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GE I CO GEICO GENERAL INSURANCE COMPANY <br />Washington DC <br />VERIFICATION OF COVERAGE <br />(SEE BELOW UNDER CAUTIONARY NOTE) <br />MAILING ADDRESS <br />Policy Number: 4353335278 <br />THOMAS EUGENE, BYSTRY ,.. <br />,._ Effective Date: 12-05-17 <br />16875 DONWEST <br />Expiration Date: 06-05.18 <br />TUSTIN.CA 82760-4052 _ .. <br />_ Registered State: CALIFORNIA <br />.. _.. __........... _.. ........... <br />To whom it may concern: <br />This letter is to verify that we have issued coverage under the above policy number for the dates indicated in the <br />effective and expiration date fields for the vehicle listed. This should serve as proof that the below mentioned vehicle <br />meets or exceeds the 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: 2011 <br />Make: HONDA <br />Model: ELEMENT i <br />VIN: 5J6YH1H32BL003266 <br />COVERAGES <br />LIMITS DEDUCTIBLES <br />Bodily Injury Liability <br />Each Person/Each Occurrence <br />State Minimum $15,000/$30,0000 <br />$100,000/$300,000 <br />Property Damage Liability <br />State Minimum $5,000 <br />$50,000 <br />Medical Payments <br />$10,000 <br />Uninsured & Underinsured Motorists <br />Each Person/Each Occurrence <br />$100,000/$300,000 <br />Uninsured Motorists Property Damage <br />$3,500 <br />If you have any additional questions, please call 1-800-841-3000. <br />CAUTIONARY NOTE: THE CURRENT COVERAGES, LIMITS, AND DEDUCTIBLES MAY DIFFER FROM THE COVERAGES, LIMITS AND DEDUCTIBLES IN EFFECT AT <br />OTHER TIMES DURING THE POLICY PERIOD. THIS VERIFICATION OF COVERAGE REFLECTS THE COVERAGES, LIMITS, AND DEDUCTIDLES AS OF THE ISSUED <br />DATE OF THIS DOCUMENT WHICH IS SHOWN UNDER "ADDITIONAL INFORMATION" OR IF AN ISSUED DATE IS NOT SHOWN, THE DATE OF THIS FACSIMILE. <br />U-33 10-07 <br />