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.375” from right edge.
.375” from the top fold.
#10 OE (4.125” h x 9.5”)
Ink: 1/1 K, with PMS Cool
Grey 11U @ 60% Tint
X4643_Accordion_#10_OE
PRSRT STD
U.S. POSTAGE
PAID
MAILED FROM
ZIP CODE XXXXX
PERMIT NO. XXXX
Partner Logo
Information Enclosed
Response Requested
<<MR. SAMPLE A SAMPLE>>
<<MAIL_ADDRESS1_XXXXXXX>>
<<MAIL_ADDRESS2_XXXXXXX>>
<<MAIL_CITY, ST ZIP>>
X4643_Accordion_#10_OE.indd 1
X4643_Accordion_#10_OE.indd 1 12/28/21 10:51 AM
12/28/21 10:51 AM
X4643_Accordion_#10_OE.indd 2
X4643_Accordion_#10_OE.indd 2 12/28/21 10:51 AM
12/28/21 10:51 AM
X4643_Accordian_#10_LTR
Partner Logo
Application Form
Phone: 	
E-mail: 	
Please correct name and address information below, if necessary, before submitting.
By providing my e-mail address, I request that I be e-mailed my current and future agreements and any related documents, and I acknowledge that I can access these
documents. I can change my preferences or request paper copies online or by calling HomeServe. The phone number and e-mail address provided below are good ways
to reach me.
WATER
SERVICE LINE
PROPERTY
BOUNDARY
SHUT-OFF VALVE
WATER MAIN
TYPICAL
HOMEOWNER’S
RESPONSIBILITY
Locate, excavate and repair leak
$490
Plan Members: No Charge‡
Replace water service line (26–100 ft.)
$2,661
Plan Members: No Charge‡
PLEASE ACCEPT WATER SERVICE LINE COVERAGE
HOMEOWNER COVERAGE INFORMATION
RE: EXTERIOR WATER SERVICE LINE
This illustration shows the exterior water service line that is your
responsibility as a homeowner. Also shown are repairs that are
commonly performed on this line and how much a licensed and
insured contractor would typically charge a homeowner for repairs.
Mailcode
<<Mailcode-xxxx>>
<<Sample A. Sample>> <<Serv_Address1_xxxxxxx>> <<Serv_Address2_xxxxxxx>> <<Serv_City, ST Zip>>
PLEASE REPLY BY
<<x/x/xxxx>>
WATER SERVICE LINE INFORMATION
<<Partner_Name>> customers
<<Serv_Address1_xxxxxxx>>
House Age: <<<<House_Age>> Years Old>> If AOR null: <<Unknown>>
<<Sample A. Sample_xxxxx>>
It is important that you review your homeowner responsibilities.
The exterior water service line located at <<Serv_Address1_xxxxxxx>> may break down at any time and is your
responsibility. With a coverage plan in place, you could save thousands of dollars if a replacement is needed.
The exterior line that brings fresh water to your home runs from your <<property boundary to your home>>—and it
belongs to you. Lines can deteriorate over time and yours may be as old as when your home was built in <<Yr_built>>.
Pipe materials used at that time deteriorate at different rates as they age.
Pipes weaken due to ground shifting, corrosion, and temperature conditions, which can cause them to crack and burst.
Damage due to normal wear and tear is typically not covered by basic homeowners insurance. Understanding that you
are responsible for repair and replacement costs is important in the event of line failure.
Water line breakdowns can be expensive and costs thousands to replace.
The average cost to replace a water service line is $2,661.†
Estimated costs to excavate and locate a leak are $490.†
With
protection you will pay nothing for covered repairs up to the benefit amount. <<Partner_Name>> wants to help you
understand your water line responsibility when it comes to a water service <<or well>> line breakdown, and that’s why
<<Partner_Name>> has partnered with HomeServe to offer optional <<Product_Name>> to eligible homeowners.
You will have up to $X,XXX <<annually with multiple service calls/per service call with multiple calls annually>> for
covered repairs for only $X.XX per month with protection from HomeServe (30-day waiting period includes a money-
back guarantee). Coverage includes repairing all types of pipe materials, regardless of age. Just one call saves you the
hassle of locating a licensed and insured plumber that can take hours.
†
Estimate based on national average repair costs, June 2020.
<<Disclosure>>
	 <<The service line beyond the [property boundary] may
	 be an additional responsibility of the homeowner but it
	 is not included in this coverage>>.
‡ 
National average repair costs as of June 2020. No
charge for covered repairs up to your annual/service
call benefit amount.
Promo Code: Promo_Code
CM NOTE: If URL will be turned Off/On, please
use this alternative to the yellow option:
Promo Code: Promo_Code
Payment Schedule:	 M_PR per month	 Q_PR per quarter	 A_PR per year
I authorize HomeServe to use account information from the enclosed check to make electronic fund transfers to automatically initiate debits to my bank account at
the frequency and in the amounts specified in the Payment Schedule, plus any applicable taxes, in connection with my payments for Product_Name. I
understand the enclosed check itself will not be deposited but rather used for account information. I understand that, regardless of the payment frequency I select,
my optional coverage is based on an annual contract and will be automatically renewed annually on the same payment terms I selected at the then-current renewal
price (currently $X.XX per month, plus any applicable taxes). I have the option to cancel this contract at any time without additional cost to me by calling
1-XXX-XXX-XXXX. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet
the eligibility requirements for this coverage.
Prices include applicable state tax. Additional local tax may apply.
E-Z PAY (see back of letter)
Signature (required)
customer_no
CM NOTE: Please add the following
copy IF you are mailing to a tax state
and add after “…at the frequency
specified.”:
HomeServe will only notify me if any change
in taxes causes the charged/debited amount
to vary more than ten percent.
fold
fold
17.5”
long
folds
at
2.75”
folds
at
2.75”
folds
at
3.25”
folds
at
3.25”
Fold 3 - Down
Fold 2 - Down
Fold 1 - Up
folds
at
3.75”
folds
at
1.75”
8.5”
Flat size: 8.5” x 17.5”
Finished Size: 8.5” x 3.75”
Fold: Accordion Folds, refer to artwork
Color: 2/1 ; K, 30 Y / K
Finishing: 1 horiz blind perf line + fold to final size
Blind perf Blind perf
FPO
X4643_Accordion_#10_LTR.indd 1
X4643_Accordion_#10_LTR.indd 1 12/28/21 10:53 AM
12/28/21 10:53 AM
X4643_Accordian_#10_LTR
Important Questions  Answers
All Pipe Materials Covered
What am I responsible for?
As a homeowner, you are responsible for the exterior water
and sewer/septic service lines on your property. In some
towns, the service lines beyond the property boundary to
the main connection may remain the homeowner’s
responsibility, but are not included in this coverage.
Does this coverage include well lines?
Yes, coverage provides for repair or replacement of the
water service line on your property regardless of whether
you are connected to a city water main or private well.
Doesmyhomeownersinsuranceorlocalutilitycompany
cover this?
Most basic homeowners insurance policies and local utility
companies do not cover repair or replacement of the water
or sewer/septic service lines.
Who is eligible for coverage?
A residential homeowner with sole responsibility for the
exterior water and sewer/septic service lines may be eligible
for coverage. Recreational vehicles and properties used for
commercial purposes are not eligible for coverage. If you live
in a development community with a condominium, co-op or
homeowners association, your exterior water and sewer/
septic service lines may not be an individual homeowner’s
responsibility, so please check with your association before
accepting this coverage.
What should I know about this coverage?
What’s covered: Coverage provides, up to the benefit amount,
for the covered cost to repair or replace a leaking or
permanently blocked exterior water or sewer/septic service
line damaged due to normal wear and tear, not accident or
negligence. Exterior Water Service Line - The water or well
service line supplying fresh water to your home from your
propertyboundarytotheexternalwallofyourhome.Exterior
Sewer/Septic Service Line - The line that takes wastewater
away from the external wall of your home up to either your
property boundary or the point of connection to the septic
tank on your property.
Not covered: Septic tanks, leaching fields, pumps, grinders
and damage or negligence caused by you or others.
Additionalexclusionsapply.ToseefullTermsandConditions
with complete coverage and exclusion details prior to
enrolling call 1-877-444-7750 or go to 7B_Website
When can I make a service call?
Your plan starts the day your form is processed, and there is
an initial 30-day waiting period before you can make a
service call, giving you 11 months of coverage during the first
year. This prevents service calls on pre-existing conditions
and helps keep the coverage affordable.
What is the cancellation policy?
You may cancel within 30 days of your start date for a full
refund; cancellations after the first 30 days will result in a
pro-rata refund less any claims paid (where applicable).
What is the term of my service agreement?
Your coverage is based on an annual contract. For E-Z Pay,
credit card or debit card customers: regardless of the
payment frequency you select, your service agreement will
be automatically renewed annually on the same payment
terms selected, at the then-current renewal price. Your
coverage will remain in effect unless you call to discontinue.
What is E-Z Pay?
E-Z Pay is a paperless and stress-free way to pay for your
coverage. Payments are automatically debited from the
bank/checking account of your choice as your payment
becomes due, at no additional cost.
What quality of repair can I expect?
Local, licensed and insured plumbers perform all covered
repairs, which are guaranteed against defects in materials
and workmanship for one year.
Who is HomeServe?
HomeServe is an independent company providing
emergency home repair services and protection solutions to
homeowners across the U.S. If you have questions about
this mailing or to be removed from our mailing list, call
1-855-321-9871.
All types of pipe materials
Mailcode
MatchbackID	Mailcode
The age of your original line that connects from your
property boundary to your home on Serv_Street_
Name is estimated to be House_Age years old,
based on when your home was built in Yr_built.
Coverage is not limited to type of pipe material, how long
you’ve owned your home, age of your home or age of your
exterior line.
If AOR null:
probably the same as
the age of your home.
Protection
is
available
for
eligible
Serv_City
homeowners.
Property
Address:
Serv_Address1_xxxxxxx
You
are
responsible
for
the
exterior
water
service
line
on
your
property.
Take
action
with
a
coverage
plan
today.
PLEASE COMPLETE AND RETURN THE APPLICATION FORM TODAY
Call toll-free 1-XXX-XXX-XXXX or Visit www.Website.com
Available Mon-Fri Xam-Xpm | Sat XXam-Xpm XXX
Card Number:
Exp. Date:
Please be sure to sign and date your check or money order in the
amount of A_PR, which includes applicable taxes, for
this coverage.
PLEASE MAKE PAYABLE TO HOMESERVE
I have enclosed my check or money order for my payment of A_PR, which
includes applicable taxes, for optional Product_Name_XXXXXXXXXXXXX.
I confirm that I am the homeowner and have read the information in this package,
understand there are limitations and exclusions, and meet the eligibility requirements
for this coverage.
I authorize HomeServe to charge my first and all future payments, plus any applicable
taxes, for Product_Name_XXXXXXXXXXXXX to my credit/debit card at the
frequency specified. I understand that, regardless of the payment frequency I select,
my optional coverage is based on an annual contract and will be automatically
renewed annually on the same payment terms I selected at the then-current renewal
price (currently $X.XX per month, plus any applicable taxes). I have the
option to cancel this contract at any time without additional cost to me by calling
1-XXX-XXX-XXXX. I confirm that I am the homeowner and have read the information
in this package, understand there are limitations and exclusions, and meet the eligibility
requirements for this coverage.
M_PR per month
Q_PR per quarter
A_PR per year
Prices include applicable state tax. Additional local tax may apply.
Signature (required)
Signature (required)
CREDIT/DEBIT CARD
ONE-TIME CHECK OR MONEY ORDER
CM NOTE: Please add the following
copy IF you are mailing to a tax state
and add after “…at the frequency
specified.”:
HomeServe will only notify me if any change
in taxes causes the charged/debited amount
to vary more than ten percent.
FPO
fold
fold
17.5”
long
folds
at
2.75”
folds
at
2.75”
folds
at
3.25”
folds
at
3.25”
folds
at
3.75”
folds
at
1.75”
8.5”
Blind perf Blind perf
.25”
.25”
.375”
.375”
Matchback ID Code:
10pt OCR A Extended
text box: 2.975” w, + clearance
.375” from Left trim
.375 from Bottom trim
.25” clearance right and top
magenta rule line and
measurements do not print
FYI - Finished
Front Panel
.5 x .5 FPO Box is placement area for a
2d barcode - so we keep plenty of white/
empty space around the barcode
FPO
X4643_Accordion_#10_LTR.indd 2
X4643_Accordion_#10_LTR.indd 2 12/28/21 10:53 AM
12/28/21 10:53 AM
X4643_Accordian_#10_LTR
Partner Logo
Application Form
Phone: 	
E-mail: 	
Please correct name and address information below, if necessary, before submitting.
By providing my e-mail address, I request that I be e-mailed my current and future agreements and any related documents, and I acknowledge that I can access these
documents. I can change my preferences or request paper copies online or by calling HomeServe. The phone number and e-mail address provided below are good ways
to reach me.
WATER
SERVICE LINE
PROPERTY
BOUNDARY
SHUT-OFF VALVE
WATER MAIN
TYPICAL
HOMEOWNER’S
RESPONSIBILITY
Locate, excavate and repair leak
$490
Plan Members: No Charge‡
Replace water service line (26–100 ft.)
$2,661
Plan Members: No Charge‡
PLEASE ACCEPT WATER SERVICE LINE COVERAGE
HOMEOWNER COVERAGE INFORMATION
RE: EXTERIOR WATER SERVICE LINE
This illustration shows the exterior water service line that is your
responsibility as a homeowner. Also shown are repairs that are
commonly performed on this line and how much a licensed and
insured contractor would typically charge a homeowner for repairs.
Mailcode
Mailcode-xxxx
Sample A. Sample Serv_Address1_xxxxxxx Serv_Address2_xxxxxxx Serv_City, ST Zip
PLEASE REPLY BY
x/x/xxxx
WATER SERVICE LINE INFORMATION
Partner_Name customers
Serv_Address1_xxxxxxx
House Age: House_Age Years Old If AOR null: Unknown
Sample A. Sample_xxxxx
It is important that you review your homeowner responsibilities.
The exterior water service line located at Serv_Address1_xxxxxxx may break down at any time and is your
responsibility. With a coverage plan in place, you could save thousands of dollars if a replacement is needed.
The exterior line that brings fresh water to your home runs from your property boundary to your home—and it
belongs to you. Lines can deteriorate over time and yours may be as old as when your home was built in Yr_built.
Pipe materials used at that time deteriorate at different rates as they age.
Pipes weaken due to ground shifting, corrosion, and temperature conditions, which can cause them to crack and burst.
Damage due to normal wear and tear is typically not covered by basic homeowners insurance. Understanding that you
are responsible for repair and replacement costs is important in the event of line failure.
Water line breakdowns can be expensive and costs thousands to replace.
The average cost to replace a water service line is $2,661.†
Estimated costs to excavate and locate a leak are $490.†
With
protection you will pay nothing for covered repairs up to the benefit amount. Partner_Name wants to help you
understand your water line responsibility when it comes to a water service or well line breakdown, and that’s why
Partner_Name has partnered with HomeServe to offer optional Product_Name to eligible homeowners.
You will have up to $X,XXX annually with multiple service calls/per service call with multiple calls annually for
covered repairs for only $X.XX per month with protection from HomeServe (30-day waiting period includes a money-
back guarantee). Coverage includes repairing all types of pipe materials, regardless of age. Just one call saves you the
hassle of locating a licensed and insured plumber that can take hours.
†
Estimate based on national average repair costs, June 2020.
Disclosure
	 The service line beyond the [property boundary] may
	 be an additional responsibility of the homeowner but it
	 is not included in this coverage.
‡ 
National average repair costs as of June 2020. No
charge for covered repairs up to your annual/service
call benefit amount.
Promo Code: Promo_Code
CM NOTE: If URL will be turned Off/On, please
use this alternative to the yellow option:
Promo Code: Promo_Code
Yes, please use the same payment information I use to pay for my Product_Name_xxxxxxxxxxxxx to set up my Product_Name 2xxxxxxxxxxxxx.
I authorize HomeServe to charge my account for Product_Name_xxxxxxxxxxxxx at the frequency specified and my financial institution to debit these
payments, plus any applicable taxes, from the account provided. I understand that, regardless of the payment frequency I select, my optional coverage
is based on an annual contract and will be automatically renewed annually on the same payment terms I selected at the then-current renewal price
(currently $X.XX per month, plus any applicable taxes). I have the option to cancel this contract at any time without additional cost to me by calling
1-XXX-XXX-XXXX. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet
the eligibility requirements for this coverage.
Prices include applicable state tax. Additional local tax may apply.
Signature (required)
M_PR per month	 Q_PR per quarter	 A_PR per year
Payment Frequency: (Check One)
Payment Method: Payment_Type
Account Number: ******Payment_No
Customer Number: Customer_No
CM NOTE: Please add the following
copy IF you are mailing to a tax state
and add after “…at the frequency
specified.”:
HomeServe will only notify me if any change
in taxes causes the charged/debited amount
to vary more than ten percent.
fold
fold
17.5”
long
folds
at
2.75”
folds
at
2.75”
folds
at
3.25”
folds
at
3.25”
Fold 3 - Down
Fold 2 - Down
Fold 1 - Up
folds
at
3.75”
folds
at
1.75”
8.5”
Flat size: 8.5” x 17.5”
Finished Size: 8.5” x 3.75”
Fold: Accordion Folds, refer to artwork
Color: 2/1 ; K, 30 Y / K
Finishing: 1 horiz blind perf line + fold to final size
Blind perf Blind perf
FPO
X4643_Accordion_#10_LTR.indd 1
X4643_Accordion_#10_LTR.indd 1 12/28/21 10:53 AM
12/28/21 10:53 AM
X4643_Accordian_#10_LTR
Important Questions  Answers
All Pipe Materials Covered
What am I responsible for?
As a homeowner, you are responsible for the exterior water
and sewer/septic service lines on your property. In some
towns, the service lines beyond the property boundary to
the main connection may remain the homeowner’s
responsibility, but are not included in this coverage.
Does this coverage include well lines?
Yes, coverage provides for repair or replacement of the
water service line on your property regardless of whether
you are connected to a city water main or private well.
Doesmyhomeownersinsuranceorlocalutilitycompany
cover this?
Most basic homeowners insurance policies and local utility
companies do not cover repair or replacement of the water
or sewer/septic service lines.
Who is eligible for coverage?
A residential homeowner with sole responsibility for the
exterior water and sewer/septic service lines may be eligible
for coverage. Recreational vehicles and properties used for
commercial purposes are not eligible for coverage. If you live
in a development community with a condominium, co-op or
homeowners association, your exterior water and sewer/
septic service lines may not be an individual homeowner’s
responsibility, so please check with your association before
accepting this coverage.
What should I know about this coverage?
What’s covered: Coverage provides, up to the benefit amount,
for the covered cost to repair or replace a leaking or
permanently blocked exterior water or sewer/septic service
line damaged due to normal wear and tear, not accident or
negligence. Exterior Water Service Line - The water or well
service line supplying fresh water to your home from your
propertyboundarytotheexternalwallofyourhome.Exterior
Sewer/Septic Service Line - The line that takes wastewater
away from the external wall of your home up to either your
property boundary or the point of connection to the septic
tank on your property.
Not covered: Septic tanks, leaching fields, pumps, grinders
and damage or negligence caused by you or others.
Additionalexclusionsapply.ToseefullTermsandConditions
with complete coverage and exclusion details prior to
enrolling call 1-877-444-7750 or go to 7B_Website
When can I make a service call?
Your plan starts the day your form is processed, and there is
an initial 30-day waiting period before you can make a
service call, giving you 11 months of coverage during the first
year. This prevents service calls on pre-existing conditions
and helps keep the coverage affordable.
What is the cancellation policy?
You may cancel within 30 days of your start date for a full
refund; cancellations after the first 30 days will result in a
pro-rata refund less any claims paid (where applicable).
What is the term of my service agreement?
Your coverage is based on an annual contract. For E-Z Pay,
credit card or debit card customers: regardless of the
payment frequency you select, your service agreement will
be automatically renewed annually on the same payment
terms selected, at the then-current renewal price. Your
coverage will remain in effect unless you call to discontinue.
What is E-Z Pay?
E-Z Pay is a paperless and stress-free way to pay for your
coverage. Payments are automatically debited from the
bank/checking account of your choice as your payment
becomes due, at no additional cost.
What quality of repair can I expect?
Local, licensed and insured plumbers perform all covered
repairs, which are guaranteed against defects in materials
and workmanship for one year.
Who is HomeServe?
HomeServe is an independent company providing
emergency home repair services and protection solutions to
homeowners across the U.S. If you have questions about
this mailing or to be removed from our mailing list, call
1-855-321-9871.
All types of pipe materials
Mailcode
MatchbackID	Mailcode
The age of your original line that connects from your
property boundary to your home on Serv_Street_
Name is estimated to be House_Age years old,
based on when your home was built in Yr_built.
Coverage is not limited to type of pipe material, how long
you’ve owned your home, age of your home or age of your
exterior line.
If AOR null:
probably the same as
the age of your home.
Protection
is
available
for
eligible
Serv_City
homeowners.
Property
Address:
Serv_Address1_xxxxxxx
You
are
responsible
for
the
exterior
water
service
line
on
your
property.
Take
action
with
a
coverage
plan
today.
PLEASE COMPLETE AND RETURN THE APPLICATION FORM TODAY
Call toll-free 1-XXX-XXX-XXXX or Visit www.Website.com
Available Mon-Fri Xam-Xpm | Sat XXam-Xpm XXX
FPO
fold
fold
17.5”
long
folds
at
2.75”
folds
at
2.75”
folds
at
3.25”
folds
at
3.25”
folds
at
3.75”
folds
at
1.75”
8.5”
Blind perf Blind perf
.25”
.25”
.375”
.375”
Matchback ID Code:
10pt OCR A Extended
text box: 2.975” w, + clearance
.375” from Left trim
.375 from Bottom trim
.25” clearance right and top
magenta rule line and
measurements do not print
FYI - Finished
Front Panel
.5 x .5 FPO Box is placement area for a
2d barcode - so we keep plenty of white/
empty space around the barcode
FPO
X4643_Accordion_#10_LTR.indd 2
X4643_Accordion_#10_LTR.indd 2 12/28/21 10:53 AM
12/28/21 10:53 AM
X4643_Accordian_#10_LTR
Partner Logo
Application Form
Phone: 	
E-mail: 	
Please correct name and address information below, if necessary, before submitting.
By providing my e-mail address, I request that I be e-mailed my current and future agreements and any related documents, and I acknowledge that I can access these
documents. I can change my preferences or request paper copies online or by calling HomeServe. The phone number and e-mail address provided below are good ways
to reach me.
WATER
SERVICE LINE
PROPERTY
BOUNDARY
SHUT-OFF VALVE
WATER MAIN
TYPICAL
HOMEOWNER’S
RESPONSIBILITY
Locate, excavate and repair leak
$490
Plan Members: No Charge‡
Replace water service line (26–100 ft.)
$2,661
Plan Members: No Charge‡
PLEASE ACCEPT WATER SERVICE LINE COVERAGE
HOMEOWNER COVERAGE INFORMATION
RE: EXTERIOR WATER SERVICE LINE
This illustration shows the exterior water service line that is your
responsibility as a homeowner. Also shown are repairs that are
commonly performed on this line and how much a licensed and
insured contractor would typically charge a homeowner for repairs.
Mailcode
Mailcode-xxxx
Sample A. Sample Serv_Address1_xxxxxxx Serv_Address2_xxxxxxx Serv_City, ST Zip
PLEASE REPLY BY
x/x/xxxx
WATER SERVICE LINE INFORMATION
Partner_Name customers
Serv_Address1_xxxxxxx
House Age: House_Age Years Old If AOR null: Unknown
Sample A. Sample_xxxxx
It is important that you review your homeowner responsibilities.
The exterior water service line located at Serv_Address1_xxxxxxx may break down at any time and is your
responsibility. With a coverage plan in place, you could save thousands of dollars if a replacement is needed.
The exterior line that brings fresh water to your home runs from your property boundary to your home—and it
belongs to you. Lines can deteriorate over time and yours may be as old as when your home was built in Yr_built.
Pipe materials used at that time deteriorate at different rates as they age.
Pipes weaken due to ground shifting, corrosion, and temperature conditions, which can cause them to crack and burst.
Damage due to normal wear and tear is typically not covered by basic homeowners insurance. Understanding that you
are responsible for repair and replacement costs is important in the event of line failure.
Water line breakdowns can be expensive and costs thousands to replace.
The average cost to replace a water service line is $2,661.†
Estimated costs to excavate and locate a leak are $490.†
With
protection you will pay nothing for covered repairs up to the benefit amount. Partner_Name wants to help you
understand your water line responsibility when it comes to a water service or well line breakdown, and that’s why
Partner_Name has partnered with HomeServe to offer optional Product_Name to eligible homeowners.
You will have up to $X,XXX annually with multiple service calls/per service call with multiple calls annually for
covered repairs for only $X.XX per month with protection from HomeServe (30-day waiting period includes a money-
back guarantee). Coverage includes repairing all types of pipe materials, regardless of age. Just one call saves you the
hassle of locating a licensed and insured plumber that can take hours.
†
Estimate based on national average repair costs, June 2020.
Disclosure
	 The service line beyond the [property boundary] may
	 be an additional responsibility of the homeowner but it
	 is not included in this coverage.
‡ 
National average repair costs as of June 2020. No
charge for covered repairs up to your annual/service
call benefit amount.
Promo Code: Promo_Code
CM NOTE: If URL will be turned Off/On, please
use this alternative to the yellow option:
Promo Code: Promo_Code
Yes, please sign me up for Product_Name_xxxxxxxxxxxxx from HomeServe and include the $X.XX monthly charge, plus any applicable taxes, on my
utility/utility name bill. I understand that this optional coverage/plan is billed on a monthly basis and based on an annual contract that will be
automatically renewed annually at the then-current renewal price (currently $x.xx per month, plus any applicable taxes). I have the option to cancel this
contract at any time without additional cost to me by calling 1-XXX-XXX-XXXX. I agree Partner_Name may share my data, including my account number,
with HomeServe. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet
the eligibility requirements for this coverage.
Signature (required)
CUSTOMER NUMBER
Customer_No
fold
fold
17.5”
long
folds
at
2.75”
folds
at
2.75”
folds
at
3.25”
folds
at
3.25”
Fold 3 - Down
Fold 2 - Down
Fold 1 - Up
folds
at
3.75”
folds
at
1.75”
8.5”
Flat size: 8.5” x 17.5”
Finished Size: 8.5” x 3.75”
Fold: Accordion Folds, refer to artwork
Color: 2/1 ; K, 30 Y / K
Finishing: 1 horiz blind perf line + fold to final size
Blind perf Blind perf
FPO
X4643_Accordion_#10_LTR.indd 1
X4643_Accordion_#10_LTR.indd 1 12/28/21 10:54 AM
12/28/21 10:54 AM
X4643_Accordian_#10_LTR
Important Questions  Answers
All Pipe Materials Covered
What am I responsible for?
As a homeowner, you are responsible for the exterior water
and sewer/septic service lines on your property. In some
towns, the service lines beyond the property boundary to
the main connection may remain the homeowner’s
responsibility, but are not included in this coverage.
Does this coverage include well lines?
Yes, coverage provides for repair or replacement of the
water service line on your property regardless of whether
you are connected to a city water main or private well.
Doesmyhomeownersinsuranceorlocalutilitycompany
cover this?
Most basic homeowners insurance policies and local utility
companies do not cover repair or replacement of the water
or sewer/septic service lines.
Who is eligible for coverage?
A residential homeowner with sole responsibility for the
exterior water and sewer/septic service lines may be eligible
for coverage. Recreational vehicles and properties used for
commercial purposes are not eligible for coverage. If you live
in a development community with a condominium, co-op or
homeowners association, your exterior water and sewer/
septic service lines may not be an individual homeowner’s
responsibility, so please check with your association before
accepting this coverage.
What should I know about this coverage?
What’s covered: Coverage provides, up to the benefit amount,
for the covered cost to repair or replace a leaking or
permanently blocked exterior water or sewer/septic service
line damaged due to normal wear and tear, not accident or
negligence. Exterior Water Service Line - The water or well
service line supplying fresh water to your home from your
propertyboundarytotheexternalwallofyourhome.Exterior
Sewer/Septic Service Line - The line that takes wastewater
away from the external wall of your home up to either your
property boundary or the point of connection to the septic
tank on your property.
Not covered: Septic tanks, leaching fields, pumps, grinders
and damage or negligence caused by you or others.
Additionalexclusionsapply.ToseefullTermsandConditions
with complete coverage and exclusion details prior to
enrolling call 1-877-444-7750 or go to 7B_Website
When can I make a service call?
Your plan starts the day your form is processed, and there is
an initial 30-day waiting period before you can make a
service call, giving you 11 months of coverage during the first
year. This prevents service calls on pre-existing conditions
and helps keep the coverage affordable.
What is the cancellation policy?
You may cancel within 30 days of your start date for a full
refund; cancellations after the first 30 days will result in a
pro-rata refund less any claims paid (where applicable).
What is the term of my service agreement?
Your coverage is based on an annual contract. For E-Z Pay,
credit card or debit card customers: regardless of the
payment frequency you select, your service agreement will
be automatically renewed annually on the same payment
terms selected, at the then-current renewal price. Your
coverage will remain in effect unless you call to discontinue.
What is E-Z Pay?
E-Z Pay is a paperless and stress-free way to pay for your
coverage. Payments are automatically debited from the
bank/checking account of your choice as your payment
becomes due, at no additional cost.
What quality of repair can I expect?
Local, licensed and insured plumbers perform all covered
repairs, which are guaranteed against defects in materials
and workmanship for one year.
Who is HomeServe?
HomeServe is an independent company providing
emergency home repair services and protection solutions to
homeowners across the U.S. If you have questions about
this mailing or to be removed from our mailing list, call
1-855-321-9871.
All types of pipe materials
Mailcode
MatchbackID	Mailcode
The age of your original line that connects from your
property boundary to your home on Serv_Street_
Name is estimated to be House_Age years old,
based on when your home was built in Yr_built.
Coverage is not limited to type of pipe material, how long
you’ve owned your home, age of your home or age of your
exterior line.
If AOR null:
probably the same as
the age of your home.
Protection
is
available
for
eligible
Serv_City
homeowners.
Property
Address:
Serv_Address1_xxxxxxx
You
are
responsible
for
the
exterior
water
service
line
on
your
property.
Take
action
with
a
coverage
plan
today.
PLEASE COMPLETE AND RETURN THE APPLICATION FORM TODAY
Call toll-free 1-XXX-XXX-XXXX or Visit www.Website.com
Available Mon-Fri Xam-Xpm | Sat XXam-Xpm XXX
FPO
fold
fold
17.5”
long
folds
at
2.75”
folds
at
2.75”
folds
at
3.25”
folds
at
3.25”
folds
at
3.75”
folds
at
1.75”
8.5”
Blind perf Blind perf
.25”
.25”
.375”
.375”
Matchback ID Code:
10pt OCR A Extended
text box: 2.975” w, + clearance
.375” from Left trim
.375 from Bottom trim
.25” clearance right and top
magenta rule line and
measurements do not print
FYI - Finished
Front Panel
.5 x .5 FPO Box is placement area for a
2d barcode - so we keep plenty of white/
empty space around the barcode
FPO
X4643_Accordion_#10_LTR.indd 2
X4643_Accordion_#10_LTR.indd 2 12/28/21 10:54 AM
12/28/21 10:54 AM

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X4643_Accordion_PKG_v15.pdf

  • 1.
  • 2. Indicia Placement: .375” from right edge. .375” from the top fold. #10 OE (4.125” h x 9.5”) Ink: 1/1 K, with PMS Cool Grey 11U @ 60% Tint X4643_Accordion_#10_OE PRSRT STD U.S. POSTAGE PAID MAILED FROM ZIP CODE XXXXX PERMIT NO. XXXX Partner Logo Information Enclosed Response Requested <<MR. SAMPLE A SAMPLE>> <<MAIL_ADDRESS1_XXXXXXX>> <<MAIL_ADDRESS2_XXXXXXX>> <<MAIL_CITY, ST ZIP>> X4643_Accordion_#10_OE.indd 1 X4643_Accordion_#10_OE.indd 1 12/28/21 10:51 AM 12/28/21 10:51 AM
  • 4. X4643_Accordian_#10_LTR Partner Logo Application Form Phone: E-mail: Please correct name and address information below, if necessary, before submitting. By providing my e-mail address, I request that I be e-mailed my current and future agreements and any related documents, and I acknowledge that I can access these documents. I can change my preferences or request paper copies online or by calling HomeServe. The phone number and e-mail address provided below are good ways to reach me. WATER SERVICE LINE PROPERTY BOUNDARY SHUT-OFF VALVE WATER MAIN TYPICAL HOMEOWNER’S RESPONSIBILITY Locate, excavate and repair leak $490 Plan Members: No Charge‡ Replace water service line (26–100 ft.) $2,661 Plan Members: No Charge‡ PLEASE ACCEPT WATER SERVICE LINE COVERAGE HOMEOWNER COVERAGE INFORMATION RE: EXTERIOR WATER SERVICE LINE This illustration shows the exterior water service line that is your responsibility as a homeowner. Also shown are repairs that are commonly performed on this line and how much a licensed and insured contractor would typically charge a homeowner for repairs. Mailcode <<Mailcode-xxxx>> <<Sample A. Sample>> <<Serv_Address1_xxxxxxx>> <<Serv_Address2_xxxxxxx>> <<Serv_City, ST Zip>> PLEASE REPLY BY <<x/x/xxxx>> WATER SERVICE LINE INFORMATION <<Partner_Name>> customers <<Serv_Address1_xxxxxxx>> House Age: <<<<House_Age>> Years Old>> If AOR null: <<Unknown>> <<Sample A. Sample_xxxxx>> It is important that you review your homeowner responsibilities. The exterior water service line located at <<Serv_Address1_xxxxxxx>> may break down at any time and is your responsibility. With a coverage plan in place, you could save thousands of dollars if a replacement is needed. The exterior line that brings fresh water to your home runs from your <<property boundary to your home>>—and it belongs to you. Lines can deteriorate over time and yours may be as old as when your home was built in <<Yr_built>>. Pipe materials used at that time deteriorate at different rates as they age. Pipes weaken due to ground shifting, corrosion, and temperature conditions, which can cause them to crack and burst. Damage due to normal wear and tear is typically not covered by basic homeowners insurance. Understanding that you are responsible for repair and replacement costs is important in the event of line failure. Water line breakdowns can be expensive and costs thousands to replace. The average cost to replace a water service line is $2,661.† Estimated costs to excavate and locate a leak are $490.† With protection you will pay nothing for covered repairs up to the benefit amount. <<Partner_Name>> wants to help you understand your water line responsibility when it comes to a water service <<or well>> line breakdown, and that’s why <<Partner_Name>> has partnered with HomeServe to offer optional <<Product_Name>> to eligible homeowners. You will have up to $X,XXX <<annually with multiple service calls/per service call with multiple calls annually>> for covered repairs for only $X.XX per month with protection from HomeServe (30-day waiting period includes a money- back guarantee). Coverage includes repairing all types of pipe materials, regardless of age. Just one call saves you the hassle of locating a licensed and insured plumber that can take hours. † Estimate based on national average repair costs, June 2020. <<Disclosure>> <<The service line beyond the [property boundary] may be an additional responsibility of the homeowner but it is not included in this coverage>>. ‡ National average repair costs as of June 2020. No charge for covered repairs up to your annual/service call benefit amount. Promo Code: Promo_Code CM NOTE: If URL will be turned Off/On, please use this alternative to the yellow option: Promo Code: Promo_Code Payment Schedule: M_PR per month Q_PR per quarter A_PR per year I authorize HomeServe to use account information from the enclosed check to make electronic fund transfers to automatically initiate debits to my bank account at the frequency and in the amounts specified in the Payment Schedule, plus any applicable taxes, in connection with my payments for Product_Name. I understand the enclosed check itself will not be deposited but rather used for account information. I understand that, regardless of the payment frequency I select, my optional coverage is based on an annual contract and will be automatically renewed annually on the same payment terms I selected at the then-current renewal price (currently $X.XX per month, plus any applicable taxes). I have the option to cancel this contract at any time without additional cost to me by calling 1-XXX-XXX-XXXX. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet the eligibility requirements for this coverage. Prices include applicable state tax. Additional local tax may apply. E-Z PAY (see back of letter) Signature (required) customer_no CM NOTE: Please add the following copy IF you are mailing to a tax state and add after “…at the frequency specified.”: HomeServe will only notify me if any change in taxes causes the charged/debited amount to vary more than ten percent. fold fold 17.5” long folds at 2.75” folds at 2.75” folds at 3.25” folds at 3.25” Fold 3 - Down Fold 2 - Down Fold 1 - Up folds at 3.75” folds at 1.75” 8.5” Flat size: 8.5” x 17.5” Finished Size: 8.5” x 3.75” Fold: Accordion Folds, refer to artwork Color: 2/1 ; K, 30 Y / K Finishing: 1 horiz blind perf line + fold to final size Blind perf Blind perf FPO X4643_Accordion_#10_LTR.indd 1 X4643_Accordion_#10_LTR.indd 1 12/28/21 10:53 AM 12/28/21 10:53 AM
  • 5. X4643_Accordian_#10_LTR Important Questions Answers All Pipe Materials Covered What am I responsible for? As a homeowner, you are responsible for the exterior water and sewer/septic service lines on your property. In some towns, the service lines beyond the property boundary to the main connection may remain the homeowner’s responsibility, but are not included in this coverage. Does this coverage include well lines? Yes, coverage provides for repair or replacement of the water service line on your property regardless of whether you are connected to a city water main or private well. Doesmyhomeownersinsuranceorlocalutilitycompany cover this? Most basic homeowners insurance policies and local utility companies do not cover repair or replacement of the water or sewer/septic service lines. Who is eligible for coverage? A residential homeowner with sole responsibility for the exterior water and sewer/septic service lines may be eligible for coverage. Recreational vehicles and properties used for commercial purposes are not eligible for coverage. If you live in a development community with a condominium, co-op or homeowners association, your exterior water and sewer/ septic service lines may not be an individual homeowner’s responsibility, so please check with your association before accepting this coverage. What should I know about this coverage? What’s covered: Coverage provides, up to the benefit amount, for the covered cost to repair or replace a leaking or permanently blocked exterior water or sewer/septic service line damaged due to normal wear and tear, not accident or negligence. Exterior Water Service Line - The water or well service line supplying fresh water to your home from your propertyboundarytotheexternalwallofyourhome.Exterior Sewer/Septic Service Line - The line that takes wastewater away from the external wall of your home up to either your property boundary or the point of connection to the septic tank on your property. Not covered: Septic tanks, leaching fields, pumps, grinders and damage or negligence caused by you or others. Additionalexclusionsapply.ToseefullTermsandConditions with complete coverage and exclusion details prior to enrolling call 1-877-444-7750 or go to 7B_Website When can I make a service call? Your plan starts the day your form is processed, and there is an initial 30-day waiting period before you can make a service call, giving you 11 months of coverage during the first year. This prevents service calls on pre-existing conditions and helps keep the coverage affordable. What is the cancellation policy? You may cancel within 30 days of your start date for a full refund; cancellations after the first 30 days will result in a pro-rata refund less any claims paid (where applicable). What is the term of my service agreement? Your coverage is based on an annual contract. For E-Z Pay, credit card or debit card customers: regardless of the payment frequency you select, your service agreement will be automatically renewed annually on the same payment terms selected, at the then-current renewal price. Your coverage will remain in effect unless you call to discontinue. What is E-Z Pay? E-Z Pay is a paperless and stress-free way to pay for your coverage. Payments are automatically debited from the bank/checking account of your choice as your payment becomes due, at no additional cost. What quality of repair can I expect? Local, licensed and insured plumbers perform all covered repairs, which are guaranteed against defects in materials and workmanship for one year. Who is HomeServe? HomeServe is an independent company providing emergency home repair services and protection solutions to homeowners across the U.S. If you have questions about this mailing or to be removed from our mailing list, call 1-855-321-9871. All types of pipe materials Mailcode MatchbackID Mailcode The age of your original line that connects from your property boundary to your home on Serv_Street_ Name is estimated to be House_Age years old, based on when your home was built in Yr_built. Coverage is not limited to type of pipe material, how long you’ve owned your home, age of your home or age of your exterior line. If AOR null: probably the same as the age of your home. Protection is available for eligible Serv_City homeowners. Property Address: Serv_Address1_xxxxxxx You are responsible for the exterior water service line on your property. Take action with a coverage plan today. PLEASE COMPLETE AND RETURN THE APPLICATION FORM TODAY Call toll-free 1-XXX-XXX-XXXX or Visit www.Website.com Available Mon-Fri Xam-Xpm | Sat XXam-Xpm XXX Card Number: Exp. Date: Please be sure to sign and date your check or money order in the amount of A_PR, which includes applicable taxes, for this coverage. PLEASE MAKE PAYABLE TO HOMESERVE I have enclosed my check or money order for my payment of A_PR, which includes applicable taxes, for optional Product_Name_XXXXXXXXXXXXX. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet the eligibility requirements for this coverage. I authorize HomeServe to charge my first and all future payments, plus any applicable taxes, for Product_Name_XXXXXXXXXXXXX to my credit/debit card at the frequency specified. I understand that, regardless of the payment frequency I select, my optional coverage is based on an annual contract and will be automatically renewed annually on the same payment terms I selected at the then-current renewal price (currently $X.XX per month, plus any applicable taxes). I have the option to cancel this contract at any time without additional cost to me by calling 1-XXX-XXX-XXXX. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet the eligibility requirements for this coverage. M_PR per month Q_PR per quarter A_PR per year Prices include applicable state tax. Additional local tax may apply. Signature (required) Signature (required) CREDIT/DEBIT CARD ONE-TIME CHECK OR MONEY ORDER CM NOTE: Please add the following copy IF you are mailing to a tax state and add after “…at the frequency specified.”: HomeServe will only notify me if any change in taxes causes the charged/debited amount to vary more than ten percent. FPO fold fold 17.5” long folds at 2.75” folds at 2.75” folds at 3.25” folds at 3.25” folds at 3.75” folds at 1.75” 8.5” Blind perf Blind perf .25” .25” .375” .375” Matchback ID Code: 10pt OCR A Extended text box: 2.975” w, + clearance .375” from Left trim .375 from Bottom trim .25” clearance right and top magenta rule line and measurements do not print FYI - Finished Front Panel .5 x .5 FPO Box is placement area for a 2d barcode - so we keep plenty of white/ empty space around the barcode FPO X4643_Accordion_#10_LTR.indd 2 X4643_Accordion_#10_LTR.indd 2 12/28/21 10:53 AM 12/28/21 10:53 AM
  • 6. X4643_Accordian_#10_LTR Partner Logo Application Form Phone: E-mail: Please correct name and address information below, if necessary, before submitting. By providing my e-mail address, I request that I be e-mailed my current and future agreements and any related documents, and I acknowledge that I can access these documents. I can change my preferences or request paper copies online or by calling HomeServe. The phone number and e-mail address provided below are good ways to reach me. WATER SERVICE LINE PROPERTY BOUNDARY SHUT-OFF VALVE WATER MAIN TYPICAL HOMEOWNER’S RESPONSIBILITY Locate, excavate and repair leak $490 Plan Members: No Charge‡ Replace water service line (26–100 ft.) $2,661 Plan Members: No Charge‡ PLEASE ACCEPT WATER SERVICE LINE COVERAGE HOMEOWNER COVERAGE INFORMATION RE: EXTERIOR WATER SERVICE LINE This illustration shows the exterior water service line that is your responsibility as a homeowner. Also shown are repairs that are commonly performed on this line and how much a licensed and insured contractor would typically charge a homeowner for repairs. Mailcode Mailcode-xxxx Sample A. Sample Serv_Address1_xxxxxxx Serv_Address2_xxxxxxx Serv_City, ST Zip PLEASE REPLY BY x/x/xxxx WATER SERVICE LINE INFORMATION Partner_Name customers Serv_Address1_xxxxxxx House Age: House_Age Years Old If AOR null: Unknown Sample A. Sample_xxxxx It is important that you review your homeowner responsibilities. The exterior water service line located at Serv_Address1_xxxxxxx may break down at any time and is your responsibility. With a coverage plan in place, you could save thousands of dollars if a replacement is needed. The exterior line that brings fresh water to your home runs from your property boundary to your home—and it belongs to you. Lines can deteriorate over time and yours may be as old as when your home was built in Yr_built. Pipe materials used at that time deteriorate at different rates as they age. Pipes weaken due to ground shifting, corrosion, and temperature conditions, which can cause them to crack and burst. Damage due to normal wear and tear is typically not covered by basic homeowners insurance. Understanding that you are responsible for repair and replacement costs is important in the event of line failure. Water line breakdowns can be expensive and costs thousands to replace. The average cost to replace a water service line is $2,661.† Estimated costs to excavate and locate a leak are $490.† With protection you will pay nothing for covered repairs up to the benefit amount. Partner_Name wants to help you understand your water line responsibility when it comes to a water service or well line breakdown, and that’s why Partner_Name has partnered with HomeServe to offer optional Product_Name to eligible homeowners. You will have up to $X,XXX annually with multiple service calls/per service call with multiple calls annually for covered repairs for only $X.XX per month with protection from HomeServe (30-day waiting period includes a money- back guarantee). Coverage includes repairing all types of pipe materials, regardless of age. Just one call saves you the hassle of locating a licensed and insured plumber that can take hours. † Estimate based on national average repair costs, June 2020. Disclosure The service line beyond the [property boundary] may be an additional responsibility of the homeowner but it is not included in this coverage. ‡ National average repair costs as of June 2020. No charge for covered repairs up to your annual/service call benefit amount. Promo Code: Promo_Code CM NOTE: If URL will be turned Off/On, please use this alternative to the yellow option: Promo Code: Promo_Code Yes, please use the same payment information I use to pay for my Product_Name_xxxxxxxxxxxxx to set up my Product_Name 2xxxxxxxxxxxxx. I authorize HomeServe to charge my account for Product_Name_xxxxxxxxxxxxx at the frequency specified and my financial institution to debit these payments, plus any applicable taxes, from the account provided. I understand that, regardless of the payment frequency I select, my optional coverage is based on an annual contract and will be automatically renewed annually on the same payment terms I selected at the then-current renewal price (currently $X.XX per month, plus any applicable taxes). I have the option to cancel this contract at any time without additional cost to me by calling 1-XXX-XXX-XXXX. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet the eligibility requirements for this coverage. Prices include applicable state tax. Additional local tax may apply. Signature (required) M_PR per month Q_PR per quarter A_PR per year Payment Frequency: (Check One) Payment Method: Payment_Type Account Number: ******Payment_No Customer Number: Customer_No CM NOTE: Please add the following copy IF you are mailing to a tax state and add after “…at the frequency specified.”: HomeServe will only notify me if any change in taxes causes the charged/debited amount to vary more than ten percent. fold fold 17.5” long folds at 2.75” folds at 2.75” folds at 3.25” folds at 3.25” Fold 3 - Down Fold 2 - Down Fold 1 - Up folds at 3.75” folds at 1.75” 8.5” Flat size: 8.5” x 17.5” Finished Size: 8.5” x 3.75” Fold: Accordion Folds, refer to artwork Color: 2/1 ; K, 30 Y / K Finishing: 1 horiz blind perf line + fold to final size Blind perf Blind perf FPO X4643_Accordion_#10_LTR.indd 1 X4643_Accordion_#10_LTR.indd 1 12/28/21 10:53 AM 12/28/21 10:53 AM
  • 7. X4643_Accordian_#10_LTR Important Questions Answers All Pipe Materials Covered What am I responsible for? As a homeowner, you are responsible for the exterior water and sewer/septic service lines on your property. In some towns, the service lines beyond the property boundary to the main connection may remain the homeowner’s responsibility, but are not included in this coverage. Does this coverage include well lines? Yes, coverage provides for repair or replacement of the water service line on your property regardless of whether you are connected to a city water main or private well. Doesmyhomeownersinsuranceorlocalutilitycompany cover this? Most basic homeowners insurance policies and local utility companies do not cover repair or replacement of the water or sewer/septic service lines. Who is eligible for coverage? A residential homeowner with sole responsibility for the exterior water and sewer/septic service lines may be eligible for coverage. Recreational vehicles and properties used for commercial purposes are not eligible for coverage. If you live in a development community with a condominium, co-op or homeowners association, your exterior water and sewer/ septic service lines may not be an individual homeowner’s responsibility, so please check with your association before accepting this coverage. What should I know about this coverage? What’s covered: Coverage provides, up to the benefit amount, for the covered cost to repair or replace a leaking or permanently blocked exterior water or sewer/septic service line damaged due to normal wear and tear, not accident or negligence. Exterior Water Service Line - The water or well service line supplying fresh water to your home from your propertyboundarytotheexternalwallofyourhome.Exterior Sewer/Septic Service Line - The line that takes wastewater away from the external wall of your home up to either your property boundary or the point of connection to the septic tank on your property. Not covered: Septic tanks, leaching fields, pumps, grinders and damage or negligence caused by you or others. Additionalexclusionsapply.ToseefullTermsandConditions with complete coverage and exclusion details prior to enrolling call 1-877-444-7750 or go to 7B_Website When can I make a service call? Your plan starts the day your form is processed, and there is an initial 30-day waiting period before you can make a service call, giving you 11 months of coverage during the first year. This prevents service calls on pre-existing conditions and helps keep the coverage affordable. What is the cancellation policy? You may cancel within 30 days of your start date for a full refund; cancellations after the first 30 days will result in a pro-rata refund less any claims paid (where applicable). What is the term of my service agreement? Your coverage is based on an annual contract. For E-Z Pay, credit card or debit card customers: regardless of the payment frequency you select, your service agreement will be automatically renewed annually on the same payment terms selected, at the then-current renewal price. Your coverage will remain in effect unless you call to discontinue. What is E-Z Pay? E-Z Pay is a paperless and stress-free way to pay for your coverage. Payments are automatically debited from the bank/checking account of your choice as your payment becomes due, at no additional cost. What quality of repair can I expect? Local, licensed and insured plumbers perform all covered repairs, which are guaranteed against defects in materials and workmanship for one year. Who is HomeServe? HomeServe is an independent company providing emergency home repair services and protection solutions to homeowners across the U.S. If you have questions about this mailing or to be removed from our mailing list, call 1-855-321-9871. All types of pipe materials Mailcode MatchbackID Mailcode The age of your original line that connects from your property boundary to your home on Serv_Street_ Name is estimated to be House_Age years old, based on when your home was built in Yr_built. Coverage is not limited to type of pipe material, how long you’ve owned your home, age of your home or age of your exterior line. If AOR null: probably the same as the age of your home. Protection is available for eligible Serv_City homeowners. Property Address: Serv_Address1_xxxxxxx You are responsible for the exterior water service line on your property. Take action with a coverage plan today. PLEASE COMPLETE AND RETURN THE APPLICATION FORM TODAY Call toll-free 1-XXX-XXX-XXXX or Visit www.Website.com Available Mon-Fri Xam-Xpm | Sat XXam-Xpm XXX FPO fold fold 17.5” long folds at 2.75” folds at 2.75” folds at 3.25” folds at 3.25” folds at 3.75” folds at 1.75” 8.5” Blind perf Blind perf .25” .25” .375” .375” Matchback ID Code: 10pt OCR A Extended text box: 2.975” w, + clearance .375” from Left trim .375 from Bottom trim .25” clearance right and top magenta rule line and measurements do not print FYI - Finished Front Panel .5 x .5 FPO Box is placement area for a 2d barcode - so we keep plenty of white/ empty space around the barcode FPO X4643_Accordion_#10_LTR.indd 2 X4643_Accordion_#10_LTR.indd 2 12/28/21 10:53 AM 12/28/21 10:53 AM
  • 8. X4643_Accordian_#10_LTR Partner Logo Application Form Phone: E-mail: Please correct name and address information below, if necessary, before submitting. By providing my e-mail address, I request that I be e-mailed my current and future agreements and any related documents, and I acknowledge that I can access these documents. I can change my preferences or request paper copies online or by calling HomeServe. The phone number and e-mail address provided below are good ways to reach me. WATER SERVICE LINE PROPERTY BOUNDARY SHUT-OFF VALVE WATER MAIN TYPICAL HOMEOWNER’S RESPONSIBILITY Locate, excavate and repair leak $490 Plan Members: No Charge‡ Replace water service line (26–100 ft.) $2,661 Plan Members: No Charge‡ PLEASE ACCEPT WATER SERVICE LINE COVERAGE HOMEOWNER COVERAGE INFORMATION RE: EXTERIOR WATER SERVICE LINE This illustration shows the exterior water service line that is your responsibility as a homeowner. Also shown are repairs that are commonly performed on this line and how much a licensed and insured contractor would typically charge a homeowner for repairs. Mailcode Mailcode-xxxx Sample A. Sample Serv_Address1_xxxxxxx Serv_Address2_xxxxxxx Serv_City, ST Zip PLEASE REPLY BY x/x/xxxx WATER SERVICE LINE INFORMATION Partner_Name customers Serv_Address1_xxxxxxx House Age: House_Age Years Old If AOR null: Unknown Sample A. Sample_xxxxx It is important that you review your homeowner responsibilities. The exterior water service line located at Serv_Address1_xxxxxxx may break down at any time and is your responsibility. With a coverage plan in place, you could save thousands of dollars if a replacement is needed. The exterior line that brings fresh water to your home runs from your property boundary to your home—and it belongs to you. Lines can deteriorate over time and yours may be as old as when your home was built in Yr_built. Pipe materials used at that time deteriorate at different rates as they age. Pipes weaken due to ground shifting, corrosion, and temperature conditions, which can cause them to crack and burst. Damage due to normal wear and tear is typically not covered by basic homeowners insurance. Understanding that you are responsible for repair and replacement costs is important in the event of line failure. Water line breakdowns can be expensive and costs thousands to replace. The average cost to replace a water service line is $2,661.† Estimated costs to excavate and locate a leak are $490.† With protection you will pay nothing for covered repairs up to the benefit amount. Partner_Name wants to help you understand your water line responsibility when it comes to a water service or well line breakdown, and that’s why Partner_Name has partnered with HomeServe to offer optional Product_Name to eligible homeowners. You will have up to $X,XXX annually with multiple service calls/per service call with multiple calls annually for covered repairs for only $X.XX per month with protection from HomeServe (30-day waiting period includes a money- back guarantee). Coverage includes repairing all types of pipe materials, regardless of age. Just one call saves you the hassle of locating a licensed and insured plumber that can take hours. † Estimate based on national average repair costs, June 2020. Disclosure The service line beyond the [property boundary] may be an additional responsibility of the homeowner but it is not included in this coverage. ‡ National average repair costs as of June 2020. No charge for covered repairs up to your annual/service call benefit amount. Promo Code: Promo_Code CM NOTE: If URL will be turned Off/On, please use this alternative to the yellow option: Promo Code: Promo_Code Yes, please sign me up for Product_Name_xxxxxxxxxxxxx from HomeServe and include the $X.XX monthly charge, plus any applicable taxes, on my utility/utility name bill. I understand that this optional coverage/plan is billed on a monthly basis and based on an annual contract that will be automatically renewed annually at the then-current renewal price (currently $x.xx per month, plus any applicable taxes). I have the option to cancel this contract at any time without additional cost to me by calling 1-XXX-XXX-XXXX. I agree Partner_Name may share my data, including my account number, with HomeServe. I confirm that I am the homeowner and have read the information in this package, understand there are limitations and exclusions, and meet the eligibility requirements for this coverage. Signature (required) CUSTOMER NUMBER Customer_No fold fold 17.5” long folds at 2.75” folds at 2.75” folds at 3.25” folds at 3.25” Fold 3 - Down Fold 2 - Down Fold 1 - Up folds at 3.75” folds at 1.75” 8.5” Flat size: 8.5” x 17.5” Finished Size: 8.5” x 3.75” Fold: Accordion Folds, refer to artwork Color: 2/1 ; K, 30 Y / K Finishing: 1 horiz blind perf line + fold to final size Blind perf Blind perf FPO X4643_Accordion_#10_LTR.indd 1 X4643_Accordion_#10_LTR.indd 1 12/28/21 10:54 AM 12/28/21 10:54 AM
  • 9. X4643_Accordian_#10_LTR Important Questions Answers All Pipe Materials Covered What am I responsible for? As a homeowner, you are responsible for the exterior water and sewer/septic service lines on your property. In some towns, the service lines beyond the property boundary to the main connection may remain the homeowner’s responsibility, but are not included in this coverage. Does this coverage include well lines? Yes, coverage provides for repair or replacement of the water service line on your property regardless of whether you are connected to a city water main or private well. Doesmyhomeownersinsuranceorlocalutilitycompany cover this? Most basic homeowners insurance policies and local utility companies do not cover repair or replacement of the water or sewer/septic service lines. Who is eligible for coverage? A residential homeowner with sole responsibility for the exterior water and sewer/septic service lines may be eligible for coverage. Recreational vehicles and properties used for commercial purposes are not eligible for coverage. If you live in a development community with a condominium, co-op or homeowners association, your exterior water and sewer/ septic service lines may not be an individual homeowner’s responsibility, so please check with your association before accepting this coverage. What should I know about this coverage? What’s covered: Coverage provides, up to the benefit amount, for the covered cost to repair or replace a leaking or permanently blocked exterior water or sewer/septic service line damaged due to normal wear and tear, not accident or negligence. Exterior Water Service Line - The water or well service line supplying fresh water to your home from your propertyboundarytotheexternalwallofyourhome.Exterior Sewer/Septic Service Line - The line that takes wastewater away from the external wall of your home up to either your property boundary or the point of connection to the septic tank on your property. Not covered: Septic tanks, leaching fields, pumps, grinders and damage or negligence caused by you or others. Additionalexclusionsapply.ToseefullTermsandConditions with complete coverage and exclusion details prior to enrolling call 1-877-444-7750 or go to 7B_Website When can I make a service call? Your plan starts the day your form is processed, and there is an initial 30-day waiting period before you can make a service call, giving you 11 months of coverage during the first year. This prevents service calls on pre-existing conditions and helps keep the coverage affordable. What is the cancellation policy? You may cancel within 30 days of your start date for a full refund; cancellations after the first 30 days will result in a pro-rata refund less any claims paid (where applicable). What is the term of my service agreement? Your coverage is based on an annual contract. For E-Z Pay, credit card or debit card customers: regardless of the payment frequency you select, your service agreement will be automatically renewed annually on the same payment terms selected, at the then-current renewal price. Your coverage will remain in effect unless you call to discontinue. What is E-Z Pay? E-Z Pay is a paperless and stress-free way to pay for your coverage. Payments are automatically debited from the bank/checking account of your choice as your payment becomes due, at no additional cost. What quality of repair can I expect? Local, licensed and insured plumbers perform all covered repairs, which are guaranteed against defects in materials and workmanship for one year. Who is HomeServe? HomeServe is an independent company providing emergency home repair services and protection solutions to homeowners across the U.S. If you have questions about this mailing or to be removed from our mailing list, call 1-855-321-9871. All types of pipe materials Mailcode MatchbackID Mailcode The age of your original line that connects from your property boundary to your home on Serv_Street_ Name is estimated to be House_Age years old, based on when your home was built in Yr_built. Coverage is not limited to type of pipe material, how long you’ve owned your home, age of your home or age of your exterior line. If AOR null: probably the same as the age of your home. Protection is available for eligible Serv_City homeowners. Property Address: Serv_Address1_xxxxxxx You are responsible for the exterior water service line on your property. Take action with a coverage plan today. PLEASE COMPLETE AND RETURN THE APPLICATION FORM TODAY Call toll-free 1-XXX-XXX-XXXX or Visit www.Website.com Available Mon-Fri Xam-Xpm | Sat XXam-Xpm XXX FPO fold fold 17.5” long folds at 2.75” folds at 2.75” folds at 3.25” folds at 3.25” folds at 3.75” folds at 1.75” 8.5” Blind perf Blind perf .25” .25” .375” .375” Matchback ID Code: 10pt OCR A Extended text box: 2.975” w, + clearance .375” from Left trim .375 from Bottom trim .25” clearance right and top magenta rule line and measurements do not print FYI - Finished Front Panel .5 x .5 FPO Box is placement area for a 2d barcode - so we keep plenty of white/ empty space around the barcode FPO X4643_Accordion_#10_LTR.indd 2 X4643_Accordion_#10_LTR.indd 2 12/28/21 10:54 AM 12/28/21 10:54 AM