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    Eoi 39375793

    Uploaded by

    Kelli Phillips
    This document provides an evidence of insurance certificate for Kelli Rogalo and Jose Rivera's homeowner's insurance policy with GEICO Insurance Agency/Homesite Insurance Company of New York. The policy covers their primary residence at 1315 2nd Ave in Watervliet, NY from September 16, 2022 to September 16, 2023. It lists coverage amounts for the dwelling, other structures, personal property, loss of use, personal liability, and medical payments to others. The total premium is $1,160 and has been paid in full.

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

    Eoi 39375793

    Uploaded by

    Kelli Phillips
    149 views2 pages
    This document provides an evidence of insurance certificate for Kelli Rogalo and Jose Rivera's homeowner's insurance policy with GEICO Insurance Agency/Homesite Insurance Company of New York. The policy covers their primary residence at 1315 2nd Ave in Watervliet, NY from September 16, 2022 to September 16, 2023. It lists coverage amounts for the dwelling, other structures, personal property, loss of use, personal liability, and medical payments to others. The total premium is $1,160 and has been paid in full.

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    EOI_39375793_9c1405ad-1f19-474d-8174-feced5c053f4

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    This document provides an evidence of insurance certificate for Kelli Rogalo and Jose Rivera's homeowner's insurance policy with GEICO Insurance Agency/Homesite Insurance Company of New York. The policy covers their primary residence at 1315 2nd Ave in Watervliet, NY from September 16, 2022 to September 16, 2023. It lists coverage amounts for the dwelling, other structures, personal property, loss of use, personal liability, and medical payments to others. The total premium is $1,160 and has been paid in full.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    149 views2 pages

    Eoi 39375793

    Uploaded by

    Kelli Phillips
    This document provides an evidence of insurance certificate for Kelli Rogalo and Jose Rivera's homeowner's insurance policy with GEICO Insurance Agency/Homesite Insurance Company of New York. The policy covers their primary residence at 1315 2nd Ave in Watervliet, NY from September 16, 2022 to September 16, 2023. It lists coverage amounts for the dwelling, other structures, personal property, loss of use, personal liability, and medical payments to others. The total premium is $1,160 and has been paid in full.

    Copyright:

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

    GEICO Insurance Agency, LLC

    Issued by Homesite Insurance Company of New York


    P.O. Box 5300 Evidence of Insurance For Policy
    Binghamton, NY 13902-9953 Number 39375793
    Tel. (866) 372-8903 Fax (877) 273-2984 This policy covers the listed location(s) from:
    12:01 AM September 16, 2022 through
    Insured Name and Mailing Address: 12:01 AM September 16, 2023 (local time)
    KELLI ROGALO
    JOSE RIVERA
    Send payment to:
    1315 2ND AVE PO Box 414356
    WATERVLIET, NY 12189- Boston, MA 02241-4356

    Insured Location
    1315 2ND AVE WATERVLIET NY 12189-
    Residence: Primary home

    Deductible: $1000
    Windstorm Deductible: $1000

    Coverage Limit
    Section I - Property
    A. Dwelling $396,000
    B. Other Structures $39,600
    C. Personal Property $198,000
    D. Loss of Use $118,800

    Section II - Liability
    E. Personal Liability $300,000
    F. Medical Payments to Others $1,000
    Total Policy Premium $1160.00

    Total Amount Due $0.00

    Total Amount Paid *$1160.00


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

    First Mortgagee
    Loan Number: 7110694598
    PHH MORTGAGE SERVICES ISAOA
    PO BOX 5954
    SPRINGFIELD, OH 45501-

    Notes:
    H03 – Homeowners
    HO 04 20 - Specified Additional Amount Insurance for Cov A limit 25%

    HH D1 06 CW 11 14 Page 1 of 2
    The Coverage A Dwelling amount is based on replacement cost as described in the policy. Certain
    exceptions apply. Please review your policy for further details.
    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 November 30, 2022


    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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