State Farm Mutual Automobile Insurance Company

State Farm Mutual Automobile Insurance Company DECLARATIONS PAGE

2702 Ireland Grove Rd

Bloomington, IL 61709

Policy Number S020591-17F Policy Period August 22, 2007 - February 21, 2008

Named Insured

Finance 230 Student

141 Wohlers Hall

Champaign, IL 61820

YEAR / MAKE / MODEL / BODY STYLE / VEHICLE ID. # / CLASS
2001 / CHYSLER / SEBRING / CONVERTIBLE / 3C3EL55HXWT291333 / 6D30E02

SYMBOLS COVERAGES PREMIUMS

A Bodily Injury/Property Damage Liability $143.36

Limits of Liability - Coverage A - Bodily Injury

Each Person Each Accident

$100,000 $300,000

Limits of Liability - Coverage A - Property Damage

Each Accident

$100,000

C Medical Payments 10.08

Limit of Liability - Coverage C

Each Person

$25,000

D Comprehensive 63.84

G 100 $100 Deductible Collision 198.39

H Emergency Road Service 5.01

U Uninsured Motor Vehicle 7.00

Limits of Liability - U

Each Person Each Accident

$100,000 $300,000

W Underinsured Motor Vehicle 7.40

Limits of Liability - W

Each Person Each Accident

$100,000 $300,000

Total Premium for This Policy Period $435.08

IMPORTANT MESSAGES

Your policy consists of this declarations page, the policy booklet - form 9813A, and any endorsements that apply, including those issued to you with any subsequent renewal notice.