State Farm Mutual Automobile Insurance Company declarations page
Date 19.05.2018 Size 11.32 Kb. #49239
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
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