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My Unforgettable Story

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Prepared on March 21, 2013 Page 1 of 2 Nationwide ® On Your Side Nationwide Sales Solution 9903 Nationwide Drive San Antonio, TX 78251 Your Revised Policy Your bill is sent separately. Nationwide Auto Policy Policy Period: Mar 19, 2013 – Jul 25, 2013 Policy Number: 5219E 626302 Sign up for convenient, automatic bill payment with Nationwide Easy Pay. To learn more, ask your agent or log in to nationwide. com/easypay. Stephanie O Rodriguez 962 Quantril Way Baltimore, MD 21205-3341 01023003272015 u Declarations – These pages show your coverages under this policy. Carefully review these details and call Nationwide Sales Solution at 1.

77. 669. 6877 if you have questions or want to make changes. General Information Coverage Details Your Total Policy Premium u Insurance Documents – Please keep these documents for future reference. How to Contact Us Your Nationwide Agent Internet 24-Hour Claims Reporting Hearing Impaired (TTY) Nationwide Sales Solution 1. 877. 669. 6877 Nationwide. com 1. 800. 421. 3535 1. 800. 622. 2421 Prepared on March 21, 2013 Page 2 of 2 Nationwide ® On Your Side NOTES: Important Reminders from Nationwide The enclosed Declarations confirms changes made to your insurance coverage. Please verify change(s).

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A reduction in premium of $ 392. 20 is for recent policy change(s). Sign up for convenient, automatic bill payment with Nationwide Easy Pay. To learn more, ask your agent or log in to nationwide. com/easypay. Manage your account, make a payment, check the status of a claim and receive your bill by email with online Account Access. Visit nationwide. com/manage – see how easy it can be. Nationwide thanks you for your business. Our first priority is to serve you, our Customer. Whether you have a claim, a question, a concern, or just need a convenient service, our On Your Side promise means we’ll be there to serve your needs.

Prepared on March 21, 2013 Page 1 of 2 Nationwide ® On Your Side Policyholder (Named Insured): Stephanie O Rodriguez 962 Quantril Way Baltimore, MD 21205-3341 Your Policy Declarations Nationwide Auto Policy Policy Period: Mar 19, 2013 – Jul 25, 2013 Policy Number: 5219E 626302 Keep these Declarations for your records. General Policy Information Issued: March 21, 2013 These Declarations are a part of the policy named above and identified by the policy number above. They supersede any Declarations issued earlier. Your policy provides the coverages and limits shown in the schedule of coverages.

They apply to each insured vehicle as indicated. Your policy complies with the motorists’ financial responsibility laws of your state only for vehicles for which Property Damage and Bodily Injury Liability coverages are provided. Policy Period: March 19, 2013 – July 25, 2013 but only if the required premium for this period has been paid and only for six month renewal periods if renewal premiums have been paid as required. This policy is initially effective at (1) the time the application for insurance is completed, or (2) 12:01 a. m. on the first day of the policy period, whichever is later.

Each renewal period begins and ends at 12:01 a. m. standard time at the address of the named insured stated herein. This policy expires at 12:01 a. m. at the address of the named insured stated herein. Your carrier is Nationwide Affinity Insurance Company Of America, NAIC #26093. 01023003272024 Changes Made to Your Policy Effective March 19, 2013 Removed Discount(s) Removed 2001 Toyo Cmrysola Premium Summary and Other Charges 2004 Honda Pilot Ex Total For Policy Coverages Total Policy Premium $ $ $ 823. 20 125. 80 949. 00 How You Saved on this Policy with Nationwide

Passive Restraint 5 Year Acc Free Insured Driver(s) # 1 2 Driver Name Amaury O Martinez Stephanie O Rodriguez Date of Birth 02/13/79 05/10/87 Marital Status Single Single V – 105 Continued on the next page Prepared on March 21, 2013 Page 2 of 2 Nationwide ® On Your Side For coverage definitions and descriptions, visit Nationwide. com Your Policy Declarations Nationwide Auto Policy Policy Period: Mar 19, 2013 – Jul 25, 2013 Policy Number: 5219E 626302 Insured Vehicle(s) and Schedule of Coverages 2004 Honda Pilot Ex VIN 2HKYF185X4H570569 Coverages

Property Damage Liability Bodily Injury Liability Personal Injury Protection Limits of Liability $ 50,000 Each Occurrence $ 50,000 Each Person $ 100,000 Each Occurrence See Policy Total for this Vehicle $ $ $ $ Premium 242. 70 365. 30 215. 20 823. 20 Policy Level Schedule of Coverages Coverages Uninsured Motorists -Bodily Injury -Property Damage Roadside Assistance Limits of Liability $ 50,000 Each Person $ 100,000 Each Occurrence $ 50,000 Each Occurrence Less $250 Ded Plus – Covers Disablement Up To 100 Miles/$100 Lockout/ $ 500 Trip Interruption Endorsement 3436 Total for Policy Coverages $ $ $

Premium 94. 20 11. 60 20. 00 Accident Forgiveness Feature – Currently Eligible To Use Incl $ 125. 80 Policy Form and Endorsements Z-019 V-3436 Nationwide Auto Policy Roadside Assistance Coverage Terr: 145 For Office Use Only: 03/20/13 $ 392. 20- Issued By: Nationwide Affinity Insurance Company Of America Countersigned At: Annapolis, MD By: Nationwide Sa How to Contact Us Your Nationwide Agent Internet 24-Hour Claims Reporting Hearing Impaired (TTY) Nationwide Sales Solution 1. 877. 669. 6877 Nationwide. com 1. 800. 421. 3535 1. 800. 622. 2421

Cite this My Unforgettable Story

My Unforgettable Story. (2016, Oct 30). Retrieved from https://graduateway.com/my-unforgettable-story/

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