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FRANCIS H CLARKE AND KRISTIN M
CLARKE
382 N MAIN ST
S YARMOUTH MA 02664-2066
Email Address: FCLARKE0610@GMAIL.COM
Date Issued: January 20, 2024
GEICO General Insurance Company
One GEICO Boulevard
Fredericksburg, VA 22412-0003
Coverage Selections Page
This is a description of your coverage.
Please retain for your records.
Tel: 1-800-841-3000
Policy Number:4533-56-33-02
Coverage Period:
03-06-24 through 03-06-25
12:01 a.m.localtime at the address of the named insured.
Named Insured
Francis H Clarke
Kristin Marie Clarke
Additional Drivers
None
Vehicles VIN Vehicle Location Finance Company/
Lienholder
1 2006 Ford F-150 1FTRX14W36FA34494 S YARMOUTH MA 02664-2066 HARBORONE BANK
2 2011 GMC Yukon 1GKS2KE38BR236724 S YARMOUTH MA 02664-2066 WORKERS CU
Coverages*Limits and/or Deductibles Vehicle 1 Vehicle 2
Optional Bodily Injury To Others
(Part 5)
$100,000 Per Person/
$300,000 Per
Accident $425.00 $242.00
Personal Injury Protection (Part 2)$8,000 Each Person
Non Deductible $57.00 $43.00
Bodily Injury Caused By An Uninsured
Auto (Part 3)
(Compulsory Limits $20,000/$40,000)
$100,000 Per Person/
$300,000 Per
Accident $28.00 $28.00
Damage To Someone Else's Property
(Part 4) (Compulsory Limit $5,000)
$100,000 Per
Accident $712.00 $413.00
Medical Payments (Part 6)$5,000 Per Person $23.00 $23.00
Collision (Part 7)*Actual Cash Value
$500 Ded./Waiver $399.00 $347.00
Comprehensive (Excluding Collision)
(Part 9)
*Actual Cash Value
$500 Ded
Non Ded Glass $95.00 $125.00
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Coverages*Limits and/or Deductibles Vehicle 1 Vehicle 2
Rental Reimbursement/
Substitute Transportation (Part 10)
$50 Per Day
$1,500 Max $97.00 $97.00
Bodily Injury Caused By An
Underinsured
Auto (Part 12)
$100,000 Per Person/
$300,000 Per
Accident $39.00 $39.00
Emergency Road Service (Part 11)Full $26.00 $26.00
Twelve Month Premium Per Vehicle $1,901.00 $1,383.00
Total Twelve Month Premium $3,284.00
*Coverage applies where a premium or $0.00 is shown for a vehicle.
If you elect to pay your premium in installments, you maybe subject to an additional fee for each installment. The fee
amount will be shown on your billing statements and is subject to change.
Discounts
The total value of your discounts is $1,197.00
Anti-Theft Device (All Vehicles).....................................................................................................................$25.00
Multi-Car (All Vehicles)................................................................................................................................$881.00
Excellent Driver Plus (Veh 2).......................................................................................................................$291.00
Contract Type:FAMILY
Contract Amendments:ALL VEHICLES - A30MA(10-22)
Unit Endorsements:UE316D(05-09) (VEH 1,2); UE165(05-09) (VEH 1,2)
Important Policy Information
-Please review the front and/or back of this page for your coverage and discount information.
-Reminder - Physical damage coverage will not cover loss for custom options on an owned automobile, including
equipment, furnishings or finishings including paint, if the existence of those options has not been previously reported
to us. This reminder does NOT apply in VIRGINIA, however, in Virginia coverage is limited for custom furnishings or
equipment on pick-up trucks and vans but you may purchase coverage for this equipment. Please call us at
1-800-841-3000 or visit us at geico.com if you have any questions.
-Confirmation of coverage has been sent to your lienholder and/or additional insured.
-Claims incurred while an insured vehicle is being used to carry passengers for hire may not be covered by this
contract. Please review the contract for a full list of exclusions and contact us if you plan to use any of your insured
vehicles for this purpose.
-We have completed a policy review. Based on the information from that review, your policy has been adjusted to
reflect accurate rates.
-Check carefully that all operators of your auto(s) are shown. Your failure to list a household member or any individual
who customarily operates your auto may have serious consequences.
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Important Policy Information
-You must notify us of changes that have occurred prior to the renewal of this policy and during the policy period. It is
a crime to knowingly provide false or fraudulent information for the purpose of defrauding an insurance company. If
you or someone else on your behalf has knowingly given us false, deceptive, misleading, or incomplete information
and if such false, deceptive, misleading or incomplete information increases our risk of loss, we may refuse to pay
claims under any and all of the Optional Insurance Parts and we may cancel your policy. Such information includes
the description and the place of garaging of the vehicle(s) to be insured, the names of all household members and
customary operators required to be listed and the answers given for all listed operators. We may also limit our
payments under Part 3 and Part 4. Check to make certain that you have correctly listed all operators and checked the
completeness of their previous driving records. We will not pay for a collision or limited collision loss for an accident
which occurs while your auto is being operated by a household member who is not listed as an operator on your
policy. Payment is withheld when the household member, if listed, would require payment of additional premium on
your policy because the household member would be classified as an inexperienced operator or would require
payment of additional premium on your policy under the merit rating plan.
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