Logitix Insurance Services

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Name

First

Last

Rental Address

Mailing Address

Phone Number

Email to Address

Coverage Amount

$5,000 – $95000

Liability Amount

$100,000-$500,000

Deductible

$250
$500
$1,000

Identity Theft Coverage pays up to $5,000 for expenses incurred by you as a direct result of identity fraud. Would you like to add this protection for only $1 per month?

Water Backup Coverage: Water Backup Coverage pays for damage to your personal property as a result of water that backs up through sewers or drains. Would you like to add this prote4ction for only $1 per month?

Additional Renters on Policy: Names of Spouse or roommates over the age of 18 who will be covered by the policy. Roommates must be listed on the lease/rental agreement.

please enter any additional name you will like to include on this quote for service.