COI Expires 09/02/2017GEICO Indemnity Company
0
0
0
n
co
m
N
0
A
v
Certificate of Insurance
One GEICO Center
Macon, GA 31295-0001
Named Insured and Address:
THOMAS RICHARD BEAVER
PO BOX 523207
MARATHON SHRS FL 33052-3207
Name and Address:
MONROE COUNTY
1111 12TH ST, STE 408
KEY WEST FL 33040
Date of Certificate: 03-02-17
Policy Number: 4360-52-94-67
Policy Period: 03-02-17 to 09-02-17
(12:01 A.M. Local Time) (12.01 A.M. Local Time)
(This Certificate of Insurance does not amend, extend, or alter the coverage afforded by this policy.)
During the term of coverages provided, the Company and the insured shall be bound by the provisions of the policy (or
policies) of insurance in current use by the Company in the state.
This is to certify that the captioned policy includes the limits specified herein for each person and for each occurrence
under the Bodily Injury Liability Coverage; the limits specified herein for each occurrence under the Property Damage
Liability Coverage; and limits specified herein for each person and for each occurrence for Bodily Injury under the
Uninsured Motorists Coverage.
Description of Vehicle: 14 RAM 1C6RR7HT9ES451810
Description of Vehicle:
COVERAGE LIMITS OF COVERAGE LIMITS OF COVERAGE
Bodily Injury Liability
Property Damage Liability
Uninsured Motorists
(Bodily Injury)
$ 100 M and $300 M
(Each Person) (Each Occurrence)
$ 50M
(Each Occurrence)
$ M and $ M
(Each Person) (Each Occurrence)
$ M and $ M
(Each Person) (Each Occurrence)
(Each Occurrence)
$ M and $ M
(Each Person) (Each Occurrence)
INTERESTED PARTY
We agree to provide you with written notice of termination in the event this policy becomes cancelled. Notice provided
may be more than ten (10) days, but not less than ten (10) days.
CRU62 (9-07)
Q. APPR Y K AGEMENT
BY E pr¢; g404
WAIVER N/A Y S__ `CCU�"(�'