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  GOVERNMENT EMPLOYEES INSURANCE COMPANY  
One GEICO Plaza, Washington DC 20076

VERIFICATION OF COVERAGE AS OF @NOW
(see below under "cautionary note")

Insured: Policy Number: @PolicyNumber
@PolicyHolder Effective Date: @EffectiveDate
@Street Expiration Date: @ExpirationDate
@CityStateZip Status: @Status
@InDateLabel @InDate

Vehicle Year: @Year    Make: @Make    Model: @Model    VIN: @VIN

Coverages:
Bodily Injury Liability Limit: @BILimit
Property Damage Liability Limit: @PDLimit
Comprehensive Deductible: @CompDeduct
Collision Deductible: @CollDeduct

@LHXLienholder/Loss Payee @AIXLessor/Additional Insured
@Lienholder @AdditionalInsured


If you have any additional questions, please call 877-347-3281

CAUTIONARY NOTE: THE CURRENT COVERAGES, LIMITS, AND DEDUCTIBLES MAY DIFFER FROM THE COVERAGES, LIMITS, AND DEDUCTIBLES IN EFFECT AT OTHER TIMES DURING THE POLICY PERIOD. THIS VERIFICATION OF COVERAGE REFLECTS THE COVERAGES, LIMITS, AND DEDUCTIBLES WHICH ARE IN EFFECT AS OF THE ISSUE DATE OF THIS DOCUMENT.

**If the policy cancels, the loss payee will be notified before we terminate its interest. If you need a copy of the entire agreement, please log in to partners.geico.com and click on the (Loss Payable Clause Forms) link and choose your state from the dropdown to view/print the loss payable clause.