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Haynes, Franklin (3)
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Last modified
7/8/2025 3:56:31 PM
Creation date
7/8/2025 3:56:08 PM
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Contracts
Company Name
Haynes, Franklin
Contract #
N-2025-178
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2026
Insurance Exp Date
9/8/2025
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Renewal auto policy declarations Page 2 of 4 <br /> Policy number: 1924941534 <br /> Policy effective date: January 11,2025 <br /> Coverage detail for 2017 Volvo Xc90 _ <br /> Coverage Limits Deductible Premium <br /> Pt�tomobile Liablllty InsUranc lot applicable <br /> f BgOily Iniu.ry 1QQ, 00'e;ach person <br /> i$3Q0,000 each occurrence <br /> Property Damage j$JQ QQO each occurrence` <br /> Auto Collision Insurance Actual cash value $1,000 $245.45 <br /> Waiver of deductible applies <br /> Auto Comprehensive Insurance Actual cash value $500 $118.50 <br /> Rental Reimbursement Not purchased* <br /> Towing and Labor Costs $100 each disablement Not applicable $4.81 <br /> Uninsured Motorists Insurance for Bodily $100,000 each person Not applicable $136.95 <br /> Injury $300,000 each accident <br /> Automobile Medical Payments Not purchased* <br /> Coordinated Medical Protection Not purchased* <br /> Sound System Not purchased* <br /> Tape Not purchased* <br /> Total premium for 2017 Volvo Xc90 $870.78 <br /> *This coverage can provide you with valuable protection. To help you stay <br /> current with your insurance needs,contact your Allstate agent to discuss <br /> coverage options and other products and services that can help protect <br /> you. <br /> VIN YV4A22PK9H1150953 Rating information <br /> Your premium is determined based on certain <br /> information,including the following: <br /> • This vehicle is driven 3-9 miles to work/school, <br /> married person licensed 45 years. <br /> Allstate uses mileage information as one factor to help determine your premium amount. <br /> m <br /> Important Note:The annual mileage figure applicable to this vehicle for the expiring policy period was:8,000-8,499.The a <br /> annual mileage figure applicable to this vehicle for the current policy period is:9,000-9,499. <br /> The required odometer information to calculate your annual mileage for the current policy period was not provided,was <br /> illegible,could not be obtained or the most recent odometer reading we received was less than a previous reading. 0 <br /> 0 <br /> 0 <br /> If any of the information shown above is incorrect,missing or changes in the future,please contact your Allstate N 0 <br /> representative.Please keep in mind that a change in any of the information may result in an adjustment to your premium. o <br /> La ID <br /> fn O <br /> a O <br /> rn O <br /> A O <br /> a� <br /> �O <br /> 04 <br /> O Q <br /> O <br /> n <br /> O m <br /> O <br /> Q N <br /> N <br /> N O <br /> ID <br /> V <br /> O� <br /> O ry <br /> a� <br /> F- <br />
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