My Unforgettable Story

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  • Topic: Insurance, 1978, 1969
  • Pages : 5 (870 words )
  • Download(s) : 294
  • Published : May 6, 2013
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Prepared on March 21, 2013

Page 1 of 2

Nationwide ® On Your Side

Nationwide Sales Solution 9903 Nationwide Drive San Antonio, TX 78251

Your Revised Policy
Your bill is sent separately. Nationwide Auto Policy Policy Period: Mar 19, 2013 - Jul 25, 2013 Policy Number: 5219E 626302

Sign up for convenient, automatic bill payment with Nationwide Easy Pay. To learn more, ask your agent or log in to nationwide.com/easypay.

Stephanie O Rodriguez 962 Quantril Way Baltimore, MD 21205-3341

01023003272015

ü Declarations - These pages show your coverages under this policy. Carefully review these details and call Nationwide Sales Solution at 1.877.669.6877 if you have questions or want to make changes. General Information Coverage Details Your Total Policy Premium ü Insurance Documents - Please keep these documents for future reference.

How to Contact Us Your Nationwide Agent Internet 24-Hour Claims Reporting Hearing Impaired (TTY)

Nationwide Sales Solution 1.877.669.6877 Nationwide.com 1.800.421.3535 1.800.622.2421

Prepared on March 21, 2013

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Nationwide ® On Your Side
NOTES:

Important Reminders from Nationwide

The enclosed Declarations confirms changes made to your insurance coverage. Please verify change(s). A reduction in premium of $ 392.20 is for recent policy change(s). Sign up for convenient, automatic bill payment with Nationwide Easy Pay. To learn more, ask your agent or log in to nationwide.com/easypay. Manage your account, make a payment, check the status of a claim and receive your bill by email with online Account Access. Visit nationwide.com/manage - see how easy it can be. Nationwide thanks you for your business. Our first priority is to serve you, our Customer. Whether you have a claim, a question, a concern, or just need a convenient service, our On Your Side promise means we'll be there to serve your needs.

Prepared on March 21, 2013

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Nationwide ® On Your Side
Policyholder (Named Insured): Stephanie O Rodriguez 962 Quantril Way Baltimore, MD 21205-3341

Your Policy Declarations
Nationwide Auto Policy Policy Period: Mar 19, 2013 - Jul 25, 2013 Policy Number: 5219E 626302

Keep these Declarations for your records.

General Policy Information
Issued: March 21, 2013 These Declarations are a part of the policy named above and identified by the policy number above. They supersede any Declarations issued earlier. Your policy provides the coverages and limits shown in the schedule of coverages. They apply to each insured vehicle as indicated. Your policy complies with the motorists' financial responsibility laws of your state only for vehicles for which Property Damage and Bodily Injury Liability coverages are provided. Policy Period: March 19, 2013 - July 25, 2013 but only if the required premium for this period has been paid and only for six month renewal periods if renewal premiums have been paid as required. This policy is initially effective at (1) the time the application for insurance is completed, or (2) 12:01 a.m. on the first day of the policy period, whichever is later. Each renewal period begins and ends at 12:01 a.m. standard time at the address of the named insured stated herein. This policy expires at 12:01 a.m. at the address of the named insured stated herein. Your carrier is Nationwide Affinity Insurance Company Of America, NAIC #26093.

01023003272024

Changes Made to Your Policy
Effective March 19, 2013 Removed Discount(s) Removed 2001 Toyo Cmrysola

Premium Summary and Other Charges
2004 Honda Pilot Ex Total For Policy Coverages Total Policy Premium $ $ $ 823.20 125.80 949.00

How You Saved on this Policy with Nationwide
Passive Restraint 5 Year Acc Free

Insured Driver(s)
# 1 2 Driver Name Amaury O Martinez Stephanie O Rodriguez Date of Birth 02/13/79 05/10/87 Marital Status Single Single

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Prepared on March 21, 2013

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Nationwide ® On Your Side...
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