USAA Certificate of Insurance - Texas Department of Insurance
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9800 Fredericksburg Road
San Antonio, Texas 78288
CERTIFICATE OF INSURANCE
TEXAS DEPT. OF INSURANCE
AUSTIN, TEXAS
APPROVED
NOV 06 2012
POLICY INFORMATION Named Insured:
Policy Number: Policy Form:
ADDITIONAL INTEREST Name:
Address:
Effective Date:
Loan Number: Expiration Date:
Interest:
PROPERTY INFORMATION Location:
Legal Description:
COVERAGE INFORMATION*
Coverage
I
Dwelling:
Other Structures: Personal Property:
Deductible:
Limit
Coverage applies only if a limit is shown.
Coverage
I
Personal Liability:
Limit
Medical Pavments:
Annual Premium:
See back of form for an important disclosure.
* Copy of contract available upon request.
DWGCOIA 08-12
126240-0312 03 Page 1 of 2
This certificate of insurance is issued as a matter of information only and confers no rights upon the certificate holder. This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage, terms, exclusions, and conditions afforded by the policy or policies referenced herein. This is not an insurance policy. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of the policies.
TEXAS DEPT. OF INSURANCE
AUSTIN, TEXAS
APPROVED
NOV 0 6 2012
DWGCOIA 08-12
Page 2 of 2
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