218 Railway AveLexisNexis is not the Insurance
Company.
For any and all policy changes you
must contact the Insurance
Company, the Carrier or the
Producer listed in the detail below.
If you are not the intended recipient,
please return this card.
2628469-14916844-1-M
LexisNexis/FIRSt
1855 Satellite Blvd, Ste 600
Duluth, GA 30097
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MPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
.exisNexis is not the Insurance Company.
)o not send premium payments to LexisNexis/FIRSI.
Place
Stamp
Here
For any and all policy changes you must contact the Insurance Company, Carrier, or Producer listed in the detail below.
For all cancellation, non -renewal, expiration, and lapse notices -all coverage will cease at 12:01 AM local time at the premises, unless
itherwise shown in the item detail provided.
If you want to receive future notifications electronically, email firstsupport@lexisnexisdsk.com.
This Insurance notice is sent to you as the Loss Payee/Mortgagee/Additional Interested Party on behalf of the carrier listed.
'olicy: H3726123018560 REASON: Renewal Notification Carder: LIBERTY INSURANCE CO
nsured: BIRHANEMESKEL YONAS HINTSA SABA -218 RAILWAY AVE-CAMPBELL-CA-95008
Pol. Type: Homeowners
Aortgagee/Add.Party: TiECPYOFDn-rSYUATBIPSTfWWAgSWOFREArAV1WJ F M7FEV#%_0W
Eff. Dte:02/08/2023
nsurance: LIBERTY MUTUAL-175 BERKELEY STREET-BOSTON-MA-02116
Pol. From: 02/08/2023 Pol. To: 02/08/2024
'roducer: CUSTOMER RESPONSE CENTER 800.409.0733
Total Policy Premium: 861.00
Irop. Loc: 218 RAILWAY AVE-CAMPBELL-CA 95008
Ded.Clause 1: 1,000
.oan 1):
,overage Coverage Amt Coverage Coverage Amt
)welling 497,300 Other Structures 49,730
'ersonal Property 372,980 Loss of Use Act. Loss
.iability 300,000 Med Pay 1,000
iwellingReplacement Cost Yes Pewin Pgeq-Rpa2wl0sl Yes
'IRSt Id: 42404-I135-14916644-691704896
FIRST CLASS MAIL
LexisNexis/First ELECTRONIC SERVICE REQUESTED PRESORTED
PO BOX 170910 U.S. POSTAGE
Milwaukee, WI 53217-4504 PAID
t ' LEXISNEXIS
December 21, 2022 vilif
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2628469-14916844-1-M 22263 B1 81
THE CITY OF CAMPBELL ITS OFFCS AND EMPLS THE INSR WAIVES RIG
70 N 1ST ST
CAMPBELL CA 95008-1458
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