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Home My WebLink AboutIDS PROPERTY CASUALTY INSURANCE COMPANY - INSURANCE CERTIFICATEMay 26 2010 14:01:53 GMT FROM: FZM/76591508493 MSG# AX01346165 PAGE 003 OF 010 IDS Property Casualty Insu.ranec Company 3500 Packcrlan.d Drive De Pere, WI 541 15-90110 James RC)urke Karen Gumbo 1460 Landis Ct. Boulder, CO 80 303-1122 AME.NDEI) DECLARATION TION POLICY C.H.kNGE OF EFFECTIVE [)ATE IS 05125l2010 COLO.UW0 POLICY NUMBER: AY01346.165 POLICY PIAZIOD, t).1131/20.10 - 07/31(2410 12:0) AM Standard Time LAPSE IN COVERAGE: NONE FOR CLAIMS SERN710E CALL: ($$$)404-536)S FOR C(A.C.t T S.E'.RV[CE CALL' (888)404-5365 CARTS WE INSURE I. 2002 TOVO'I.' 3 2005 [ ONDA 5 J997 VOLVO CAM KY CR V 850 MANDATORY COVERAGES: BOq.I.LV INJURY LIABILITY $92.(1t1 $.128.t1t) $211.00 $250,000 EACH PERSON $500,(.H)0 EACH ACCIDENT PROPERTY .UAJN1AG.E 11A.BILI'I Y INCL INCL INCL $ I00,Q)0 EACH ACCIDIENT OPTIONAL COVERAGES: MEDICAL EXPENSE $16.00 S23.00 $37.00 $5,000 EACH. PERSON UNINSURED MOTORIST PROPERTY DA;NIAGE M/A NIA N/A VEHI(.'LE DAMAGE COLLISION (COV. D-1) S86.00 $90,00 $147,01) DEDUCTIBLES CAR 14500 34500 5-5500 COMPREHENSIVE $25.00 S43.00 $48.01) DEDUCTIBLES CAR. 1-$250 3-$250 5-$250 TOWING AND LABOR COSTS NONELECT NONELECT NONELECT R ,NTAL EXPENSE $70) $7,01) NONELECT $20 PER DAY/5600 PER. OCCURRENCE AUTOMOBILE THEFT PRFVENT10N Fff.' ** `�(►.sn $0.50 $0,50 TOTAL SEMIANNUAL PREMIUM PER VEHICLE $226.50 $291.50 $443.50 LINT NSUItED/UNDERINSCI.IZ.ED MOTORIST-$64.00 BODILY INJURY - NON-STACKEW $100,000 EACH PERSON am $300,000 EA.CI? ACCIDENT ME cm T()TA.I, Sl~:MiANNClA.L PRE,'Vrrt)M-$1,025.5o " Uniusurod/Underiusured iM.0torist Bodily Injury coverage is extended to all vehicles on tfic policv, except those that arc iu stor,)g * We are required by Colorado lnw to collect a surcharge o' f$0.50 per vehicle every six months to iirr;d the. Colorado Automobile Theft Preveution'Foe Progra.w, am C:overalle is provided only when both a premium and limit are shown. � ;i7.tc00')a (001) 05t2512010 May 26 2010 14:02:16 GMT FROM: F2M/76591500493 MSG# AX01346165 PAGE 004 OF 010 DRIVER INFORMATION 2. Kamm Cuniho 3, Alexalulcr RiAirke QUALIRE"S POR 6001) STUDENTWSCOUN f & Q1.IALIVII3s FOR VDUCA FION 11"VEL DISCOUNT CAR INFORMATION CARS KEPT AT LOCATION OTHER THAN RESIDENCE 2002 TOYOT +11UPOK52t.3042944 2005 HONDA J.I-R.Rl.)785850)0682 1997 VOLVO YVILS5547VI409124 YOUR POLICY HAS THE FOLLOWING DISCOUNTS: I VIULTI-CAR, FOIRk3lVENI-'S4.']'I-.NI..1lll*-, COMO '00' TOYOT - DUAL A IRPAC1, ADS, SAFE DRIVIN(i I USTO[k), 2005 RONDA � DUAL AIRBAG, ADS, SAFF DRIVING HISTORY 1997 VOLVO - DUAL AIRMG, ATIS, S'Afl-'DRIVING HISTORY I YOUR POLICY HAS THE FOLLOWING ENDORSEMENTS: I ANIENDA FORY ENDORSEMENT' SPECIAL I'QUI[IMI:N7'/Cf.3ST(7Ivl1/"AI'ION: NONF LIE, NHOLDER INFORMATION 2005 Jl(.)N[,)A CRV - University ()f Ci:jlorado ("oderal Cledif Unjoll Boulder, Co o41044,S, CO May 26 2010 14:8Z:34 GMT FROM: F2M/76591508493 MSG# AX01346165 PAGE 005 OF 010 C.'.olorado Auto Insurance ldentiflcatiotl Card 11)'s Property Casualty Insurance company .lames Rourkc Karen Combo 1400 T.,artcliF C-t Boulder, CO 80.303-1 1'12 DIUVERS (# Indicates Excluded Driver) James Rourke Karen Cumbo Alexander Rourke 2002 TQW)"J CAMRY Year vlakg Model r'olir;y Number,W ._.._..,..,..._. AX 01 346165 EPfcetive Date Expirli lon Date 01 /31 /2010.07/31 /2010 Mime and Address of Agency or Office issuing this Card IDS Pr(Terty C;W1111ry IMUrMICe C"iarnpany 3500 PaekcrIand l')dvc. J)e Pere, WI 5413 5-9070 4T 1I3U30K521J042944 Vehiciv Idcnlirmition Number SEE .I.MPORTANT NI.ESSAGE ON REVERSE SIDE Colorado Auto Insurance. Identification Card LDS Property Casualty Insurance Company James Rourkc Karen. Cumtxl 1460 Landis Ct Boulder, CO 80303-1122 DRIVERS (ft Indicate9 Excluded 1. nwr) James Rourke Karen Cuniho Alexander Rourke FI'ollcv 1Vaamhcr AX01346 ! 65 Effcctive Date Expiration Date 01 /31 /2010.07/.11 /201 o :Yams and Address ol'Agency or OfYlcc In"I g this Card IDS Property Casutdty Insuraru;e COMIjany 3500 Packerland Drive. I)c PIoc, WI 54115-9070 2002 TOYOT C'ANI Y 41113.1.i301<S20012944 Vem, Make modcl Vcitme Idantiflenrlon Nurnher SEE IMPORTANT M:ESS.ACE ON REVERSE SIDE Directions: State lave requires each driver to keep an auto insurance identification card ilk his/her vehicle at all times. This sheet contains your "Safety :Pays" Auto Insurance identification cards. (if you insure more than one vehicle with as, an ID carol hits been issuc(l for eaell respective vehicle). Please carefully separate the cards along; the perforations and then plaice one in your wallet or vehicle glove. box. idcoOla May 26 2010 14:03:07 GMT FROM: FZM/76591500493 MSG# AX01346165 PAGE 007 OF 010 Colorado .Auto Insurance Identification Card IDS Property Casually Insurancc Company bores Rourke Karen Cumth.t 1-160 I..:utdis Q. Boulder, CO 80303- l 122 1)RIVFRS (M Indicates Excluded I)river) James Rourke Karen Cumho Alexander Rourke l'adicy timber AX013461 fi5 litiactive Dote Expirotion .lktte 01 /31 /2010 - 07/3 1/201.0 Nimse and Address of Agency or Office 1,4sadng this Card IDS Property Casualty Iosunmee Company 3500 Pact crloncl Drive: De Pete, AVI 541 I5 9070 2005 1_ONW CRV ,ti•ILTZ.078585i,:048682 Year Nlake ;model Veltictl: Identifirntiou Nunmbar ,SEE I IPORTANT MESSAGE ON REVERSE SIbI''. Colorado Auto Insurance Identification Card, IDS Pruprrty Casualty Insurance Comparty ,lam,;-s Rourke Karen. Cur111x7 1460 Landis C't Boulder, CO 80303-1122 DRIVERS (ff Indicates Excluded !]ricer) James Rourke Karen Cumbo A lexandef .XmijAe Pollcv Nrsmbcr Effective Date Expiration Dote 01 /31 /2010 - 07/ 31 /2010 Name and Address of"Agency or Office. Ix%ulnq this Card IDS Property Casualty Instmmce Cornl:rany 3iOO Packerland Drive. Dc PerC, AVl 54115-9070 2005 IIONI.)A CRV Tl1LRT)78585C0 4R681 Year Make model Veldcle ldentillvation 'Nuanbea• S.Er IMPORTANT NIESS.AGE ON REVERSE SIDE Directions: State lacy requires each driver to keep an auto insurance identification. lard in iris/her vehicle at all Bates. This sheet contains your "Safety Pays" Auto Insurance identification cards. (If you insure more than one vehicle with us, an III card has been issue(] for each reSllective vehicle). Please carefullyseparate the cards along, the perforations and then phice. one in your wallet or vehicle glove box. tdco4la May 26 2010 14:03:37 GMT FROM: F2M/76591588493 MSG# AX01346165 PAGE 009 OF 010 Colorado Attto Nsurance Idemitilicatioll Card U)s Vmp4rty Casually Insurance Company Janes Rourke Karen CUTuh ) 140L-,imlis C=t 13oulder, CO 8t.>303-1 122 IIRIVFRS (H Indicates Tixcluded Driver) James Rourke Alexander Rourke tuiicy Plumber Effective! Date Expifatioa.Dnte 01/31/2010-07131/201.0 Name and Address of Ageney ar 0111ce issuing this Card IDS Property C, .im ley Insumuc.e Comp my 3500 Puckcrland l:)rivc De I'ere, W1 54 119070 1997 VOL.VO R50 YV 11.S.5547V 1409124. Xenr Make Model Veltieie blentiflo0iVn Number SEE ItIMPORTANT MESSAGE ON"REVERSE SIDE Colorado Atito lostiraiiee ldeil.tificattioxi Catrtl IDS Property C'asunRY lnsurarux Company James Rourke Karen. Cumbo 1460 Landis Ct Boulder, CO 80303.1122 DRIVERS (t! hidiueiev Excluded Driser) Janes Rourke Karen C'umbo A lehan(1el 1Zourj(e Policy Number.,w., ..w......V.�--- AX41346105 I I.ffeelive Dme Espinttion Imtc 01 /11 /2010 - 07/31 /2010 Nasue and Address of Ageney or OMee Owing thig <:.`ard IDS Properly Caisadty Imunluce. Company 3400 Packerkunl Drive 1)e Pere, W15411>-9070 1997 VOLVO 850 YVJ1,S554.7V1409124 Wall, \1,nke model Vehicle Identification Number SEE IMPORTANT MESSAGE ON REVERSE SIDE Directions: State lane requires each driver to keep an auto insurance identification card in his/her vehicle at all times. This sheet contains ,your "Safety Pays" Auto Insurance identification cards. (If you insure: more than one vehicle with us, an ID card has been issued for each res1wetive vehicle). Please carefully sctaamite the cards atlonf; the perforations and then place one in your wallet or vehicle dove btlx. HE MOW IdoWL-i