Common Contracts

Agreement Number:

The Agreement • May 26th, 2021

• Contract Type
  The Agreement
• Filed
  May 26th, 2021

AGREEMENT HOLDER INFORMATION NAME PHONE ADDRESS (Complete only if Agreement Holder’s mailing address is different from the Covered Property Address) CITY STATE ZIP COVERED PROPERTY ADDRESS ADDRESS CITY STATE ZIP AGREEMENT INFORMATION AGREEMENT TERM IN MONTHS AGREEMENT PURCHASE DATE AGREEMENT EFFECTIVE DATE AGREEMENT RENEWAL DATE (if □ Monthly (Month-Month) applicable) □ 12 month □ 36 month AGREEMENT EXPIRATION DATE SERVICE CALL FEE AGREEMENT PURCHASE PRICE $75 COVERAGE SELECTED Coverage Options: SILVER COVERAGE  GOLD COVERAGE  PLATINUM COVERAGE Clothes Washer/Dryer  Everything covered in the  Everything covered in the Kitchen Refrigerator – SILVER Coverage Package, GOLD Coverage Packages excluding icemaker PLUS: PLUS: Oven/Range/Cooktop  Thermostat  Built-In Microwave Dishwasher  Ductwork  Icemaker - In Refrigerator Garbage Disposal  Water Heater Garage Door Opener  Air Conditioning/Cooler Heating Systems or Built-In Wall Unit Refrigerant Interior El