Orange County NC Website
Browse       Search
Page 2 of 3000002 <br />NC DEC 05/14 <br />Policy Number <br />Q01 1512028 <br />Policy Period <br />01/15/2022 to 01/15/2023 <br />Your ERIE Agent <br />CHAN WRIGHT INSURANCE AGY INC <br />(919)341-1606 <br />Vehicle (premium in $) <br />1 2 3 <br />Liability Protection <br />Bodily Injury $100,000 per person/ <br />$300,000 per accident 106.51 100.51 276.51 <br />Property Damage $50,000 per accident 130.51 126.51 361.51 <br />Physical Damage <br />Comprehensive -$500 deductible 45.00 <br />Comprehensive -$250 deductible 40.00 <br />Comprehensive -$0 deductible 54.00 <br />Collision -$500 deductible 114.00 76.00 <br />Optional Coverages <br />Extended Transportation Expenses -$30 <br />per day,$900 per loss 24.00 24.00 <br />Annual Premium per Vehicle $420.02 367.02 692.02 <br />Uninsured/Underinsured Motorists <br />Bodily Injury $100,000 per person/$300,000 per accident $89.00 <br />Uninsured Motorists <br />Property Damage $50,000 per accident-$100 deductible $5.00 <br />If a premium charge is indicated for Uninsured or Uninsured/Underinsured Motorists Coverage,the Coverage is provided for <br />each vehicle listed above for which Liability Protection has been purchased. <br />Total Annual Policy Premium $1,573.06 <br />Premium change as a result of this amendment:-$66.47 <br />Form numbers listed below that have an asterisk (*)are included with this mailing.Form numbers without an *were included with a <br />previous Declarations. <br />Applicable Policy,Endorsements and Notices Form #Vehicle(s) <br />Personal Auto Policy -North Carolina NC0001 06/05 1,2,3 <br />Policy Change Endorsement APNA02 05/06 1,2,3 <br />Federal Employees Using Autos In Government Business NC0301 07/87 1,2,3 <br />Coverage Enhancement Endorsement -North Carolina APNA03 10/21 1,2,3 <br />Subscribers Agreement FORM SA 11/12 1,2,3 <br />Amendatory Endorsement -North Carolina NC0013 06/21 1,2,3 <br />Extended Transportation Expenses Coverage NC0302 01/99 1,2 <br />Rented Vehicles Coverage NC0330 01/14 1,2,3 <br />Trust Endorsement NC0333 06/21 1,2,3 <br />Notice Of Right To Purchase Higher Limits Of UM/UIM NC0340 02/10 1,2,3 <br />Erie Insurance Privacy Notice UF4839 06/21 1,2,3 <br />North Carolina -Notice To Policyholders UF6851 06/21 1,2,3 <br />Changes That Affect Your Personal Auto Policy -North Carolina UF9393 12/21 1,2,3 <br />Unless a co-owner or loss payee is listed below,the Named Insured is the sole owner of each vehicle we insure. <br />DocuSign Envelope ID: 9E4F9B69-0119-4357-BF61-464E6994AE86