Alarm Monitoring Certificate

For Eligible Homeowner’s Insurance Savings

The security system currently installed in your residence may entitle you to savings on your
homeowner’s insurance. You should check with your insurance agent or broker to determine if
you are eligible.

Date Monitoring Services Started: 11/16/2020

Name: COHEN, GARY

Address: 1232 THE SUMMIT TRL

City: EDWARDS State: CO ZIP: 816326384 Tel: 561-445-5098

The customer above, is being provided Central Station Signal Receiving and Notification
Service, seven days a week, 24 hours a day, by a U.L. Listed Alarm Service Center for the
service(s) checked below:

X Burglar Alarm X Fire Alarm X Cellular Communicator

Services in addition to those indicated above may also be provided, please refer to the
customer contract for details.

If you have any questions regarding the monitoring services provided, contact ADT at
800.ADT.ASAP® (800.238.2727).

07/07/2023

Jamie Haenggi, Chief Customer Officer Date Requested

©2019 ADT LLC dba ADT Security Services. All rights reserved. (06/19)