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GEICO Tel: 1200841 30M <br />getco.com <br />GEICO GENERAL INSURANCE COMPANY <br />P.O. Box 509090 <br />San Diego, CA 92150-9090 <br />Date Issued: September 8, 2015 <br />CATHERINE ANN KALIVAS <br />2565 ROYAL CREST DR <br />ESCONDIDO CA 92025-7315 <br />Email Address: katiekalivasagmail.com <br />Named Insured <br />Catherine A Kalivas <br />Vehicles <br />VIN <br />a. <br />tQ��la.- <br />ial <br />i - <br />Declarations Page <br />Tine; is a desiarton of your ch,,i e <br />P 2i retain for year records <br />Policy Number: 2015-10-66-16 <br />Coverage Period: <br />07-09-15 through 01-09-16 <br />12.61 a.m. standard Ilene at the address of the named <br />insured. <br />Endorsement Effective: 09-08-15 <br />Additional Driver <br />Annabelle G Mann <br />Vehicle Location Finance Company/ <br />Lienholder <br />11997 Ford <br />F150 <br />1FTOX1764VNC85793 <br />Escundido CA92025 <br />2 2008 Nissan <br />Titan King <br />1N6AA06E28N321747 <br />Escondido CA 92025 <br />3 2012 Fiat <br />500 Sport <br />3C3CFFSR5CT313535 <br />Escondido CA 92025 Ally Financial <br />4 1984 Volks <br />Vanagon <br />WV2ZB0256EH058912 <br />Escondido CA 92025 <br />Coverages' Limits an /or Deductibles Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 <br />Bodily Injury Liability <br />Each Person/Each Occurrence <br />Property Damage Liability <br />Medical Payments <br />Uninsured & Underinsured Motorists <br />Each Person/Each Occurrence <br />Comprehensive <br />Collision <br />Emergency Road Service <br />Rental Reimbursement <br />$100000/5300,000 $49.00 $78.10 $60,80 S58.90 <br />$50,000 $5960 $106.90 $70.60 $71,70 <br />S5,000 $15.70 $20,10 $21.00 519.90 <br />$100,000/5300,000 <br />$500 Ded <br />5500 Ded/Waiver <br />Full <br />S35 Per Day <br />$1050 Max <br />Six Month Premium Per Vehicle <br />Total Six Month Premium <br />"Coverage applies where a premium or $0.00 is shown for a vehicle. <br />$19.30 $29.80 $28.20 523.10 <br />$7,90 $41_80 $33.60 $7.40 <br />$39.20 $191.00 $152.80 $37.40 <br />$880 $7.80 $5.20 58.80 <br />$1480 $14.80 $14.80 $14.80 <br />$214.30 5484.30 $387.00 $242.00 <br />$1,327.60 <br />If you elect to pay your premium in installments, you may be subject to an additional fee for each installment. The fee <br />amount will be shown on your billing statements and is subject to change. <br />Reviewed by Corsinue on Back <br />PEG_PA©E (03-14) (Page I of 2) Policy Change Page 3 of 4 <br />Carmen Acosta <br />PRCSA/Recreation <br />General Page 2 <br />