EVIDENCE OF INSURANCE

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Coverage afforded by the policy is provided by the ALLSTATE INSURANCE COMPANY ,

NORTHBROOK, ILLINOIS
Number : 027778148
First Mortgagee Loan Number : 000601019

Insured's name, mailing address and zip code:

BRADLEY R &ELIZABETH K MUIRBROOK
6 FAWNRIDGE PLACE
ALISO VIEJO
St. : CA Zip Code : 92656
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Location of Premises (If different than shown above):
SAME
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MORTGAGEE/THIRD PARTY INFORMATION

FIRST MORTGAGEE
Name : AMERICAN PACIFIC MORTGAGE
CORP ITS SUCCESSORS &/OR
ASSIGNS
Address : 3000 LAVA RIDGE S200
City : ROSEVILLE St. : CA Zip Code : 95661
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The POLICY PERIOD will begin on The POLICY PERIOD and PREMIUM
the date shown and will continue PERIOD will begin at 12:01 a.m. Standard
with no fixed date of expiration. The Time on 04/03/2017 to 04/03/2018
PREMIUM PERIOD will be Annual
and begins on the same date shown.
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Insurance is provided as follows:
POLICY TYPE - DELUXE PLUS HOMEOWNERS

Policy Limit of Liability

Section I Dwelling Protection
$900000

Section I Optional/Increased Coverages

Building Structure Reimbursement Extended Limits INCL
(Dwelling & Other Structures)
Total Annual Policy Premium $2445.00

Extended Replacement Cost on Dwelling

Personal Property Reimbursement
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Deductibles
$250 Loss Assessments
$1000 to loss to the covered property from all other peril
$1000 Wildfire
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Number : 027778148
Provisions:
This Evidence of Insurance is issued as a matter of information only and confers no rights upon the
additional interest named in this document. This Evidence of Insurance does not amend, extend or
alter the coverage afforded by the policy above. This form is not the contract of insurance. The

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 EVIDENCE OF INSURANCE
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provisions of the policy shall prevail in all respects.

All premiums for the insurance policy shall be computed in accordance with Allstate's rules, forms,
premiums and minimum premiums applicable to the insurance afforded which are in effect at the
inception of the insurance and upon each anniversary thereof, including the date of interim changes.
It is understood that if this insurance protection terminates for any reason, due notice will be given to
the insured, to the mortgagee, and to all other interested parties in accordance with the standard
mortgagee clause.
A copy of the Policy Declarations reflecting the annual premium will be sent, if required, to the
mortgagee and to any other interested parties.
Date : 11/15/2017
Countersigned at:
Laguna Beach
Authorized Agent : Gary Jolliff
1475 Glenneyre St
Laguna Beach St. : CA Zip Code : 92651
949/497-1861
949/497-5687
Agent Signature : ______________________________________

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