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  • Property Damage 10,000 Each Accident

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    Chris Cooke
    125 views2 pages
    This document is an auto insurance policy issued to Christina Grant providing coverage from September 6, 2021 to March 6, 2022 for a 1996 Ford Ranger. The policy provides $10,000 of property damage liability coverage for $160 and $10,000 of personal injury protection with a $328 premium. The total 6-month premium is $513 with a $4.39 policy fee, for a total amount due of $517.39.

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    Declaration Page

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    This document is an auto insurance policy issued to Christina Grant providing coverage from September 6, 2021 to March 6, 2022 for a 1996 Ford Ranger. The policy provides $10,000 of property damage liability coverage for $160 and $10,000 of personal injury protection with a $328 premium. The total 6-month premium is $513 with a $4.39 policy fee, for a total amount due of $517.39.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    125 views2 pages

    Property Damage 10,000 Each Accident

    Uploaded by

    Chris Cooke
    This document is an auto insurance policy issued to Christina Grant providing coverage from September 6, 2021 to March 6, 2022 for a 1996 Ford Ranger. The policy provides $10,000 of property damage liability coverage for $160 and $10,000 of personal injury protection with a $328 premium. The total 6-month premium is $513 with a $4.39 policy fee, for a total amount due of $517.39.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

    DocuSign Envelope ID: B0205079-20C8-40E3-B9AE-083528C3766F

    09/06/21 09:59 AM
    CSFL 000314117 0019969761
    09/06/2021
    Policy Period From 09/06/2021 Time: Per Application To: 03/06/2022

    CHRISTINA GRANT ACCEPTANCE INSURANCE


    31200 SWAN RD PO BOX 23410
    NASHVILLE TN 37202
    SORRENTO FL 32776 Phone: 800-3210899
    Agent#: 009-99-9988

    1 1996 FORD RANGER 1FTCR10A8TUA46142 65 FS45

    THIS POLICY DOES NOT PROVIDE BODILY INJURY AND PROPERTY DAMAGE LIABILITY INSURANCE OR ANY OTHER COVERAGE
    FOR WHICH A SPECIFIC PREMIUM CHARGE IS NOT MADE, AND DOES NOT COMPLY WITH ANY FINANCIAL RESPONSIBILITY LAW
    Property Damage 10,000 each accident 160.00

    Pers. Inj. Protection 10,000 each person 328.00


    5,000 death benefit
    1,000 deductible

    488.00
    DocuSign Envelope ID: B0205079-20C8-40E3-B9AE-083528C3766F

    Policy#: CSFL 000314117

    488.00
    25.00 513.00

    4.39

    1 CHRISTINA GRANT 04/09/1976 F S FL Rated

    FLC-100 PERSONAL AUTO POLICY FL GLA 04.21 FL WINDSHIELD LIMIT OF LI

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