Client Name/Nombre
Vehicule Information/Informacion del Vehiculo				Cash Value	Deductibles
Auto/Pickup Auto/Pickup	2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970	Make	Model		5% with a minimum of $200 in specific perils, 2% with a minimum of $100 in collision.
Boat / Bote Boat / Bote	2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970			You can check it at theKelly Blue Book Official Web page
Trailer/Rem. Trailer/Rem.	2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970

Policy Term & Period/Vigencia de la Poliza y periodo
		From/Desde		Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec    01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2008 2009 2010
Days/Dias		To/Hasta		Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec    01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   2008 2009 2010
		Init.time		01:00 02:00 03:00 04:00 05:00 06:00 07:00 08:00 09:00 10:00 11:00 12:00 13:00 14:00 15:00 16:00 17:00 18:00 19:00 20:00 21:00 22:00 23:00 00:00          Until/Hasta	12:01 p.m.
Basic Coverage & Limits/Coberturas y Limites Basicos
Liability $		20,000 30,000 40,000 50,000 60,000 100,000 150,000 300,000		Medical Payment $	2000/10000 $3000/$15000 $5000/$25000
Agent's Code :				Brokers FEE $
***LEGAL ASSISTANCE INCLUDED/ASISTENCIA LEGAL INCLUIDA***
NOTE: GMAC Finance Company requires a $100,000 CSL Liability coverage.