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    This document is a declarations page that describes Luis Eduar Alcantara Palacios's auto insurance coverage through GEICO Indemnity Company. It lists his policy number and term, vehicles covered, coverage limits and premiums paid, and applicable discounts. His 2002 Ford Taurus is covered with bodily injury liability of $25,000 per person/$50,000 per accident, property damage liability of $25,000, and uninsured/underinsured motorist coverage of $25,000/$50,000. His total six month premium is $1,122 and he receives discounts totaling $86.20.

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    Declaration Page (4)

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    This document is a declarations page that describes Luis Eduar Alcantara Palacios's auto insurance coverage through GEICO Indemnity Company. It lists his policy number and term, vehicles covered, coverage limits and premiums paid, and applicable discounts. His 2002 Ford Taurus is covered with bodily injury liability of $25,000 per person/$50,000 per accident, property damage liability of $25,000, and uninsured/underinsured motorist coverage of $25,000/$50,000. His total six month premium is $1,122 and he receives discounts totaling $86.20.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    76 views2 pages

    Declaration Page

    Uploaded by

    luisalcantara12345678
    This document is a declarations page that describes Luis Eduar Alcantara Palacios's auto insurance coverage through GEICO Indemnity Company. It lists his policy number and term, vehicles covered, coverage limits and premiums paid, and applicable discounts. His 2002 Ford Taurus is covered with bodily injury liability of $25,000 per person/$50,000 per accident, property damage liability of $25,000, and uninsured/underinsured motorist coverage of $25,000/$50,000. His total six month premium is $1,122 and he receives discounts totaling $86.20.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    Tel: 1-800-841-3000 Declarations Page

    This is a description of your coverage.


    Please retain for your records.
    GEICO Indemnity Company
    One GEICO Boulevard Policy Number: 6090-41-92-65
    Fredericksburg, VA 22412-0003
    Coverage Period:
    06-23-23 through 12-23-23
    12:01 a.m. local time at the address of the named insured.

    Date Issued: May 15, 2023

    LUIS EDUAR ALCANTARA PALACIOS


    284 INDIAN FIELD RD
    BRIDGEPORT CT 06606-1717

    Email Address: Luisalcantara37@gmail.com

    Named Insured Additional Drivers


    Luis Eduar Alcantara Palacios None

    Vehicle VIN Vehicle Location Finance Company/


    Lienholder
    1 2002 Ford Taurus SES 1FAFP55U92G134648 BRIDGEPORT CT 06606-1717

    Coverages* Limits and/or Deductibles Vehicle 1

    Bodily Injury Liability


    Each Person/Each Occurrence $25,000/$50,000 $706.80
    Property Damage Liability $25,000 $367.50
    Uninsured/Underinsured Motorists
    Non-Stacked
    Each Person/Each Occurrence $25,000/$50,000 $47.70

    Total Six Month Premium $1,122.00

    *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 $86.20
    Renewal (All Vehicles) ...................................................................................................................................$53.50

    T-E
    Continued on Back
    DEC_PAGE (03-14) (Page 1 of 2) Renewal Page 5 of 40
    Discounts Continued
    Multiline (All Vehicles) ...................................................................................................................................$32.70

    Contract Type: A30CT

    Contract Amendments: ALL VEHICLES - A30CT A54CT SIGPGCW

    Class: 0 -L -22SMP -L(VEH 1)

    Important Policy Information


    - If your payment isn't honored by your financial institution, you'll be charged a service fee up to $20.00, depending on
    your state.
    - Please review the front and/or back of this page for your coverage and discount information.
    - Active Duty, Guard, Reserve or Retired Military: Call 1-800-MILITARY to see if you qualify for the Military Discount.
    - 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.
    - Claims incurred while an insured vehicle is being used to carry passengers for hire may not be covered by this
    contract. Please review the contract for a full list of exclusions and contact us if you plan to use any of your insured
    vehicles for this purpose.

    DEC_PAGE (03-14) (Page 2 of 2) Renewal Page 6 of 40

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