Tel: 1-800-841-3000 Declarations Page

This is a description of your coverage.

Please retain for your records.
GEICO Indemnity Company
One GEICO Center Policy Number: 6042-04-72-63
6022-63-23-08
Macon, GA 31295-0001
Coverage Period:
11-21-20 through 09-06-21
09-06-20 05-21-21
Your coverage begins and ends at 12:01am local time at the
address of the named insured.

Date Issued: November

September21,
6, 2020
2020

CHRISTOPHER
JANICE SIMONEC BURNS
BOYKING
4027 NORTHRIDGE WAY APT 9
6030 SW 19TH PLACE
NORCROSS GA 30093-3070
NORTH LAUDERDALE, FL 33068-4621
Email Address:Christianboyking@gmail.com
Email Address: Janiceburns14@yahoo.com

Named Insured Additional Drivers

Christopher C Boyking
Janice Simone Burns None

Vehicle VIN Vehicle Location Finance Company/

Lienholder
1 2016
2016 Mazda
ToyotaMazda6
Camry I JM1GJ1U53G1417513
4T1BF1FK1GU505551 NORCROSS
NORTH GA 30093-3070
LAUDERDALE FL 33068-4621

Coverages* Limits and/or Deductibles Vehicle 1

Bodily Injury Liability

Each Person/Each Occurrence $25,000/$50,000 $491.60
Property Damage Liability $25,000 $301.40
Uninsured Motorist BI - Add-On
Each Person/Each Occurrence UMBI Rejected -
Uninsured Motorist PD - Add-On UMPD Rejected -
Comprehensive (Excluding Collision) $2,500 Ded $101.30
Collision $2,500 Ded $340.30
Emergency Road Service ERS FULL $21.00

Total Six Month Premium $1,255.60

*Coverage applies where a premium or $0.00 is shown for a vehicle.

If you elect to pay your premium in installments, you may be subject to an additional fee for each installment. The fee
amount will be shown on your billing statements and is subject to change.

T-L
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Discounts
The total value of your discounts is $157.50
Anti-Theft Device (All Vehicles) .......................................................................................................................$5.30
Anti-Lock Brakes (All Vehicles) ......................................................................................................................$17.90
5 Year Good Driving (All Vehicles) ..............................................................................................................$134.30

Contract Type: FAMILY

Contract Amendments: ALL VEHICLES - A30GA(04-07) A54GA(05-15) A54ED1(03-14)

Unit Endorsements: CRA115(04-08) (VEH 1)

Important Policy Information

- Please
Please review
reviewthe
thefront
frontand/or
and/orback
backofofthis page
this forfor
page your coverage
your andand
coverage discount information.
discount information.
- Reminder
Reminder -- Physical
Physicaldamage
damagecoverage
coverage will notnot
will cover
coverloss for for
loss custom
customoptions on an
options onowned automobile,
an owned including
automobile, including
equipment,
equipment,furnishings
furnishingsororfinishings
finishingsincluding
including paint, if the
paint, existence
if the existence of those options
of those has has
options not been previously
not been reported
previously reported
to us.
us. This
This reminder
reminderdoes
doesNOT NOTapply in in
apply VIRGINIA,
VIRGINIA, however,
however, in Virginia coverage
in Virginia coverage is limited for custom
is limited furnishings
for custom or
furnishings or
equipment
equipment on onpick-up
pick-uptrucks
trucksand andvans
vans but you
but youmaymaypurchase
purchase coverage
coveragefor this equipment.
for this Please
equipment. call us
Please at us at
call
1-800-841-3000
1-800-841-3000ororvisit
visitususatatgeico.com
geico.com if you
if youhave anyany
have questions.
questions.
- Claims
Claims incurred
incurredwhile
whilean
aninsured
insuredvehicle
vehicleis is
being
being used to carry
used passengers
to carry for hire
passengers maymay
for hire not be
notcovered by this
be covered by this
contract.
contract. Please review the contract for a full list of exclusions and contact us if you plan to use any of insured
Please review the contract for a full list of exclusions and contact us if you plan to use any of your your insured
vehicles
vehicles for
forthis
thispurpose.
purpose.
- Your policy
policy has
hasbeen
beenreissued
reissuedeffective
effective11/21/2020
09/06/2020.
- Please
Please call
call our
ourtoll
tollfree
freenumber
number1-800-841-3000
1-800-841-3000and provide
and us us
provide withwith
the the
LIENHOLDERS name
LIENHOLDERS and address
name for your
and address for your
2016 MAZDA.
2016 TOYOTA CAMRY.
- Since we
we expedited
expeditedthe
themailing
mailingofofyour
yourpolicy
policypapers, thethe
papers, payment schedule
payment maymay
schedule not reflect your your
not reflect mostmost
recent
recent
payment.
payment.

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