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1 | NAIC Minimum | Dates and Amounts of Premiums and Exposures | ZIP or Territory | ZIP or Territory |
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| Class Group | Class Group | Class Group | Class Group | Class Group | Class Group | Dates and Amounts of Premiums and Exposures | Coverage Identifier | Dates and Amounts of Premiums and Exposures | Coverage Identifier | Dates and Amounts of Premiums and Exposures | Dates and Amounts of Premiums and Exposures | Dates and Amounts of Premiums and Exposures | Dates and Amounts of Premiums and Exposures |
2 | Unique Index | VIN | Garage ZIP5 | Garage ZIP4 | Garage Address | Vehicle Year | Make | Model | Submodel | Vehicle Use | Vehicle Miles | Antilock Brakes | Safety Restraint Device | Customizations | Antitheft Device | BI Premium | Comprehensive Deductible | Comprehensive Premium | Collision Deductible | Collision Premium | UM BI Premium | UM PD Premium | Med Pay/Med Expense Premium |
3 | Alpha Numeric | AlphaNumeric | Num | Num |
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| Text | Num | Y/N or 0=No 1=Yes | None = 0 Partial = 1 Full = 2 | Y/N or 0=No 1=Yes | 0 = None 1 = Passive 2 = Avtive | Num | Curr | Num | Num | Num | Num | Num | Num |
4 | 1 | 3VW4T7AJ1EM370710 | 23233 | 2297 |
| 2014 | VW | Jetta | GLI | P | 7500 | 1 | 2 | 0 | 1 | 119.23 | 250 | 21 | 1000 | 97.84 | 33.11 | 4.28 | 11.42 |
5 | 2 | 5TDBT48AX1S012157 | 23233 | 2297 |
| 2001 | Toyota | Sequoia | Limited | P | 10000 | 1 | 1 | 0 | 1 | 81.29 | 250 | 25.63 | 1000 | 28.05 | 33.11 | 4.28 | 6.76 |
6 | 3 | WBACN53401LJ56093 | 23233 | 2297 |
| 2001 | BMW | Z3 | M | P | 3000 | 1 | 1 | 0 | 1 | 87.59 | 250 | 14.27 | 1000 | 40.34 | 33.11 | 4.28 | 5.98 |
7 | 4 | JNKBV61F98M256947 | 23233 | 2297 |
| 2008 | Infiniti | G35 | X | W | 6500 | 1 | 1 | 0 | 1 | 112.56 | 250 | 18.47 | 1000 | 65.39 | 33.11 | 4.28 | 11.18 |
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Year | Make | Model | Submodel |
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2018 | Honda | Civic | Hatchback |
2020 | GMC | Acadia | Denali |
2017 | Ford | Escape | SE |
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