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GEICO GEICO INDEMNITY COMPANY of 2011 5g <br />Washington DC VERIFICATION OF COVERAGE <br />(SEE BELOW UNDER CAUTIONARY NOTE) <br />INSURED Policy Number: 4188065843 <br />Effective Date: 08-20-18 <br />ROSANA LOMELI Expiration Date: 02-20-19 <br />STEVEN JASON HERNANDEZ Registered State: CALIFORNIA <br />JS21 MEMORIAL OR <br />To whom it may concern: <br />This letter is to verify that we have issued the policyholder coverage under the above policy number for the dates indicated in the effec- <br />tive and expiration date fields for the vehicle listed. This should serve as proof that the below mentioned vehicle meets or exceeds the <br />financial responsibility requirement for your state. <br />This verification of coverage does not amend, extend or alter the coverage afforded by this policy. <br />Vehicle Year: 2004 <br />Make: CHEV <br />Model: SILVER1500 <br />VIN: 2GCEK13T341346582 <br />COVERAGES <br />Bodily Injury Liability <br />Property Damage Liability <br />Uninsured &Underinsured Motorists <br />Comprehensive <br />collision <br />Emergency Road Service <br />Rental Reimbursement <br />Lfenholder <br />Additional Information: <br />Additional Insured <br />LIMITS <br />$1MIL/$1MIL <br />$25,000 <br />$15,000/$30,000 <br />Full <br />$50/DAY-$1,500 Max <br />If you have any additional questions, please call 1-800-841-3000 <br />Interested Party <br />DEDUCTIBLES <br />$250 Ded <br />$500 Ded/waiver <br />Non-Ded <br />tbf3oh?' Page, 11),(3 <br />CAUTIONARYNOTE: THE CURRENT COVERAGES,LAIITS,ANDDEDUCTIBLESMAYDn RFROMTHE COVERAGE$LIPOTS,ANDDEDUCTIBLES INEFFECT AT OTHER <br />TIMES DURING THE POLICYPERIOD. THIS VERIFICATION OF COVERAGE REFLECTS TAE COVERAGES, LHAITS AND DEDUCTIBLES AS OF THE ISSUED DATE OF THIS <br />DOCUMENT WHICH IS SHOWN UNDER -ADDITIONAL INFORMATION" OR MAN ISSUED DATE IS NOT SHOWN, THE DATE OF THIS FACSI N E. <br />U-33 10-07 <br />