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Quote Number: AQ00603564 Proposal Date: April 11, 2016 Our Rate Guarantee Expires On: May 11, 2016
Named of Insured and Mailing address: Producer:The Sunrise Group, LLC
Michael Woodward Agency's Address: 206 N. Woodland Blvd
1018 Highgrove Dr Deland, FL 32720
Chapel Hill, NC 27516
Producer Proposal
Bodily Injury
Property Damage
Medical Payments
Uninsured/Underinsured
Motorists BI
$250,000/$500,000 Per Person/Accident
$250,000 Per Accident
$10,000 Each Person
$250,000/$500,000 Per Person/Accident
$258.03
$186.03
$46.00
$95.00
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Automobile Insurance Proposal
DISCOUNTS
Producer Proposal
Anti Theft Discount
Auto # 1
Passive Restraint Discount
Auto # 1
Anti Lock Brakes Discount Savings
Auto # 1
VIN ERRORS
Auto # 1
The 4th and 5th digits of VIN must be alphabetic.
COMMENTS
Any person who with intent to defraud or knowing that he/she is facilitating a fraud against an insurer, submits an application or files a claim
containing a false or deceptive statement is guilty of insurance fraud. The proposal is subject to all the terms and conditions of the policies and
endorsements in use. The proposal is based on the information provided; any change in the information could result in a change to the proposed terms and
or premium.
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