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1996 Volkswagen PASSAT TDI
VIN: WVWHG83A9TE242021
Bodily Injury (including Uninsured Motorist)
Limit 30,000/60,000 per person/per accident $77.00
Property Damage (including Uninsured Motorist)
Limit 25,000 per accident $81.00
Medical Payments
Selection: Coverage Declined $0.00
Other Than Collision
Deductible 250 per occurrence $36.00
Collision
Deductible 250 per occurrence $93.00
Extended Transportation Expenses
Limit 30/900 per day/maximum $9.00
Towing & Labor
Limit 50 per disablement $2.00
Vehicle Subtotal $298.00
Drivers
Name Status Relationship DL #
JAMES R BERG JR Operator Self 17920444
Single / DOB 1981-08-25
Six Month Total Policy Premium: $ 316.67
Renter's Insurance
Limit of Liability DEDUCTIBLES
Total property coverage: $12,200
premium: $63.50
We cover only that part of the loss over the deductible stated.
OTHER PERILS $ 250, EARTHQUAKE $ 1,830
Liability coverage:
Each Occurrence $ 100,000
premium: $27.82
Each Person $ 1,000
REPLACEMENT COST INCLUDED
ADJUSTED CONTENTS NO CHARGE
Total premium: $91.32
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