State Farm Mutual Automobile Insurance Company declarations page



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State Farm Mutual Automobile Insurance Company DECLARATIONS PAGE

2702 Ireland Grove Rd

Bloomington, IL 61709
Policy Number S020591-17F Policy Period August 22, 2007 - February 21, 2008
Named Insured
Finance 230 Student

141 Wohlers Hall

Champaign, IL 61820


YEAR

MAKE

MODEL

BODY STYLE

VEHICLE ID. #

CLASS

2001

CHYSLER

SEBRING

CONVERTIBLE

3C3EL55HXWT291333

6D30E02



SYMBOLS COVERAGES PREMIUMS
A Bodily Injury/Property Damage Liability $143.36

Limits of Liability - Coverage A - Bodily Injury

Each Person Each Accident

$100,000 $300,000

Limits of Liability - Coverage A - Property Damage

Each Accident

$100,000
C Medical Payments 10.08

Limit of Liability - Coverage C

Each Person

$25,000
D Comprehensive 63.84
G 100 $100 Deductible Collision 198.39
H Emergency Road Service 5.01
U Uninsured Motor Vehicle 7.00

Limits of Liability - U

Each Person Each Accident

$100,000 $300,000
W Underinsured Motor Vehicle 7.40

Limits of Liability - W

Each Person Each Accident

$100,000 $300,000
Total Premium for This Policy Period $435.08
IMPORTANT MESSAGES
Your policy consists of this declarations page, the policy booklet - form 9813A, and any endorsements that apply, including those issued to you with any subsequent renewal notice.

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