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GEICO GOVERNMENT EMPLOYEES INSURANCE COMPANY <br /> Washington DC VERIFICATION OF COVERAGE <br /> (SEE BELOW UNDER CAUTIONARY NOTE) <br /> INSURED Policy Number: 4324885757 <br /> Effective Date: 10-03-13 <br /> DAVID MICHAEL MATHIAS Expiration Date:04-03-14 <br /> 238 PATRIOTS POINTE DR Registered State: NORTH CAROLINA <br /> APT 238 <br /> HILLSBOROUGH. NC 27278-9027 <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 effec- <br /> tive and expiration date 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: 1994 <br /> Make: BUICK <br /> Model: LESABRE CU <br /> VIN:IG4HP52L4RH497227 <br /> COVERAGES LIMITS DEDUCTIBLES <br /> BODILY INJURY LIABILITY $250,000/$500,000 <br /> PROPERTY DAMAGE LIABILITY $100,000 <br /> UNINSURED &UNDERINSURED MOTORISTS $50,000/$1001000 <br /> UNINSURED MOTORIST PROPERTY DAMAGE $25,000 <br /> COMPREHENSIVE ACV MINUS $250 <br /> EMERGENCY ROAD SERVICE NON-DED <br /> Lienholder _Additional Insured Interested Party <br /> Additional Information: <br /> Issued 10/02/2013 <br /> If you have any additional questions,please call 1-800-841-3000. <br /> CAUTIONARYNOTE:THE CURRENT COVERAGES,LIMITS,AND DEDUCTIBLES MAY DIFFER FROM THE COVERAGES,LEWTS,AND DEDUCTIBLES IN EFFECT AT OTHER <br /> TIMES DURING THE POLICYPERIOD.THIS VERIFICATION OF COVERAGE REFLECTS THE COVERAGES,LIMITS AND DEDUCTIBLES AS OF THE ISSUED DATE OF THIS <br /> DOCUMENT WHICH IS SHOWN UNDER"ADDITIONAL INFORMATION"OR IFAN ISSUED DATE IS NOT SHOWN,THE DATE OF THIS FACSUvULE. <br /> U-3310-07 <br />