218 Railway Ave -LexisNixsLexisNexis/FIRSt
PO Box 170910
Milwaukee, WI 53217-4504
IMPORTANT:
INSURANCE COVERAGE NOTIFICATION(S)
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2673529-14916844-3-M 07734 11 S1 20
THE CITY OF CAMPBELL ITS OFFCS AND EMPLS THE INSR WAIVES RIG
70 N 1ST ST
CAMPBELL CA 95008-1458
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Total Property Notifications with this document: 2 March 15, 2023
LexisNexis is not the Insurance Company. Do not
send premium payments to LexisNexis/FIRSt.
- 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 otherwise shown in the item detail provided.
- Premium Bill and Renewal Bill items require action on the part
of the Loss Payee/Mortgagee listed.
- Financial institutions can request electronic notices at
FIRStTrackersClexisnexisrisk.com. Notices cannot be sent to
personal email accounts.
- This Insurance notice is sent to you as the Loss
Payee/Mortgagee/Additional Interested Party on behalf of the
carrier listed.
Notifications may print on back of page and on subsequent pages.
Policy: H3726123018560 REASON: Cancellation: Customer Initiated Carrier: LIBERTY INSURANCE CO
Insured: BIRHANEMESKEL YONAS HINTSA SABA -218 RAILWAY AVE-CAMPBELL-CA-95008 Pol. Type: Homeowners
Mortgagee/Add.Party: THE CITY OF CAMPBELL ITS OFFCS AND EMPILS THE NSR WAIVES RIGHT OF SUBR AGAINST -70 NORTH FIRST STREET-CAMPBELL-CA-950M Eff. Dte: 12/21/2022 12:01 AM ST
Insurance: LIBERTY MUTUAL-175 BERKELEY STREET-BOSTON-MA-02116 Pol. From: 02/08/2022 Pol. To: 02/08/2023
Producer: CUSTOMER RESPONSE CENTER 800.409.0733 Total Policy Premium: 691.00
Prop. Loc: 218 RAILWAY AVE-CAMPBELL-CA 95008
Ded.Clause 1:1,000
Loan #:
Coverage
Coverage Amt
Coverage
Coverage Amt
Dwelling
442,400
Other Structures
44,240
Personal Property
331,800
Loss of Use
Act. Loss This is not an Invoice/Bill
Liability
300,000
Med Pay
1,000
Dwelling Replacement Cost
Yes
Personal Property - Replacement Cost
Yes
FIRSt Id: 42404-I135-14916844-702626794
Policy: H3726123018560 REASON: Cancellation: Customer Initiated Carrier: LIBERTY INSURANCE CO
Insured: BIRHANEMESKEL YONAS HINTSA SABA -218 RAILWAY AVE-CAMPBELL-CA-95008 Pol. Type: Homeowners
Mortgagee/Add.Party: THE CITY OF CAMPBELL ITS OFFCS AND EMPLS THE INSR WAIVES RIGHT OF SUBR AGAINST .70 NORTH FIRST STREET-CAMPBELL-CA-9500B Eff. Dte:02/08/202312:01 AM ST
Insurance: LIBERTY MUTUAL-175 BERKELEY STREET-BOSTON-MA-02116 Pol. From: 02/08/2023 Pol. To: 02/08/2024
Producer: CUSTOMER RESPONSE CENTER 800.409.0733 Total Policy Premium: 861.00
Prop. Loc: 218 RAILWAY AVE-CAMPBELL-CA 95008
Loan #:
Coverage Coverage Amt
Dwelling 497,300
Personal Property 372,980
Liability 300,000
Dwelling Replacement Cost Yes
FIRSt Id: 42404-1135-14916844-702626795
Coverage
Other Structures
Loss of Use
Mod Pay
Personal Property - Replacement Cost
Ded.Clause 1: 1,000
Coverage Amt
49,730
Act. Loss This is not an Invoice/Bill
1,000
Yes
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