Orange County NC Website
Browse       Search
DocuSign Envelope ID:9D2184B7-05D2-4DD9-9684-OAE766AE09DC <br /> StateFarm <br /> VEHICLE INFORMATION <br /> Review your policy information carefully. If anything is incorrect,or if there are any changes to your vehicle information, please <br /> let us know right away. <br /> Vehicle Identification <br /> Vehicle Vehicle Description Number(VIN) Who principally drives this vehicle? How is this vehicle normally used? <br /> 1 2015 NISSAN NV200 3N6CMOKN5FK735257 For this commercial vehicle,contact your <br /> agent for a full review of drivers. <br /> Vehicle Body Type:Cargo/Delivery Van, Vehicle Use:Delivery to other businesses-Food-On Demand,Business <br /> Description:Caterers,Radius of Operation:50 miles,Annual Distance Driven:10500 miles,Gross Vehicle Weight, <br /> Manufacturer's Suggested Retail Price, Year Business established:2001 <br /> 2 2008 CHEVROLET 1GCGG29KO81214860 For this commercial vehicle,contact your <br /> EXPRESS agent for a full review of drivers. <br /> Vehicle Body Type:Cargo/Delivery Van, Vehicle Use:Delivery to other businesses-Food-On Demand,Business <br /> Description:Caterers,Radius of Operation:50 miles,Annual Distance Driven:12500 miles,Gross Vehicle Weight, <br /> Manufacturer's Suggested Retail Price, Year Business established:2001 <br /> 3 2012 CHRYSLER 2C4RC1CG5CR172225 For this commercial vehicle,contact your <br /> TWN&COUNTR agent for a full review of drivers. <br /> Vehicle Body Type:Mini Van, Vehicle Use:Delivery to other businesses-Food-On Demand,Business Description: <br /> Caterers,Radius of Operation:50 miles,Annual Distance Driven:10000 miles,Manufacturer's Suggested Retail Price, <br /> Year Business established:2001 <br /> Premium Adjustment comprehensive and collision rates. If you carry <br /> Comprehensive and collision rates are based upon State comprehensive and/or collision coverages,these <br /> Farm's loss experience.This loss experience is reviewed adjustments are reflected in the rates shown on this renewal <br /> periodically to determine which makes and models have notice. <br /> earned decreases or increases from State Farm's standard <br /> COVERAGE AND LIMITS See yourpolicyforan explanation of these coverages. <br /> Vehicle 1 Vehicle 2 Vehicle 3 <br /> AB Liability Bodily Injury 1,000,000/1,000,000 $328.27 $306.96 $305.05 <br /> Property Damage 200,000 Included Included Included <br /> C Medical Payments 5,000 $14.25 $12.63 $13.71 <br /> U1 Combined Uninsured/Underinsured Motor Vehicle <br /> Bodily Injury 1,000,000/1,000,000 $39.30 $39.30 $39.30 <br /> Property Damage 100,000 Included Included Included <br /> Premium by Vehicle $381.82 $358.89 $358.06 <br /> Total Premium $1,098.77 <br /> Coverages AB and U1 are on a per policy basis. you the broader protection without issuing a new policy, <br /> If any coverage you carry is changed to give broader starting on the date we adopt the broader protection. <br /> protection with no additional premium charge,we will give NOTICE OF RIGHT TO PURCHASE HIGHER LIMITS OF <br /> UM/UIM NOTICE:YOU ARE REQUIRED TO PURCHASE <br /> UNINSURED MOTORIST BODILY INJURY COVERAGE, <br /> (continued on next page) <br /> Policy Number:385 4468-C24-33A Page number 2 of 3 <br /> Prepared August 3,2020 <br />