HomeMy WebLinkAbout066-420-019 Camp Fire Septic Inspection ReportPOLICY NUMBER
POLICY PERIOD: From:
Named Insured and Address:
Issue Date:
AG 465
The insurance afforded is only with respect to the following coverage as are indicated by specific premium charges.
The limit of the company's liability against each such coverage shall be as stated herein, subject to all of the terms of this policy.
County:
To:
egis Group
12:01 A.M. at the address of the named insured as stated herein.
AEGIS SECURITY INSURANCE COMPANY
POLICY DECLARATIONS
Agent:
Countersignature/Authorized Signature
A STOCK COMPANY
COUNTER SIGNATURE NOT REQUIRED
2100372039
DIRECT BILL
MANUFACTURED HOME PAGE: 1
NEW POLICY
8/18/2018 8/18/2019
7 BUTTE 2001 478120 (530) 872-0111
GARY L NELSON 4037-NEVIN & WITT INSURANCE PARADIS
6742 INDIAN DR LOCATION
MAGALIA CA 95954 1600 MANGROVE AVE 195
CHICO CA 95926
LOCATION: SAME AS INSURED
UNT YR LN/WD MAKE/MODEL SERIAL NBR TER TYP USE P/S PR PC
001 1982 60X24 BAYSHORE RH3729A/B 001 X P S P 8
COVERAGE PROVIDED WHERE PREMIUM OR LIMIT OF LIABILITY SHOWN FOR THE COVERAGE:
| - - - - - - - - - SECTION I - - - - - - - - -|- - - - - SECTION II - - - - - |
A.MANUFCTRD B.UNATTCH C.PERSONAL D.ADDITIONAL E. PERSONAL F. MEDICAL PAYMENTS
HOME STRUCTURES PROPERTY LIVING EXP LIABILITY PER PERSN PER OCCUR
--------- ---------- -------- ---------- --------- --------- ---------
117,000 25,000 50,000 23,400 300,000 1,000 25,000
FOR LOSS UNDER SECTION I, WE COVER ONLY THAT PART OF LOSS OVER THE DEDUCTIBLE
STATED: $500 LOSS DEDUCTIBLE
SUMMARY OF PREMIUM (MINIMUM EARNED PREMIUM: $50)
BASIC PREMIUM $939 TOTAL PREMIUM $1024.00
ADDITIONAL PREMIUM $85 POLICY FEE $35.00
TOTAL PREMIUM $1024 TOTAL POLICY $1059.00
POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, ENDORSEMENTS AND FORMS:
FORM NO EDITION DESCRIPTION LIMITS PREMIUM
ACA1 4/01 MANUF HOME POLICY
MH REPLACE COST PLUS $25
REPLACEMENT COST-PP $10000 $30
OPEN PERIL COVERAGE
PROT DEVICE CREDIT $5CR
SUPPLEMENTAL HEAT SC $35
ACA12 7/01 PRIVACY NOTICE
ACA142 8/02 MOLD EXCLUSION
ACA9 4/01 WORKRS COMP EMP LIAB
CA BILL RT 3/14 CAL BILL OF RIGHTS
** FRAUD WARNING: FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING
TO APPEAR ON THIS FORM: ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR
FRAUDULENT CLAIM FOR THE PAYMENT OF A LOSS IS GUILTY OF A CRIME AND MAY BE
SUBJECT TO FINES AND CONFINEMENT IN STATE PRISON.
** THIS POLICY DOES NOT PROVIDE COVERAGE FOR DAMAGE CAUSED BY EARTHQUAKE. **
** THIS POLICY DOES NOT PROVIDE COVERAGE FOR DAMAGE CAUSED BY FLOOD. **
CONTINUED
01/14/19
INSURED COPY
CA
POLICY NUMBER
POLICY PERIOD: From:
Named Insured and Address:
Issue Date:
AG 465
The insurance afforded is only with respect to the following coverage as are indicated by specific premium charges.
The limit of the company's liability against each such coverage shall be as stated herein, subject to all of the terms of this policy.
County:
To:
egis Group
12:01 A.M. at the address of the named insured as stated herein.
AEGIS SECURITY INSURANCE COMPANY
POLICY DECLARATIONS
Agent:
Countersignature/Authorized Signature
A STOCK COMPANY
COUNTER SIGNATURE NOT REQUIRED
2100372039
DIRECT BILL
MANUFACTURED HOME PAGE: 2
NEW POLICY
8/18/2018 8/18/2019
7 BUTTE 2001 478120 (530) 872-0111
GARY L NELSON 4037-NEVIN & WITT INSURANCE PARADIS
6742 INDIAN DR LOCATION
MAGALIA CA 95954 1600 MANGROVE AVE 195
CHICO CA 95926
LIENHOLDER(S): LOAN NR: 0615852951
001 NATIONSTAR MTG LLC ISAOA
P O BOX 7729
SPRINGFIELD OH 45501
END OF DECLARATIONS
01/14/19
INSURED COPY
CA
NELSON GARY
355 E. WALNUT ST.
WILLOWS, CA 95988
CAMP FIRE GOVERNMENT SPONSORED
FIRE DEBRIS REMOVAL PROGRAM
COMPLETION OF PROPERTY CLEANUP
ADDRESS: 6742 INDIAN DR, MAGALIA, CA 95954
APN: 066-420-019
CASE #: EHDR19-12460
Date: 6/12/2023
Thank you for participating in the Government Sponsored Debris Removal Program administered by the
California Office of Emergency Services (CalOES), CalRecycle and Butte County and the Town of Paradise.
At this point, your property is cleared for you to initiate rebuilding efforts. The appropriate town or
county building department will be notified of this clearance so that building permits may be issued.
To protect your property and the environment, erosion control Best Management Practices (BMPs), if
applicable, should remain/or be in place on your property until new construction is completed. BMPs
are protective measures that stabilize disturbed areas to minimize erosion, prevent site runoff pollution,
and protect our water resources.
Sincerely,
Butte County Department of Public Health,
Environmental Health Division