513 2ND AVE N-Cert. of Ins.pdf6N(a0010
PEMCO MUTUAL INSURANCE COMPANY
PO BOX 778
SEATTLE WA 98111-0778
FORWARDING SERVICE REQUESTED
MORTGAGEE NOTIFICATION
0329140038-EDS02140038=001722:001722.111
CITY OF EDMONDS ENGINEERING
DIVISION
121 5TH AVE N
EDMONDS WA 98020-3145
THIS NOTIFICATION IS NOT AN INVOICE
RECEIVED
�`mNPN,`-�.RING DIMON
INTERESTED IN RECEIVING NOTICES
ELECTRONICALLY AT NO COST?
CONTACT INCS.OPS@HPE.COM
PAGE
POLICY NO: HO 1101296 INTERESTED PARTY NOTIFICATION 03/28/2017
HOMEOWNER POLICY
POLICY EFFECTIVE DATE: 04/30/2017 INSURER: PEMCO MUTUAL INSURANCE COMPANY
POLICY EXPIRATION DATE: 04/30/2018
POLICY CHANGE EFFECTIVE AS OF 04/30/2017 LOAN NO:
INTERESTED CITY OF EDMONDS ENGINEERING
INSURED: MADATH FRANCOIS PARTY: DIVISION
PROPERTY: 513 2N6 AVE N 121 5TH AVE N
EDMONDS WA 98020-3106 EDMONDS WA 98020-3145
TOTAL PREMIUM 1 1,164.49 AGENCY: 00010100
DEDUCTIBLE 1 000.00 S. H. MILLER
DWELLING COVERAGE LIMIT $ 600,360 1300 DEXTER AVE N
OTHER STRUCTURES COVERAGE LIMIT $ 60,036 SEATTLE WA 98109
POLICY NO: HO 1101296 INTERESTED PARTY NOTIFICATION 03/28/2017
HOMEOWNER POLICY
POLICY EFFECTIVE DATE: 04/30/2016 INSURER: PEMCO MUTUAL INSURANCE COMPANY
POLICY EXPIRATION DATE: 04/30/2017
POLICY CHANGE EFFECTIVE AS OF 03/28/2017 LOAN NO:
INTERESTED CITY OF EDMONDS ENGINEERING
INSURED: MADATH FRANCOIS PARTY: DIVISION
PROPERTY: 513 2N6 AVE N 121 5TH AVE N
EDMONDS WA 98020-3106 EDMONDS WA 98020-3145
TOTAL PREMIUM $ 1,144.25 AGENCY: 00010100
DEDUCTIBLE $ 1 000.00 S. H. MILLER
DWELLING COVERAGE LIMIT $ 587,437 1300 DEXTER AVE N
OTHER STRUCTURES COVERAGE LIMIT $ 58,743 SEATTLE WA 98109
Correspondence or inquiries directed to the insurer must include a copy of this notification.
I