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Property Damage 10,000 Each Accident

This document is an auto insurance policy issued to Christina Grant providing coverage from September 6, 2021 to March 6, 2022 for a 1996 Ford Ranger. The policy provides $10,000 of property damage liability coverage for $160 and $10,000 of personal injury protection with a $328 premium. The total 6-month premium is $513 with a $4.39 policy fee, for a total amount due of $517.39.

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Chris Cooke
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727 views2 pages

Property Damage 10,000 Each Accident

This document is an auto insurance policy issued to Christina Grant providing coverage from September 6, 2021 to March 6, 2022 for a 1996 Ford Ranger. The policy provides $10,000 of property damage liability coverage for $160 and $10,000 of personal injury protection with a $328 premium. The total 6-month premium is $513 with a $4.39 policy fee, for a total amount due of $517.39.

Uploaded by

Chris Cooke
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DocuSign Envelope ID: B0205079-20C8-40E3-B9AE-083528C3766F

09/06/21 09:59 AM
CSFL 000314117 0019969761
09/06/2021
Policy Period From 09/06/2021 Time: Per Application To: 03/06/2022

CHRISTINA GRANT ACCEPTANCE INSURANCE


31200 SWAN RD PO BOX 23410
NASHVILLE TN 37202
SORRENTO FL 32776 Phone: 800-3210899
Agent#: 009-99-9988

1 1996 FORD RANGER 1FTCR10A8TUA46142 65 FS45

THIS POLICY DOES NOT PROVIDE BODILY INJURY AND PROPERTY DAMAGE LIABILITY INSURANCE OR ANY OTHER COVERAGE
FOR WHICH A SPECIFIC PREMIUM CHARGE IS NOT MADE, AND DOES NOT COMPLY WITH ANY FINANCIAL RESPONSIBILITY LAW
Property Damage 10,000 each accident 160.00

Pers. Inj. Protection 10,000 each person 328.00


5,000 death benefit
1,000 deductible

488.00
DocuSign Envelope ID: B0205079-20C8-40E3-B9AE-083528C3766F

Policy#: CSFL 000314117

488.00
25.00 513.00

4.39

1 CHRISTINA GRANT 04/09/1976 F S FL Rated

FLC-100 PERSONAL AUTO POLICY FL GLA 04.21 FL WINDSHIELD LIMIT OF LI

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