Docstoc

Boy Scouts of America - BSA auto insurance

Document Sample
Boy Scouts of America - BSA auto insurance Powered By Docstoc
					CERTIFICATE OF AUTO INSURANCE
VEHICLE 1
Make of Vehicle_________________ Kind____________________ Year___________ Number of passengers with seat belts: _________ Owner _________________________________________________________________ Driver License Number____________________________________________________ Name of Insurance Company_______________________________________________ Coverage: Each person $________________ Each Accident $________________ Property Damage $________________ (Suggested Coverage) $50,000 $100,000 $50,000

VEHICLE 2
Make of Vehicle_________________ Kind____________________ Year___________ Number of passengers with seat belts: _________ Owner _________________________________________________________________ Driver License Number____________________________________________________ Name of Insurance Company_______________________________________________ Coverage: Each person $________________ Each Accident $________________ Property Damage $________________ (Suggested Coverage) $50,000 $100,000 $50,000

Signed___________________________________________ Date________________
Signature of owner


				
DOCUMENT INFO