Proof of Insurance
Primary Policy Holder
INTERESTED PARTY
Notice of Cancellation:
Your leasing office or apartment community manager may be noticed 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. This company manages your claim submissions. Claims can be submitted by creating an account at erenterplan.com or calling the number below
Claims
NAIC
Agent
License
Policy # Effective Dates
Personal Property Coverage
Additional Living Expenses
Personal Liability Coverage
Medical Payments to Others
Deductible
INSURANCE COMPANY
ADDITIONAL COVERAGES
ADDITIONAL INSURED
Any new resident must be added to the policy in order to be eligible for coverage. Residents can be added or removed by creating an account at erenterplan.com
PREMIUM INSTALLMENT PLAN
Insuring Agreement:
Your complete policy will be mailed to you via U.S. Mail within 15 days of the policy effective date. The policy is your contract for insurance, not this Confirmation 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. We will provide insurance described in the policy in return for the premium and your compliance with all provisions of the policy including endorsements.
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 https://www.eRenterPlan.com.
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P.O. Box 17478, Irvine, CA 92623-7478
Form COI-001
Mailing Address (if different from above)
Chapman Village West
You will be charged monthly on the following dates: 12/31/2023, 01/31/2024, 02/29/2024, 03/31/2024, 04/30/2024, 05/31/2024, 06/30/2024, 07/31/2024, 08/31/2024, 09/30/2024, 10/31/2024, 11/30/2024
Bed Bug Endorsement-$750
Pet Damage Liability Coverage
Water Backup of Sewers and Drains
$1,000
$100,000
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$30,000
0D12126
LeasingDesk Insurance Services
28401
1-844-***-**** (Toll Free)
American National Property and Casualty Company
04HQ17Z1Z 12/15/23 12/15/24
*************@*****.***
Garden Grove CA 92840
12132 Chapman Ave 6
Oscar Ortiz
12132 Chapman Ave
6
Garden Grove CA 92840
$250
12/15/2023
NOTICE DATE
P.O. Box 115009 Carrollton, Texas 75011