Renters Insurance Supplement

Policyholder: ___________________________________________   	 Policy Number: _______________________ 

Address: ______________________________________________    	 Effective Date:  _______________________

As we review your Renters Insurance, there are areas of concern that we should review.  Please take a moment to review each item carefully and initial your intentions. 

EMERGENCY CONTACT						
There is a good chance that a loss like a fire, burglary or water damage will occur when you are NOT home. Please provide us with the name and phone number of an Emergency Contact Person for your family:
Name ____________________________	Phone #:___________________	Relation: _______________

AUTO COORDINATION                                                                                         ___  Desire Coverage/Info ___ Decline
In the event of a loss to your vehicle, we might be in a position where we have to coordinate benefits with your Auto Insurance Company. Please list the name of your current carrier if it is not with our agency. Keep in mind that you save 15% on Auto Insurance when you bundle your Auto and Renters, let us quote you today!

RENT PROTECTION		               		                                      ___  Desire Coverage/Info ___ Decline
Your Renter’s Policy only provides protection for Property and Liability losses. There is NO COVERAGE TO PAY YOUR RENT OR EXPENSES in the event of your death or illness.  WE STRONGLY RECOMMEND YOU ADD EXPENSE PAYOFF or RENT PAYMENT PROTECTION.  

PERSONAL ARTICLES					   	          ___  Desire Coverage/Info   ___ Decline
Your Renter’s Policy only provides some coverage for your valuable possessions, but with deductibles and limitations. A Personal Articles Policy can provide the additional coverage for items such as Jewelry, Furs, Cameras, Musical Instruments, Goldware/Silverware, Golf Equipment, Fine Arts, Collectibles, Sports Equipment, Computer Equipment, etc.

PERSONAL LIABILITY UMBRELLA			                                    ___  Desire Coverage/Info   ___ Decline
Even though your underlying policies provide substantial liability limits, it is not uncommon lawsuits to award damages beyond those limits if you accidentally injure someone or damage property. A Personal Liability Umbrella provides coverage in increments of $1 million to provide additional personal liability protection for your family.

BUSINESS IN THE HOME					                       ___  Desire Coverage/Info   ___ Decline
At a very affordable price, individuals who run a business from their home can get additional coverage to better protect their Business Property, Business Liability, Loss of Income and Business Records.  

IDENTITY THEFT RESTORATION					          ___  Desire Coverage/Info   ___ Decline
Identity fraud victims often have to spend their own money and a considerable amount of time to clear their credit history and financial records. Identity Restoration Coverage is available for only $25 to help you if you fall victim to identity fraud. 

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Signature of Insured  1 	 			Date		Signature of Insured 2		               Date 

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Signature of Agent	 			Date