GEICO Secure Insurance Company

PO BOX 9510
Fredericksburg, VA 22403-9528

12/27/2023

Date Loss Reported to GEICO: 12/26/2023

Angye Hurtadovivas
702 Jefferson Ave APT 3
Elizabeth, NJ 07201-1298

Company Name: GEICO Secure Insurance Company

Claim Number: 878712921 0000 001
Loss Date: Tuesday, December 12, 2023
Policyholder: Angye Hurtadovivas
Policy Number: 6134294427

Dear Angye Hurtadovivas,

Under policy 6134294427 at the time of the accident you had/or there were limits of $25,000
per person/ $50,000 per occurrence bodily injury and $25,000 property damage.

We are writing to you at this time to determine whether you or any other member of your
household had excess or umbrella coverage or any other automobile insurance policy.
Please check one response.

Yes______ No______

If you checked "yes" please indicate in the space provided, the name of the insurance
company, policy number and amount of coverage. If there is no other available insurance,
sign the bottom of this letter and have this letter notarized and return it to us in the enclosed
envelope.

EC0147 (11/2007)
Sincerely,

Ashley Fowler
855-395-9762 Option 4 x2914
Claims Department

Insurance Company Address of Insurance Carrier

Policy Number(s) Policyholder Name Amount of Coverage

12 27 23
Angye Hurtadovivas

Sworn to before me this _______ day of _________________, 20________

________________________
NOTARY PUBLIC

Claim Number: 878712921 0000 001

Encl: Return Envelope