Progressive Home Advantage

Issued by HOMESITE INSURANCE COMPANY OF NEW

Evidence of Insurance For Policy
YORK
P.O. Box 5300 Number 38288729
Binghamton, NY 13902-9953 This policy covers the listed location(s) from:
12:01 AM July 16, 2021 through
Tel. (866) 960-8609 Fax (877) 273-2984
12:01 AM July 16, 2022 (local time)
Insured Name and Mailing Address:
SANJAY KHANDELWAL Send payment to:
PRIYA KHANDELWAL PO Box 414356
1365 VAN ANTWERP RD Boston, MA 02241-4356
APT J103
SCHENECTADY, NY 12309-

Insured Location
1365 VAN ANTWERP RD APT J103 SCHENECTADY NY 12309-

Deductible: $500

Coverage Limit
Section I - Property
C. Personal Property $15,000
D. Loss of Use $3,000

Section II - Liability
E. Personal Liability $100,000
F. Medical Payments to Others $1,000
Total Policy Premium $156.00

Total Amount Due $104.22

Total Amount Paid *$51.78

*Please note that installment fees are not included in these totals and vary by payment plan option.

Notes:
H04 – Renters
All information and representations herein are subject to the policy terms and conditions. Coverage is
contingent upon receipt of the initial payment of premium prior to the effective date of the policy.

Authorized Representative Date September 23, 2021

This evidence of property insurance is issued as a matter of information only and confers no
rights upon the certificate holder. This evidence of property insurance does not amend,
extend or alter the coverage afforded by the policy above.

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