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RIN 5804578 01 09/01/18 UT 9 00 05

AREA ID: ML

AMERICAN BANKERS INSURANCE COMPANY REINSTATEMENT EFFECTIVE 08/16/18 12.01 AM,


OF FLORIDA STANDARD TIME. WAIVES PREVIOUS CANCELLATION
11222 Quail Roost Drive, Miami, FL 33157-6596 BEARING SAME NUMBER, ATTACH TO POLICY.

POLICY PERIOD
POLICY NUMBER FROM TO POLICY TYPE AGENCY P
RIN 5804578 08/16/18 08/16/19 RENTERS INSURANCE 0DS6001 00
YOU AS NAMED INSURED AND ADDRESS AGENT/ACCOUNT
ARLAN STUTLER GEICO INSURANCE AGENCY, INC.
406 1-877-900-0344
470 S 1300 E 1 GEICO BLVD
SALT LAKE CTY UT 84102 FREDERICKSBURG VA 22412

IMPORTANT: THIS POLICY DOES NOT INCLUDE COVERAGE FOR FLOOD LOSSES TO YOUR
BUILDING, CONTENTS, OR POSSESSIONS.

INSURED RESIDENCE PREMISES IS LOCATED AT:


SAME AS MAILING ADDRESS ABOVE

COVERAGE AMOUNT OF COVERAGE PREMIUM


PERSONAL PROPERTY $5,000 LESS DEDUCTIBLE OF $500 $104.00
PERSONAL LIABILITY $100,000 PER OCCURRENCE $17.00
MEDICAL PAYMENTS $1,000 PER PERSON INCL
LOSS OF USE $1,000 PER OCCURRENCE INCL

POLICY FEE $15.00


TOTAL PREMIUM $136.00

ADDITIONAL COVERAGES AND CREDITS/SURCHARGES INCLUDED IN THE TOTAL PREMIUM


REPLACEMENT COST INCL

FORMS AND ENDORSEMENTS


DF00965A-0416 *, N8085-0304 *, AB4720EC-0307 *, AB4735EC-1111 *,
AJ8485EC-0605 *, AJ8850PC-0307 *.

A2083-0684 Insured Print Copy RIUNIV

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