Preparatoria

ENDEAVOR GENERAL AGENCY, LLC 3723 S. FM 551 ROYSE CITY, TX 75189 PHONE: 972-772-1820 / FAX: 469-402-0860

Policy Number EGD310101545-000

THIS DECLARATIONS IS SUBJECT TO ALL OF THE TERMS ANDCONDITIONS OF THE POLICY AND SHALL CONTINUE IN FORCE FOR THE PERIOD SHOWN, PROVIDED THE REQUIRED PREMIUM IS PAID. COVERAGE PROVIDED IN THE AMENDED TEXAS PERSONAL AUTO POLICY DECLARATIONS POLICY PERIODEFFECTIVE:: 03/23/2012 12:55 PM EXPIRATION:: 09/23/2012 12:01 AM AMENDED DECPAGE EFFECTIVE DATE: 04/27/2012 06:10 PM DESCRIPTION: ADD COMP & COLLISSION NAMED INSURED(S) PRODUCER

JOSE LUIS CRUZ-MERINO11467 DENNIS RD #2065 DALLAS, TX 75229
Veh # 1 State TX Class SM25 Terr 57 Total Pts 0 Veh S/C AF S/C Business Use Pleasure Sym 16 Age 13

NAVARRO-ESQUIVEL INS & TAX (4262200) 216 S MADISON DALLAS,TX 75208 214-942-2110
VEHICLES
Model YR 1999 Make Model/ Body Type Honda ACCORD EX / 2 Door C Vehicle Identification Number 1HGCG225XXA006228 1 Way Miles

LOSS PAYEE/ADDITIONAL INTEREST
Veh # 1Type Lienholder Lienholder MARK AUTO SALES 14232 MARSH LANE #58 ADDISON, TX 75001 Loan Number

DRIVERS
Drv # 1 Name JOSE LUIS CRUZ-MERINO DOB 07/15/1986 Age 25 Marital Status S Sex M Driver's Lic #6264450 Lic State TX Points 0 Surcharge Status RATED

CURRENT COVERAGES
Coverages Limits of Liability Veh 1 Veh 2 Veh 3 Veh 4

Bodily Injury Liability Property Damage Liability Other ThanCollision Deductible Collision Deductible Discounts/Surcharges:

$30,000 / $60,000 $25,000 Veh 1: $500 Veh 1: $500 Vehicle Totals

$102.50 $157.50 $81.00 $332.50 $673.50
Total Premiums Policy Fee TheftPrevention Fee Billing Fees Total Fees Total Policy Premiums $673.50 $60.00 $1.00 $0.00 $61.00 $734.50

FORMS AND ENDORSEMENTS MADE PART OF THIS POLICY: 530A, OACM.AuthDriv.003a, OACM.AutoTerm.007,OACM.ContLiab.006, OACM.CP.013c, OACM.CrimeIntentRentProp.010, OACM.DelFee.005, OACM.MisrepFraud.009, OACM.OutOfState.016, OACM.PhysDam.001, OACM.RentPropAuthDriv.012a, OACM.Storage.004 *** This...