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GEICO GENERAL INSURANCE COMPANY U-31-DP-36 (7-07)

Date Issued: 01-26-09 Policy Number: 1512-07-64-05

PREFERRED

CLASS, SYMBOL AND

VEHICLE RATED LOCATION VEH. LIAB. SYMBOL

1 95 TOYOTA PICKUP 4TAVN13D3SZ324629 CENTEREACH NY 11720 A -N - -S G 4

2 99 TOYOTA COROLLA 2T1BR12E9XC251936 CENTEREACH NY 11720 A -M - -L D 4

COVERAGES LIMITS OR PREMIUMS


Coverage applies where a premium or 0.00 is shown for the vehicle. DEDUCTIBLES Vehicle 1 Vehicle 2 Vehicle

BODILY INJURY LIABILITY


EACH PERSON/EACH OCCURRENCE $25,000/$50,000 83.90 104.60
PROPERTY DAMAGE LIABILITY $10,000 70.40 89.80
BASIC PERSONAL INJURY PROTECTION OPT-A/50,000/2,000WL 129.60 119.50
SUPPLEMENTARY UNINSURED/ $25,000/$50,000 12.30 12.30
UNDERINSURED MOTORIST
EACH PERSON/EACH OCCURRENCE

SIX MONTH PREMIUM PER VEHICLE: $ 296.20 $ 326.20


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.

Lienholder Vehicle Lienholder Vehicle Lienholder Vehicle

INSURED COPY PAGE 02

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