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