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  • Amica Quote 1

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    sinhamantu
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    RATES ARE BASED ON THE FOLLOWING HOUSEHOLD DRIVERS AND THEIR USE OF THE INSURED AUTOS DRIVER'S LICENSE NUMBER PERCENTAGE OF ANNUAL MILEAGE DRIVEN IN AUTO NUMBER Total Date of Birth Male / Married Date First Licensed 100 Student Away At School Good Student Over 100 Miles Number of Accidents Convictions Good Driver Discount Eligibility Defensive Driver Driver Training Month /

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    RATES ARE BASED ON THE FOLLOWING HOUSEHOLD DRIVERS AND THEIR USE OF THE INSURED AUTOS DRIVER'S LICENSE NUMBER PERCENTAGE OF ANNUAL MILEAGE DRIVEN IN AUTO NUMBER Total Date of Birth Male / Married Date First Licensed 100 Student Away At School Good Student Over 100 Miles Number of Accidents Convictions Good Driver Discount Eligibility Defensive Driver Driver Training Month /

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    Attribution Non-Commercial (BY-NC)
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    1 tayangan1 halaman

    Amica Quote 1

    Diunggah oleh

    sinhamantu
    RATES ARE BASED ON THE FOLLOWING HOUSEHOLD DRIVERS AND THEIR USE OF THE INSURED AUTOS DRIVER'S LICENSE NUMBER PERCENTAGE OF ANNUAL MILEAGE DRIVEN IN AUTO NUMBER Total Date of Birth Male / Married Date First Licensed 100 Student Away At School Good Student Over 100 Miles Number of Accidents Convictions Good Driver Discount Eligibility Defensive Driver Driver Training Month /

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    RATE QUOTATION

    AUTO HOME LIFE

    NAMED INSURED AND ADDRESS: POLICY PERIOD:

    12:01 A.M., STANDARD TIME


    NEERAJ SINHA
    39663 LESLIE ST APT 332 From: NOVEMBER 26, 2009
    FREMONT CA 94538
    To: NOVEMBER 26, 2010

    Auto
    DESCRIPTION OF AUTO(S) OR TRAILER(S) LOSS PAYEE
    No.

    2008 NISSAN SENTRA S/SL SEDAN


    1
    3N1AB61E ANNUAL MILEAGE: 10,000
    USE: COMMUTE 37 MILES, 2 DAYS PER WEEK

    The Auto(s) or Trailer(s) described in this rate quote is principally garaged at the above address unless otherwise stated.

    RATES ARE BASED ON THE FOLLOWING HOUSEHOLD DRIVERS AND THEIR USE OF THE INSURED AUTOS

    PERCENTAGE OF ANNUAL MILEAGE


    DRIVER'S LICENSE
    NAME DRIVEN IN AUTO NUMBER
    NUMBER 1. 2. 3. 4. 5. 6.

    1 NEERAJ SINHA 100


    2

    6
    Total 100
    Date First Student Away
    Date of Birth Male/ Married Licensed Number of Discount Eligibility
    At School
    Month/Day/Year Female /Single Mon./Year
    Accidents Convictions Good Driver Defensive Driver Driver Training Good Student Over 100 Miles

    1 12 05 75 M M 12 93 0 0 YES
    2

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