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...
View Full Document
- Spring '11
- Economics, Injury, Jamie Boyd, AUTO POLICY DECLARATIONS, HALLMARK INSURANCE COMPANY, 20th St SW