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Declarations Page: Policy Number: 4313-76-32-70 Coverage Period

Declaration Page

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88 views

Declarations Page: Policy Number: 4313-76-32-70 Coverage Period

Declaration Page

Uploaded by

Usman Muhammad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

Tel: 1-800-841-3000 Declarations Page

This is a description of your coverage.


Please retain for your records.
GEICO Casualty Company
One GEICO Center Policy Number: 4313-76-32-70
Macon, GA 31295-0001
Coverage Period:
07-05-20 through 01-05-21
Your coverage begins and ends at 12:01am local time at the
address of the named insured.

Endorsement Effective: 08-21-20


Date Issued: August 21, 2020

SANGITA A MODI AND ATUL B MODI


8832 N PROSPECT ST
NILES IL 60714-1611

Email Address: [email protected]

Named Insured Additional Drivers


Sangita A Modi Mihir Modi
Atul B Modi Dikshi A Modi

Vehicles VIN Vehicle Location Finance Company/


Lienholder
1 2004 Toyota Corolla 1NXBR32E44Z339573 NILES IL 60714-1611

2 2013 Nissan Altima 1N4AL3AP3DC110513 NILES IL 60714-1611 PNC BANK NA


PNC BANK
3 2013 Acura Mdx Awd 2HNYD2H32DH515594 NILES IL 60714-1611 PNC BANK NA

4 2015 Acura RDX AWD 5J8TB4H38FL023421 NILES IL 60714-1611 PNC BANK NA

Coverages* Limits and/or Deductibles Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4

Bodily Injury Liability


Each Person/Each Occurrence $100,000/$300,000 $180.21 $197.40 $185.41 $157.08
Property Damage Liability $50,000 $182.66 $183.42 $182.45 $147.43
Medical Payments $10,000 $27.85 $32.31 $27.85 $28.26
Uninsured Motorists
Each Person/Each Occurrence $100,000/$300,000 $13.43 $13.43 $13.43 $13.43
Underinsured Motorist
Each Person/Each Occurrence $100,000/$300,000 $12.26 $12.26 $12.26 $12.26
Comprehensive $250 Ded $15.63 $35.25 $39.27 $27.27
Collision $250 Ded $132.74 $330.92 $290.39 $228.93

T-H
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DEC_PAGE (03-14) (Page 1 of 4) Endorsement Page 9 of 12
Coverages* Limits and/or Deductibles Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4

Emergency Road Service ERS FULL $8.80 $5.68 $5.68 $4.37


Rental Reimbursement $30 Per Day
$900 Max $10.72 $10.72 $10.72 $10.72
Six Month Premium Per Vehicle $584.30 $821.39 $767.46 $629.75

Total Six Month Premium $2,802.90

*Coverage applies where a premium or $0.00 is shown for a vehicle.

If you elect to pay your premium in installments, you may be subject to an additional fee for each installment. The fee
amount will be shown on your billing statements and is subject to change.

Discounts
The total value of your discounts is $1,931.51
Anti-Lock Brake .............................................................................................................................................$51.74
Multiline .......................................................................................................................................................$137.66
Good Student ................................................................................................................................................$75.78
Multi-Vehicle Discount ..............................................................................................................................$1,451.95
Restraint ........................................................................................................................................................$49.84
Seat Belt .........................................................................................................................................................$6.13
Persistency ....................................................................................................................................................$20.80
Good Driver .................................................................................................................................................$132.24
Anti-Theft ........................................................................................................................................................$5.37
The following discounts have also been applied
Financial Responsibility ..............................................................................................................................Included
Driving Experience .....................................................................................................................................Included

Contract Type: A30IL

Contract Amendments: ALL VEHICLES - A30IL A54IL

Unit Endorsements: CC1102(VEH 1,2,3,4); CC115(VEH 1,2,3,4); A431IL(VEH 1,2,3,4); UE316I(VEH 2,3,4)

Continued on Next Page


DEC_PAGE (03-14) (Page 2 of 4) Endorsement Page 10 of 12
Important Policy Information
- Reminder - Physical damage coverage will not cover loss for custom options on an owned automobile, including
equipment, furnishings or finishings including paint, if the existence of those options has not been previously reported
to us. This reminder does NOT apply in VIRGINIA, however, in Virginia coverage is limited for custom furnishings or
equipment on pick-up trucks and vans but you may purchase coverage for this equipment. Please call us at
1-800-841-3000 or visit us at geico.com if you have any questions.
- A Defensive Driver or Mature Driver Improvement Credit or Discount no longer applies to your policy.
- VIVEKKUMAR V MODI was removed as an operator from your policy.

DEC_PAGE (03-14) (Page 3 of 4) Endorsement Page 11 of 12


DEC_PAGE (03-14) (Page 4 of 4) Endorsement Page 12 of 12

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