Renewal auto policy declarations Summary
Renewal auto policy declarations Platinum
Your policy effective date is July 5, 2016
Gold
Standard
Silver
Page 1 of 5 Information as of June 2, 2016
Total Premium for the Policy Period
Summary
Please review your insured vehicles and verify their VINs are correct. Identification Number (VIN) 2G4WS52JX41218346 1G1JC6SH0C4159186
If you pay in installments* If you pay in full (includes FullPay® Discount)
Premium $169.24 231.88 31.28
$432.40 $396.18
*If you pay less than the Pay in Full amount, you will be charged an installment fee(s).
Discounts (included in your total premium) Allstate Easy Pay Plan Multiple Policy Early Signing Preferred Package Passive Restraint Drive Wise Performance Rating
$17.40
Safe Driving Club® $150.90
$58.33 $3.39 $39.04 $2.97 $27.88
Responsible Payer Homeowner Allstate eSmart® Antilock Brakes Electronic Stability Control
$19.05 $19.05 $21.89 $34.15 $15.76
Total discounts Policy discounts Allstate Easy Pay Plan Safe Driving Club® Multiple Policy Responsible Payer
$409.81 $329.05 $17.40
Early Signing
$150.90 $58.33 $19.05
Homeowner $19.05 Preferred Package $39.04 Allstate eSmart® $21.89
2004 Buick Century discounts Passive Restraint $1.33 Drive Wise $27.88 Performance Rating 2012 Chevrolet Sonic discounts Passive Restraint $1.64
$3.39
$40.52 Antilock Brakes
$11.31
Antilock Brakes
$22.84
Named Insured(s) Andrew and Leah Stauffer Mailing address 1251 Bexley Dr Austintown OH 44515-4436 Policy number 992 181 985 Your policy provided by Allstate Fire and Casualty Insurance Company Policy period Beginning July 5, 2016 through January 5, 2017 at 12:01 a.m. standard time Your Allstate agency is Kristen Monroe 140 E Aurora Road Northfield OH 44067 (330) 468-0800 [email protected] Some or all of the information on your Policy Declarations is used in the rating of your policy or it could affect your eligibility for certain coverages. Please notify us immediately if you believe that any information on your Policy Declarations is incorrect. We will make corrections once you have notified us, and any resulting rate adjustments, will be made only for the current policy period or for future policy periods. Please also notify us immediately if you believe any coverages are not listed or are inaccurately listed.
$40.24 (continued)
OH010RBD
Vehicles covered 2004 Buick Century 2012 Chevrolet Sonic Additional coverages
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800
2012 Chevrolet Sonic discounts Electronic Stability $15.76 Control
Page 2 of 5
$40.24
Listed drivers on your policy Andrew Stauffer - Married male driver, age 24, Safe Driving Club Leah Stauffer - Married female driver, age 22, Safe Driving Club
Excluded drivers from your policy None
Coverage detail for 2004 Buick Century
Property Damage
$100,000 each person $300,000 each occurrence $100,000 each occurrence
Auto Collision Insurance
Not purchased*
Auto Comprehensive Insurance
Not purchased*
Rental Reimbursement
Not purchased*
Towing and Labor Costs
$50 each disablement
Uninsured Motorists Insurance Property Damage
$1,000 each person
Sound System
Not purchased*
Not applicable
$5.80
Not applicable
$3.11
Not purchased*
Total premium for 2004 Buick Century * This coverage can provide you with valuable protection. To help you stay current with your insurance needs, contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN 2G4WS52JX41218346
Premium $160.33
Not purchased*
Automobile Medical Payments Tape
Deductible Not applicable
OH010RBD
Limits
$169.24
027 010 034 160603A003701 1100000A003701027OH000160603010230001057004011008219
Coverage Automobile Liability Insurance Bodily Injury
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800 Page 3 of 5
Coverage detail for 2012 Chevrolet Sonic Coverage Automobile Liability Insurance Bodily Injury
Limits
Deductible Not applicable
Premium $112.74
Property Damage
$100,000 each person $300,000 each occurrence $100,000 each occurrence
Auto Collision Insurance
Actual cash value
$750
$92.96
Auto Comprehensive Insurance
Actual cash value
$750
$16.54
Rental Reimbursement
Not purchased*
Towing and Labor Costs
$50 each disablement
Not applicable
$5.80
Automobile Medical Payments
$1,000 each person
Not applicable
$3.84
Sound System
Not purchased*
Tape
Not purchased*
Total premium for 2012 Chevrolet Sonic
$231.88
* This coverage can provide you with valuable protection. To help you stay current with your insurance needs, contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN 1G1JC6SH0C4159186 Lienholder Capital One Auto Finance
Interested party Capital One Auto Finance
Additional coverage The following policy coverage is also provided. Coverage Limits Uninsured Motorists Insurance for Bodily $100,000 each person Injury $300,000 each accident Total
Deductible Not applicable
Premium $31.28 $31.28
Your automobile policy consists of this Policy Declarations and the documents in the following list. Please keep these together. • Allstate Fire and Casualty Policy – AFA20 • Claim Satisfaction Guarantee Amendatory Endorsement – AP4878 • Ohio Amendatory Endorsement – AFA57-3 • Ohio Auto Amendatory Endorsement – AU14574
OH010RBD
Your policy documents
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800
Page 4 of 5
Allstate Fire and Casualty Insurance Company's Secretary and President have signed this policy with legal authority at Northbrook, Illinois.
OH010RBD
Susan L. Lees Secretary
027 010 034 160603A003701 1100000A003701027OH000160603010230001057005011008219
Steven P. Sorenson President
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800 Page 5 of 5
VEHICLE INFORMATION SUPPLEMENT
The garaging addresses of the vehicles reflected on your auto policy are listed below. The addresses were used in part to determine your premium rates listed on your policy. Please verify the accuracy of the information listed below, including addresses and vehicle identification numbers (VIN). Vehicle: VIN: Address: City/Village: ZIP: County: State: Municipality:
2004 Buick Century 2G4WS52JX41218346 1251 Bexley Dr Austintown 44406-8015 Mahoning OH
Vehicle: VIN: Address: City/Village: ZIP: County: State: Municipality:
2012 Chevrolet Sonic 1G1JC6SH0C4159186 1251 Bexley Dr Austintown 44406-8015 Mahoning OH
OH010RBD
Please note that this information was printed while your policy was renewing. If this information has been updated or is incorrect, please contact your Allstate representative.
Your policy effective date is July 5, 2016
Gold
Standard
Silver
Page 1 of 5 Information as of June 2, 2016
Total Premium for the Policy Period
Summary
Please review your insured vehicles and verify their VINs are correct. Identification Number (VIN) 2G4WS52JX41218346 1G1JC6SH0C4159186
If you pay in installments* If you pay in full (includes FullPay® Discount)
Premium $169.24 231.88 31.28
$432.40 $396.18
*If you pay less than the Pay in Full amount, you will be charged an installment fee(s).
Discounts (included in your total premium) Allstate Easy Pay Plan Multiple Policy Early Signing Preferred Package Passive Restraint Drive Wise Performance Rating
$17.40
Safe Driving Club® $150.90
$58.33 $3.39 $39.04 $2.97 $27.88
Responsible Payer Homeowner Allstate eSmart® Antilock Brakes Electronic Stability Control
$19.05 $19.05 $21.89 $34.15 $15.76
Total discounts Policy discounts Allstate Easy Pay Plan Safe Driving Club® Multiple Policy Responsible Payer
$409.81 $329.05 $17.40
Early Signing
$150.90 $58.33 $19.05
Homeowner $19.05 Preferred Package $39.04 Allstate eSmart® $21.89
2004 Buick Century discounts Passive Restraint $1.33 Drive Wise $27.88 Performance Rating 2012 Chevrolet Sonic discounts Passive Restraint $1.64
$3.39
$40.52 Antilock Brakes
$11.31
Antilock Brakes
$22.84
Named Insured(s) Andrew and Leah Stauffer Mailing address 1251 Bexley Dr Austintown OH 44515-4436 Policy number 992 181 985 Your policy provided by Allstate Fire and Casualty Insurance Company Policy period Beginning July 5, 2016 through January 5, 2017 at 12:01 a.m. standard time Your Allstate agency is Kristen Monroe 140 E Aurora Road Northfield OH 44067 (330) 468-0800 [email protected] Some or all of the information on your Policy Declarations is used in the rating of your policy or it could affect your eligibility for certain coverages. Please notify us immediately if you believe that any information on your Policy Declarations is incorrect. We will make corrections once you have notified us, and any resulting rate adjustments, will be made only for the current policy period or for future policy periods. Please also notify us immediately if you believe any coverages are not listed or are inaccurately listed.
$40.24 (continued)
OH010RBD
Vehicles covered 2004 Buick Century 2012 Chevrolet Sonic Additional coverages
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800
2012 Chevrolet Sonic discounts Electronic Stability $15.76 Control
Page 2 of 5
$40.24
Listed drivers on your policy Andrew Stauffer - Married male driver, age 24, Safe Driving Club Leah Stauffer - Married female driver, age 22, Safe Driving Club
Excluded drivers from your policy None
Coverage detail for 2004 Buick Century
Property Damage
$100,000 each person $300,000 each occurrence $100,000 each occurrence
Auto Collision Insurance
Not purchased*
Auto Comprehensive Insurance
Not purchased*
Rental Reimbursement
Not purchased*
Towing and Labor Costs
$50 each disablement
Uninsured Motorists Insurance Property Damage
$1,000 each person
Sound System
Not purchased*
Not applicable
$5.80
Not applicable
$3.11
Not purchased*
Total premium for 2004 Buick Century * This coverage can provide you with valuable protection. To help you stay current with your insurance needs, contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN 2G4WS52JX41218346
Premium $160.33
Not purchased*
Automobile Medical Payments Tape
Deductible Not applicable
OH010RBD
Limits
$169.24
027 010 034 160603A003701 1100000A003701027OH000160603010230001057004011008219
Coverage Automobile Liability Insurance Bodily Injury
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800 Page 3 of 5
Coverage detail for 2012 Chevrolet Sonic Coverage Automobile Liability Insurance Bodily Injury
Limits
Deductible Not applicable
Premium $112.74
Property Damage
$100,000 each person $300,000 each occurrence $100,000 each occurrence
Auto Collision Insurance
Actual cash value
$750
$92.96
Auto Comprehensive Insurance
Actual cash value
$750
$16.54
Rental Reimbursement
Not purchased*
Towing and Labor Costs
$50 each disablement
Not applicable
$5.80
Automobile Medical Payments
$1,000 each person
Not applicable
$3.84
Sound System
Not purchased*
Tape
Not purchased*
Total premium for 2012 Chevrolet Sonic
$231.88
* This coverage can provide you with valuable protection. To help you stay current with your insurance needs, contact your Allstate agent to discuss coverage options and other products and services that can help protect you. VIN 1G1JC6SH0C4159186 Lienholder Capital One Auto Finance
Interested party Capital One Auto Finance
Additional coverage The following policy coverage is also provided. Coverage Limits Uninsured Motorists Insurance for Bodily $100,000 each person Injury $300,000 each accident Total
Deductible Not applicable
Premium $31.28 $31.28
Your automobile policy consists of this Policy Declarations and the documents in the following list. Please keep these together. • Allstate Fire and Casualty Policy – AFA20 • Claim Satisfaction Guarantee Amendatory Endorsement – AP4878 • Ohio Amendatory Endorsement – AFA57-3 • Ohio Auto Amendatory Endorsement – AU14574
OH010RBD
Your policy documents
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800
Page 4 of 5
Allstate Fire and Casualty Insurance Company's Secretary and President have signed this policy with legal authority at Northbrook, Illinois.
OH010RBD
Susan L. Lees Secretary
027 010 034 160603A003701 1100000A003701027OH000160603010230001057005011008219
Steven P. Sorenson President
Renewal auto policy declarations Policy number: 992 181 985 Policy effective date: July 5, 2016 Your Allstate agency is Kristen Monroe (330) 468-0800 Page 5 of 5
VEHICLE INFORMATION SUPPLEMENT
The garaging addresses of the vehicles reflected on your auto policy are listed below. The addresses were used in part to determine your premium rates listed on your policy. Please verify the accuracy of the information listed below, including addresses and vehicle identification numbers (VIN). Vehicle: VIN: Address: City/Village: ZIP: County: State: Municipality:
2004 Buick Century 2G4WS52JX41218346 1251 Bexley Dr Austintown 44406-8015 Mahoning OH
Vehicle: VIN: Address: City/Village: ZIP: County: State: Municipality:
2012 Chevrolet Sonic 1G1JC6SH0C4159186 1251 Bexley Dr Austintown 44406-8015 Mahoning OH
OH010RBD
Please note that this information was printed while your policy was renewing. If this information has been updated or is incorrect, please contact your Allstate representative.
