HomeMy WebLinkAboutInsurance Cert Matthis 2019Barry V Hasson
7721 Aurora Ave N
Seattle WA 98103
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STUART S MATTHIS
AND ANGELA A GOSSWILLER
28728 GREEN RIVER RD
KENT WA 98030-8300
Dear Customer:
Q)Allstate.
You're in good hands.
Information as of April 26, 2019
Policyholder(s) Page 1 of 1
Stuart S Matthis and Angela A
Gosswiller
Policy number
987 647 793
Your Allstate agency is
Barry V Hasson
(206) 782-5191
BarryHasson@allstate.com
Thank you for choosing Allstate to help protect what's important to you. We're glad to have you with us.
We're sorry. We made a mistake.
We inadvertently listed the Additional Insureds Endorsement (form AU267) in the "Your policy documents"
section of your Renters Policy Declarations.
To correct this error, we have enclosed an Amended Policy Declarations that no longer lists this document. Also,
we'd like to assure you that your premium was not affected in any way by this issue.
Have questions? Please contact us.
If you have any questions regarding the information in this letter or your insurance coverage in general, please
feel free to contact your Allstate Agent or representative.
Thank you again for choosing Allstate. We appreciate your business.
Sincerely,
Customer Service Department
S4CW
B2077
Amended Renters Policy Declarations
Page 1 of 3
Your policy effective date is May 19, 2019
Total Premium for the Premium Period (Your bill will be mailed separately)
Premium for property insured $278.49
Total d $2 8.4®
Your bill will be mailed separately. Before making a payment, please refer to your
latest bill, which includes payment options and installment fee information. If you do
not pay in full, you will be charged an installment fee(s). If you do not pay your bill by
the due date shown on your billing statement, you may be charged a late fee.
Location of property insured
28728 Green River Rd, Kent, WA 98030-8300
Information as of April 26, 2019
Summary
Named Insured(s)
Stuart S Matthis and Angela A
Gosswiller
Mailing address
28728 Green River Rd
Kent WA 98030-8300
Policy number
987 64�7 793
Your policy provided by
Allstate Indemnity Company
Rating Information
Policy period
Begins on May 19, 2019 at 12:01 A.M.
The dwelling is occupied by 1 family
standard time, with no fixed date of
expiration
Additional Interested Party:
y
Premium period
Beginning May 19, 2019 through May 19,
City of Auburn
2020 at 12:01 A.M. standard time
25 W Main Street, Auburn, WA 98001-4916
Your policy change is effective May 19,
2019
Your Allstate agency is
Barry V Hasson
7721 Aurora Ave N
Seattle WA 98103
(206) 782-5191
BarryHasson@allstate.com
Some or all of the information on your
Policy Declarations is used in the rating
of your policy or it could affect your
eligibility for certain coverages. Please
notify us immediately if you believe
that any information on your Policy
Declarations is incorrect. We will make
corrections once you have notified us,
and any resulting rate adjustments, will
be made only for the current policy
period or for future policy periods.
Please also notify us immediately if you
believe any coverages are not listed or
are inaccurately listed.
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Amended Renters Policy Declarations
Policy number: 1987 647 793 Page
Policy effective date: May 19, 2019 2 of 3
You're in good hands.
Coverage detail for the property insured
Coverage Limits of Liability Applicable Deductible(s)
Personal Property Protection - $37,000 • $500 All peril
Reimbursement Provision
Additional Living Expense
Up to 12 months
Family Liability Protection
$500,000 each occurrence
Guest Medical Protection
$5,000 each person
► Other Coverages Not Purchased.
• Business Property Protection*
• Extended Coverage on Musical
• Increased Coverage on Building
• Business Pursuits*
Instruments*
Improvements*
• Cellular Communication System*
• Extended Coverage on Sports
• Increased Coverage on Money*
• Electronic Data Processing
Equipment*
• Increased Coverage on Securities"
Equipment*
• Fire Department Charges*
• Increased Silverware Theft Limit*
• Extended Coverage on Cameras*
• Home Day Care*
• Lock Replacement*
• Extended Coverage on Jewelry,
• Incidental Office, Private
• Waterbed Liability*
Watches and Furs*
School Or Studio*
* This coverage can provide you with valuable protection. To help you stay current with
your insurance needs, contact your agent to discuss available coverage options and
other products and services that can help protect you.
Scheduled Personal Property Coverage
Your policy does not include Scheduled Personal Property Coverage. This coverage can provide you with valuable protection. To
help you stay current with your insurance needs, contact your agent to discuss available coverage options and other products and
services that can help protect you.
Your policy documents
Your Renters policy consists of the Policy Declarations and the following documents. Please keep them together.
• Renters Policy - AP1033-1 • Washington Amendatory Endorsement - AP4905
• Amendment of Policy Provisions - AP4710 • Washington Amendatory Endorsement - AU14884
• Additional Insured - Non -Relative -Personal Property
Protection -Coverage C, Family Liability Protection -Coverage
X and Guest Medical Protection -Coverage Y - AVP436
Important payment and coverage information
Here is some additional, helpful information related to your coverage and paying your bill:
► A $10.00 late fee may be assessed if payment is received after the due date.
► The Property Insurance Adjustment condition applies using the Marshall Swift Boeckh publications personal property cost
estimating index.
(continued)
B2077 } 4
Amended Renters Policy Declarations
Policy number: 987 647 793
Policy effective date: May 19, 2019
Page 3 of 3
Important payment and coverage information (continued)
Please note: This is not a request for payment. Any adjustments to your premium will be reflected on your next scheduled
bill which will be mailed separately.
In the meantime, if you have any outstanding or unpaid bills, please pay at least the minimum amount due to assure your
policy continues in force. If you have any questions, please contact your agent.
Allstate Indemnity Company's Secretary and President have signed this policy with legal authority at Northbrook, Illinois.
Julie Parsons
President
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Susan L. Lees
Secretary
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