xuewei Jiang
2020-11-21
renter_insurance.pdf
Renter's Insurance - Evidence of Insurance (Assurant)
Policy Information
Field
Value
Application Number
REN0661408
Effective Dates
11/21/2020 to 11/21/2021 12:01 AM
Yearly Premium
$226.00
Service Phone
1-877-900-0344
Agent & Company
Agent Address
Company Address
GEICO Insurance Agency, Inc.
American Bankers Insurance Company of Florida
One Geico Blvd
11222 Quail Roost Drive
Fredericksburg, VA 22412
Miami, FL 33157-6596
Insured & Risk Address
Insured Name & Mailing Address
Risk Address
YANXIN LU
11950 IDAHO AVE
XUEWEI JIANG
APT 113
11950 IDAHO AVE APT 113
LOS ANGELES, CA 90025
LOS ANGELES CA 90025
Section I Coverage Information
Coverage
Amount ($)
CONTENTS
$10,000
LOSS OF USE
$2,000
Section I Deductible Information
Deductible
Amount ($)
STANDARD DEDUCTIBLE
$500
Section II Coverage Information
Coverage
Amount ($)
PERSONAL LIABILITY
$100,000
MEDICAL PAYMENTS TO OTHERS
$1,000
Endorsements
REPLACEMENT COST CONTENTS
WATER SEWER BACKUP
NOTE: ALL COVERAGES ARE SUBJECT TO THE TERMS AND CONDITIONS LISTED IN THE POLICY FORMS.
Form: HISASEOI-1217 (Page 1)
Payment Receipt (Page 2)
Payment Receipt For Application # REN0661408
Field
Value
Total Yearly Premium
$226.00
Down Payment
$226.00
Remaining Balance
$0.00
Effective Dates
11/21/2020 12:01 AM to 11/21/2021 12:01 AM
For Service, Call 1-877-900-0344
Agent & Company (repeated)
Agent Address
Company Address
GEICO Insurance Agency, Inc.
American Bankers Insurance Company of Florida
One Geico Blvd
11222 Quail Roost Drive
Fredericksburg, VA 22412
Miami, FL 33157-6596
Insured & Risk Address (repeated)
Insured Name & Mailing Address
Risk Address
YANXIN LU
11950 IDAHO AVE
XUEWEI JIANG
APT 113
11950 IDAHO AVE APT 113
LOS ANGELES CA 90025
LOS ANGELES CA 90025
Additional Interest
Additional Interest Name & Mailing Address
The Adler Apartments
11950 IDAHO AVE
LOS ANGELES CA 90025
Form: HISASPR-1217 (Page 2)