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DocuSign Envelope ID:45EF61F8-8C51-4DEC-AE81-4360E25C8CF2 Declarations rrO�� <br /> This is a description of your coverage <br /> GFMICO <br /> Tel: 1 S�0 841-3gOfl Please retain for your records_ <br /> geicv.cvm Number: 4�49-15-38-35 <br /> GOVERNMENT EMPLOYEES INSURANGI~ COMPANY <br /> one GEICO Boulevard (coverage period: <br /> Fredericksburg. VA 22412-0003 09.02-18 through 03_Q2-19 insured. <br /> 1201 a.rn. local time at the address of the named <br /> Date Issued: July 30, 2018 <br /> item 1: <br /> DEITRE LYNN EPPS <br /> 2237 BRISBANE WOODS WAY <br /> CARY NC 27518-9257 <br /> Email Address: deitre.epps@gmail.com <br /> Named insured Additional Driver <br /> Deitre L Epps Keith Allen <br /> — - Vehicle Location Finance Company/ <br /> Vehicle VIN Liene, <br /> 12018 Toyota Gamry 4T1B11HKIJU102348 Cary NC 27518 Navy Fcu <br /> -..—_ Vehicle 1 <br /> Vera es` -mi and/of D -r.n $ - <br /> A Liability Coverage <br /> Bodily Injury Liability $50.0001$100.000 $72.24 <br /> Each PersonlEach Occurrence .......... ................................. . .... - <br /> ------property damage Liability $25,000 $95•94 <br /> Each Occurrence .............. ........ ..... .. ... ......... .. <br /> B Medical Payments $3,000 $17,90 <br /> EachPerson ............... . ................................................................ ... ................. <br /> C. Combined Uninsured/Underinsu red <br /> Bodily Injury Liability <br /> Each PersonlEach occurrence $50,[]00!$140,OQD $12.00 <br /> Property Damage <br /> Each Occurrence $25,000 $1 ,00 <br /> D Damage To Your Auto <br /> Other Than Collision Loss Acv Minus $250 $35.00 <br /> Collision $250 Ded $197.00 <br /> Towing & Labor Costs Non-Ded $6.40 <br /> a <br /> ti <br /> a <br /> n <br /> T-C <br /> a Coverages Continued on Back <br /> DEC_PAGE(03 i4y [Page 1 of Z} <br /> Renewal Policy Page 7 of 14 <br />