Make Payment: NCIP1665528-2024

1665528 NCIP1665528-2024 0 P1665528 NCIP1665528-2024 NEW Payment
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Due Diligence

No diligent effort is required on your part.



New Policy

 
 
  • Before this policy will become effective, it must be paid for. You may pay immediately using online payment by check.
  • You may use your Producer checking account, or you may enter the clients checking information.
  • After this initial payment has been made, future payments can be made by regular paper check sent in the mail.
  • Please fill out all the required fields for the check and hit "Submit Payment"

    New Business

    For coverage to become effective immediately, you must pay for this policy online. The inception date of coverage may not predate payment of premium.

    You must provide the insured with their original copy of the policy documents, i.e. any declarations pages and any terms and conditions pages that apply must be printed by you or e-mailed by you to the insured and any party of interest such as a mortgagee; we will not be furnishing the insured with any policy documents.

    After the policy has been paid for, you may print or e-mail the policy documents by utilizing the Adobe PDF icons found at the bottom of the policy screen on this web site. To print, simply click the appropriate icon and print to your local printer. To e-mail simply right-click on the appropriate icon to view the available transfer options on your system.

Policy Inception / Effective Dates

Requested Inception Date: 7/19/2024

Valid future date

Estimated Effective Date: 7/19/2024

Effective date will be requested inception date.

Insurable Values

(a) Dwelling Value: $150,000.00

(b) Apr. Structures: $0.00

(c) Personal Property: $25,000.00

(d) Additional Living: $0.00

(e) Increased Cost/Mat: $0.00

Total Primary Limit*: $175,000.00

 * per occurrence combined in the aggregate annually

Policy Costs

Premium: $433.13

Policy Fee: $100.00

Stamping Fee: $0.00

State Tax: $21.33

Other Required Fee: $0.00

 

Total Cost: $554.46

How will you make payment?

Check type not available? Click here for more info.

The following types of accounts do not allow this type of electronic payment (ACH):

  • Title company
  • Mortgagee
  • Line of credit
  • Equity

If you are unable to pay with the options provided, you can mail us a check to the following address:

3785 South 700 East
Salt Lake City, Utah
84106

Confirm Payment

I attest that I represent the named organization or individual, (herein after referred to as PAYOR) and as such have been authorized to submit this check as payment for a Natural Catastrophe Insurance Policy. I attest that the PAYOR has authorized PaySimple to either electronically debit or draft the named Account Number at the named bank Routing Number for the above amount.

I also attest that PAYOR has been informed and agrees that in the event this payment is returned unpaid for “NFS or Insufficient Funds”, the original amount plus a return item fee of $25.00 or the maximum amount allowed by law may be electronically debited from the above named account.

I attest that I represent the named organization or individual, (herein after referred to as PAYOR) and as such have been authorized to submit this credit card payment for a Natural Catastrophe Insurance Policy. I attest that the PAYOR has authorized PaySimple to electronically debit the given Credit Card number for the above amount.

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Payment Success

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Please write down the Confirmation Number for your records.

The Producer of record should receive an email shortly providing receipt of payment. You may also find policy documents on the website under the specific policy summary page.

As state law requires; the producer of record will receive an email requesting completion of Surplus Lines Due Diligence or similar Affidavit documents. Please complete these documents timely to avoid policy cancellation.

 
 
 
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