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GEICO GEICO GENERAL INSURANCE COMPANY <br />Washington DC VERIFICATION OF COVERAGE <br />(SEE BELOW UNDER CAUTIONARY NOTE) <br />INSURED Policy Number: 4214876908 <br />Effective Data: 02 -11 -13 <br />MARIBEL LARIOS ExpirationDate:08 -11 -13 <br />2380 TREEHOUSE ST Regi3tered State:CALIFORN IA <br />HULA VTSTA_ CA l l -7 R0 <br />To whom it may concern: <br />This letter is to verify that we have issued the policyholder coverage under the above policy number for the dates indicated in the efEec <br />Live and expiration dato fields for the vehicle listed. This should serve as proof that the below mentioned vehicle meets or exceeds the <br />financial responsibility requirement for your state. <br />This verification of coverage does not amend, extend or alter the coverage afforded by this policy <br />Vehicle Year: 2006 <br />Make: BMW <br />Model: 3 3 O <br />VIN: WBAVB33556ic536470 <br />CC}VERAGES <br />BODILY INJURY LIABILITY <br />PROPERTY DAMAGE LIABILITY <br />UNINSURED &UNDERINSURED MOTORISTS <br />COMPREHENSIVE <br />COLLISION <br />_ Lienholder <br />Additional Insured <br />CITY OF SANTA ANA <br />2O CIVIC CENTER PLAZA <br />ITS EMPLOYEES AND COUNCIL MEMB <br />GANTA ANA , �A g 7 7 0 l- 0 000 <br />Additional Information: <br />LIMITS <br />$1MIL /$1MIL <br />$10,000 <br />$15,000/$30,000 <br />If you have any additional questions, please call 1 -800- 841 -3000. <br />�_ Interested tarty <br />DEDLJC'I'IBLES <br />$1,000 DED <br />$1,000 DED <br />O FOg� <br />S <br />A�totsey, <br />c��y <br />CAUTIONARY NOTE: THE CURRENT COVERAGES, LINIITS, AND DEDUCTIBLES MAY DIFI�'ER FROM THE COVERAGES, LIIOIITS, AND DEDUCTffiLES IN EFFECT AT OTHE] <br />IINIES DURING THE POLICY PERIOD. THIS VERIETCATION OF COVERAGE REFLECTS THE COVERAGES, LINIITS AND DEDUCTffiLES AS OF THE ISSUED DATE OF THIS <br />DOCUMENT WHICH IS SHOWN UNDER °ADDITIONAL INFORMATION" OR IF'AN ISSUED DATE IS NOT SHOLVN, THE DATE OF THIS FACSIIVIIL.E. <br />U -33 10 -07 <br />