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Wsahivan DC VERIFICATION OF COVERAGE <br />Wsahivan DC VERIFICATION OF COVERAGE <br />INSURED Policy Number: 4017795693 <br />EffM:fiva T`atn: nc_��_11 <br />WILLIAM JOHN AND LUCINDA HALL Expiration Date: 12-23-11 <br />KREBS Registered Staten 1_TFnup1TA. <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 data 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. 2009 <br />Make: TOYOTA <br />Model: RAV4 <br />VIN: JTMZK31v395025293 <br />COVERAGES <br />BODILY INJURY LIABILITY <br />PROPERTY DAMAGE LIABILITY <br />MEDICAL PAYMENTS <br />UNINSURED &UNDERINSURED MOTORISTS <br />COMPREHENSIVE <br />COLLISION <br />EMERGENCY ROAD SERVICE <br />RENTAL REIMBURSEMENT <br />-.)(_ Idenholder <br />I <br />Additional Information: <br />_ Additional Insured <br />LIMITS <br />$1MIL/$1MIL <br />$100,000 <br />$1,000 <br />$300,000/$300.000 <br />$25/DAY-$750 MAX <br />If you have any additional questions, please call 1 -MG -841-3000 <br />Interested Party <br />DEDUCTIBLES <br />$250 DED <br />$500 DED/WAIVER <br />NON -DED <br />P+ppR VED Aa TG TOVM <br />Ll E STpRCK <br />Assistant City Attorney <br />_Y� <br />CAUTIONARYNOTE: THE CURRENT COVERAGES, LIMITS, AND DEDUCTHIISS MAYDDTI R FROM THE COVERAGES, 1,IMITS, AND DEDUCTIBLES INEFFECT AT OTHER <br />TIMES DURING THE POLICYPERIOD. THIS VERIFICATION OF COVERAGE REFLECTS THE COVERAGES, LJMITS AND DEDUCTIBLES AS OF THE ISSUED DATE OF TRIS <br />DOCUMENT WRICHIS SHOWN UNDER'ADDFnONAI, N ORMATION ORM"ISSUED DATE D NOT SHOWN. THEDATE OFTHIS FACSIMR.E <br />U-33 10-07 <br />