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Jamie_Boyd_010-130251-00_120710_162951_DEC

Jamie_Boyd_010-130251-00_120710_162951_DEC - $ 299 Property...

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THIS DECLARATIONS PAGE IS PART OF YOUR POLICY, PLEASE READ CAREFULLY HALLMARK INSURANCE COMPANY P.O. BOX 250209 PLANO, TX 75025-0209 469-298-5700 Policy Number 010-130251-00 PERSONAL AUTO POLICY DECLARATIONS (New Business) EFFECTIVE: EXPIRATION: POLICY PERIOD 12 07 2010 03:45PM CST 06 07 2011 12:01 AM CST NAMED INSURED(S) AGENCY NAME & ADDRESS Jamie Boyd 660 20th St SW Winter Haven, FL 33880 ANSWER FINANCIAL #1 (4216171-001-00) 6500 PINECREST DRIVE #100 PLANO, TX 75024 (800) 486-5616 INSURED VEHICLE DESCRIPTION Veh # Year Make/Model VIN State Zip/ Terr Usage/ Surcharged Stated Amount Symbol ISO/Rating Age 1 2000 FORD FOCUS LX 1fafp33p6yw202551 FL 33880 / 10 Work / N 10 / 10 12 DRIVERS Drv # Name DOB Age / Driver level Marital / Sex Driver's Lic # State Status Points 1 Jamie Boyd 12/21/1988 21 / FM21 M / F b300428889610 FL Rated 0 2 Wyatt Boyd 05/28/1986 24 / MM24 M / M b300881861880 FL Rated 1 0 CURRENT COVERAGES Coverages Limits Of Liability Veh 1 Bodily Injury Liability
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Unformatted text preview: $ 299 Property Damage Liability $10,000 per accident $ 168 Uninsured Motorists - BI non-stacked $10,000 per person / $20,000 per accident - $250 Ded. $ 189 Personal Injury Protection $ 10,000 per Person $500 Ded. (N.I. & Dep.) $ 274 Vehicle Totals $ 930 **CREDITS/SURCHARGES APPLIED: ABS,AIR,ATD,TR1 Endorsements - form numbers of endorsements attached to policy: PP00010105, PPP0010105, PP05540108, FLENDNC201006, PP04420108 Total Premiums $ 930.00 FL Hurricane Catastrophe Fund $ 9.30 Total Policy $ 939.30 * ALL FEES ARE FULLY EARNED *** The rejection of the above mandatory coverages by the insured indicates that no coverage is afforded by this policy. Only coverages listed on this declarations in which a premium is charged are provided by this policy. 12/07/2010 Issue Dates Authorized Signature...
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