type, category, person, date, source
| type |
category |
person |
date |
source |
| insurance |
renter's insurance |
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)
