0038432785
2
Confirmation Mai ing A ress: P.O. Box 17478, Irvine, CA 92623-7478 Customer Servce: 1-888-205-8118 M-F 6:30am PST to 5:30pm PST Form: COI-001 evse Name and Address of Insured: Additional Insured(s): Policy Summary: Po ic y Num er: E ecti ve Date: overage Limit Persona Property Coverage A itiona Livi ng Ex pe nses Perso na Lia i it y Cover ag e Me ica P ayments to Ot er s De ucti e: ot ce at e: Insurance Company: nsurance ompany: C aims To Free : NAIC#: Agent: c : Important Information Insuring Agreement: Y our co mp ete po icy wi e mai e to you v ia U .S. Ma il withi n 15 da ys. The polic y is your c ontr act for insura nce , no t the In suran ce Elec tion For m or t is Co n rmat ion o Insurance. P ease revi ew a in ormation c ose y or accuracy w en re ceive . T e i n or mati on gi ven ere is on y a summar y o cove rage to e pr ovi e to you y t is po icy . Po ic y Can ce ation: Y our po icy wi NOT automat ica y t ermina te w en you mov e-o ut. Y ou mus t i n orm us o you r c anc e atio n i n w rit ing to avo i any urt er premium being billed to you or deducted from your account. Y ou may also cancel your policy on-line at http://www .eRenterPlan.com. Notice o Ca nce ation: Y our eas ing o ce or apa rtment commun ity man age r may e noti e o any notice o can ce ation or non-re new a o you r p o icy . Premium Insta ment C ar ges: I you ave c osen to ave your pe rio ic pr emium insta ment payments e ite rom you r an account or cr e it car , p ease note t at t es e perio ic inst a ment s wi e c ar ge to your account roug y 7 to 14 ay s prior to you r inst a ment ue ate. T is is or your protec ti on an a ows us su ici en t ti me to noti y you in wr it ing in t e ev ent your account is c ose or you r cre it car is ecine y you r is suing an . 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: T e ep one #: Emai A ress: Premium Installments: Optional Coverages: $30,000 2330 N OLIVER ST #919 EMMA CRABTREE 6036870 12/26/2014 $1,000 Unless otherwise provided, this policy contains a $1,000 deductible for all Wind and Hail losses. Pet Damage Liability Coverage. 12/26/2014 02:16 PM CST WICHITA KS 67220 0038432785 American Modern Home Insurance Company $100,000 1-800-375-2075 LeasingDesk Insurance Services Printed: 12/26/2014 2:17:00 PM 330915261 23469 Interested Party: Tall Oaks Apartments Wichita, KS 67220-2942 2330 N Oliver St #919 $500 [email protected] ALESSANDRA BEVILACQUA Your credit/debit card will be debited Monthly for your period premium installments. The debit will occur on or about the following dates : 01/11/2015, 02/11/2015, 03/11/2015, 04/11/2015, 05/11/2015, 06/11/2015, 07/11/2015, 08/11/2015,
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Transcript of 0038432785
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Confirmation Mailing Address:P.O. Box 17478, Irvine, CA 92623-7478Customer Service: 1-888-205-8118M-F 6:30am PST to 5:30pm PST
Form: COI-001Revised 09/2005
Name and Address of Insured: Additional Insured(s):
Policy Summary:
Policy Number:
Effective Date:
Coverage Limit
Personal Property Coverage
Additional Living Expenses
Personal Liability Coverage
Medical Payments to Others
Deductible:
Notice Date:
Insurance Company:
Insurance Company:
Claims (Toll Free):
NAIC#:
Agent:
Lic#:
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 Con rmation 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.
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 of ce or apartment community manager may be noti ed 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.
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:
Telephone #:
Email Address:
Premium Installments:Optional Coverages:
$30,000
2330 N OLIVER ST #919
EMMA CRABTREE
6036870
12/26/2014
$1,000
Unless otherwise provided, this policy contains a $1,000 deductible for all Wind and Hail losses.
Pet Damage Liability Coverage.
12/26/2014 02:16 PM CST
WICHITA KS 67220
0038432785 American Modern Home InsuranceCompany
$100,000
1-800-375-2075
LeasingDesk Insurance Services
Printed: 12/26/2014 2:17:00 PM
330915261
23469
Interested Party: Tall Oaks Apartments
Wichita, KS 67220-29422330 N Oliver St #919
$500
ALESSANDRA BEVILACQUA
Your credit/debit card will be debited Monthlyfor your period premium installments. The debitwill occur on or about the following dates :01/11/2015, 02/11/2015, 03/11/2015, 04/11/2015,05/11/2015, 06/11/2015, 07/11/2015, 08/11/2015,09/11/2015, 10/11/2015, 11/11/2015, 12/11/2015.
