Agent www.turborater.com NONE 14:57:23.085899-06:00 en-US Insurance Technologies Corporation Indemnity 1.02 (4.04) Insurance Technologies Corporation Illinois Automobile Comparative Rating System 1.00 (20.01) 2002-08-27T00:00:00.000000-06:00 USD Omni Indemnity FEIN Asdfa StreetAddress Asdfadf Asdfasdf Asdfasdf IL - Phone Business +1-800-7718557 Phone Alternate Fax Business Phone Business Fax Day +1-770-9523083 Phone Day +1-800-7718557 Day prod@prod.com Test Quick The SSN 787878787 StreetAddress SomeAddr Addr2 SomeCity IL 67001- MCHENRY Fax Business +1-445-4464477 Phone Home +1-231-2322333 Phone Business +1-334-3353366 Day someguy@somecorp.com Insured M 1964-02-16 AUTOP NSTD 2002-08-28 2003-08-28 00:01:00.000000-06:00 00:01:00.000000-06:00 12 MON 7745.00 No Prior AUTOP 00:00:00.086400-06:00 00:00:00.086400-06:00 1 0 33 MON BI Prior Bodily Injury Liability 50 BIEachPers 100 BIEachOcc 0.00 PD Prior Property Damage-Single Limit 50 PropDam 0.00 20 10 10 payments, 20% down, (7) 4 2002-08-27 9 2002-08-27 Test Quick The SSN 787878787 StreetAddress SomeAddr Addr2 SomeCity IL 67001- MCHENRY Fax Business +1-445-4464477 Phone Home +1-231-2322333 Phone Business +1-334-3353366 Day someguy@somecorp.com Insured M 1964-02-16 RENTD APT StreetAddress IL SPEED 2000-10-28 0 2 0,0 IL 0 SPEED 2001-08-28 0 2 0,0 IL 0 ACCAF 2001-12-28 0 3 0,0 IL 0 BI 0 PD 0 AUTOP NSTD 2002-07-01 POLFE Policy Fee ITCCSFEE TPAC ATPA Fee ITCCSFEE POLFE Collection Fee ITCCSFEE LAWFE Law Enforcement Fee (NY) ITCCSFEE POLFE Municipal Tax ITCCSFEE POLFE Municipal Tax Rate ITCCSFEE POLFE Security Verification Fee ITCCSFEE POLFE Stamp Fee ITCCSFEE POLFE State Tax ITCCSFEE POLFE State Tax Rate ITCCSFEE POLFE Tax ITCCSFEE POLFE Uninsured Motorist Fee ITCCSFEE POLFE Recoupment Fee ITCCSFEE Test Quick The SSN StreetAddress SomeAddr Addr2 SomeCity IL 67001- Phone Business +1-334-3353366 Phone Home +1-231-2322333 Day someguy@somecorp.com M 1964-02-16 M MI 0 MON StreetAddress IL Employer 1997-08-27 IL GENRL14 NO AUTOP05 NO N IN 0 N 0 Wife His SSN StreetAddress IL Phone Business Phone Home Day F 1964-02-18 M HO 0 MON StreetAddress IL Employer 1997-08-27 IL GENRL14 NO AUTOP05 NO N SP 0 N 0 Daughter His SSN StreetAddress IL Phone Business Phone Home Day F 1984-02-16 S ST 0 MON StreetAddress IL Employer 1997-08-27 IL GENRL14 NO AUTOP05 NO N CH 0 N 0 Son His SSN StreetAddress IL Phone Business Phone Home Day M 1985-02-16 S ST 0 MON StreetAddress IL Employer 1997-08-27 IL GENRL14 NO AUTOP05 NO N CH 0 N 0 FORD TAURUS LX 2002 PP 18635 0 SMI 2797.00 0 6 2002-08-27 4 1FAFP52202 074710712 None 0 E N 0 SMI 1 1 0 0 SMI Y 1 0 0.00 BASIC DW 0 AUPMA12 NO None FrontBoth BI Bodily Injury Liability 50000 BIEachPers 100000 BIEachOcc 644.00 PD Property Damage-Single Limit 25000 PropDam 564.00 COLL Collision 500 CL Misc1 B 1414.00 COMP Comprehensive Coverage 500 CL 84.00 MEDPM Medical Payments 5000 PerOcc 0 CL 62.00 UMUIM UM and UIM BI 50000 PerPerson 100000 PerAcc Option 1 NS 29.00 UMPD Uninsured Motorist Property Damage 25000 PerOcc 0 CL 0.00 CRA Clean Risk Allocation Surcharge 0.00 MCAR Multi-Car Discount ITCCSCREDIT TOYOTA CAMRY CE 2000 PP 17418 0 SMI 2460.00 0 4 2002-08-27 4 4T1BG22K0Y 014111110 None 0 G N 0 SMI 1 1 0 0 SMI N 1 0 0.00 BASIC DW 0 AUPMA12 NO None FrontBoth BI Bodily Injury Liability 50000 BIEachPers 100000 BIEachOcc 619.00 PD Property Damage-Single Limit 25000 PropDam 542.00 COLL Collision 500 CL Misc1 B 1123.00 COMP Comprehensive Coverage 500 CL 87.00 MEDPM Medical Payments 5000 PerOcc 0 CL 61.00 UMUIM UM and UIM BI 50000 PerPerson 100000 PerAcc Option 1 NS 28.00 UMPD Uninsured Motorist Property Damage 25000 PerOcc 0 CL 0.00 CRA Clean Risk Allocation Surcharge 0.00 MCAR Multi-Car Discount ITCCSCREDIT FORD MUSTANG 1995 COUPE 14330 0 SMI 2488.00 0 6 2002-08-27 4 1FALP4040S 012126117 None 0 G N 0 SMI 1 1 0 0 SMI N 1 0 0.00 BASIC DW 0 AUPMA12 NO None FrontBoth BI Bodily Injury Liability 50000 BIEachPers 100000 BIEachOcc 657.00 PD Property Damage-Single Limit 25000 PropDam 575.00 COLL Collision 500 CL Misc1 B 1023.00 COMP Comprehensive Coverage 500 CL 151.00 MEDPM Medical Payments 5000 PerOcc 0 CL 56.00 UMUIM UM and UIM BI 50000 PerPerson 100000 PerAcc Option 1 NS 26.00 UMPD Uninsured Motorist Property Damage 25000 PerOcc 0 CL 0.00 CRA Clean Risk Allocation Surcharge 0.00 MCAR Multi-Car Discount ITCCSCREDIT StreetAddress ALDEN IL 60001 MCHENRY StreetAddress ALDEN IL 60001 MCHENRY StreetAddress ALDEN IL 60001 MCHENRY