Public Comment #6 SELECTIONIREJECTION OF UNINSURED MOTORIST COVERAGE
You may select Uninsured Motorist coverage limits up to the Bodily Injury liability limits in your policy or you may
reject Uninsured Motorist coverage entirely. If you do not reject Uninsured Motorist coverage entirely you may select
"Stacked Uninsured Motorist" or"Non-stacked Uninsured Motorist."
Please select one coverage option below and a limit if listed under that option:
❑ I hereby select Stacked Uninsured Motorist coverage in the same limits as my Bodily Injury liability
ru coverage.
0
C3
(Note: If you select this option the paragraph regarding "non-stacked uninsured motorist coverage and the
ru bold statement at the top of page 1 shall not apply.")
O
O ® I hereby select Non-stacked Uninsured Motorist coverage in the same limits as my Bodily Injury liability
C3 coverage.
Er' ❑ 1 hereby select Stacked Uninsured Motorist coverage at the limit selected below. (Note: This section includes
C3 an option for Uninsured Motorist coverage limits which are lower than your Bodily Injury liability limits.)
0
M
O
ru
O
O
M ❑ I hereby select Non-Stacked Uninsured Motorist coverage at the limit selected below. (Note: This
M section includes an option for Uninsured Motorist coverage limits which are lower than your Bodily
o Injury liability limits.)
0
O
Iq
❑ 1 hereby reject all Uninsured Motorist coverage.
r
X
a
Please contact your agent if you have any questions about this coverage.
3 1 understand and agree that selection of any of the above options applies to my liability insurance policy and any future
renewals or replacements of such policy which are issued at the same Bodily Injury Liability limits. If I decide to select
i another option at some future time I must let the Company know in writing.
J l
Joseph Semir ara 2004605371/34488
Named insure I Policy Number/Zip Code
10/25/2021
Signature Date
?fav 13. 2022
;yrs Nancv Clark
Chair Barnstable Historical Commission
367 Main L
Hvannis Massachusetts 02601
Ms Clark
We are Writing in support of neighbor Bili Lawson's request before the Commission to demolish
his home at 133 Gosnold St.
The house is currently uninhabitable. Our family has lived on our property{directly across the
streettsince the 1950s. and are unaware of any note worthy occupants.The house has no
architectural relevance or cultural significance.
The Lawsons shared the plans of their new home early in the process. and it is beautiful.This
new home aligns Uch more closely to the neW/renovated homes on Gosnold St.
thank You
Paula and Josep eminara
128 Gosnold Street
Hyannis. Massachusetts 02601