Root Declarations Page 20210916
Root Declarations Page 20210916
Root Declarations Page 20210916
09/16/2021 10:17AM
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Profile address2 changed from '' to 'Apt C'
VEHICLE INFORMATION
DRIVER NAME DOB GENDER MARITAL STATUS POINTS SR-22 DL STATE DL#
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DISCOUNTS AND SURCHARGES
Applicable Discounts
Applicable Surcharges
Premium: $253
Bodily injury liability $100,000 each person $ $ $ $ $ $
$300,000 each accident
Premium: $180
Property damage liability $ $ $ $ $ $
$100,000 each accident
Premium: $49
Rental $30 each day $ $ $ $ $ $
$900 each accident
Premium: $36
Personal injury protection $ $ $ $ $ $
$5,000 each person
Premium: $64
Uninsured/underinsured
$100,000 each person $ $ $ $ $ $
motorist bodily injury
$300,000 each accident
Premium: $118
Comprehensive $500 deductible. Limit of $ $ $ $ $ $
actual cash value.
Premium: $230
Collision $500 deductible. Limit of $ $ $ $ $ $
actual cash value.
SR22 Fee $
MVCPA Fee $
Policy Fee $
Down Payment $
ALL FEES ARE FULLY EARNED. THIS SUPERCEDES ANY PRIOR DATED DECLARATIONS.
RCM.DEC.2019
APPLICABLE FORMS
Your insurance policy is available on our website: account.joinroot.com. If you want your policy mailed to you, please
call our Customer Service Team and request it to be mailed at no extra charge.
If you are set on credit card payments, where your insurance premiums will be charged to your credit card, the amounts
listed above will be charged on the dates shown. The amounts also include a monthly installment fee.
IMPORTANT NOTICE
NON-RENEWALS FOR NOT-AT-FAULT ACCIDENTS
OR CLAIMS
(28 TAC 5.7016)
We may not use any of the following types of accidents or claims as the only reason for refusing to renew your personal
auto policy:
1. a claim involving damage from a weather-related incident that does not involve a collision (some examples
being hail, flood, tornado, winds or hurricanes);
3. an accident or claim involving damage caused by flying gravel, missiles or falling objects; however, if you
have three of these losses in any 36-month period, we may increase your deductible to the higher of $250
or the next available deductible increment higher than your present deductible amount, at your renewal
date;
4. a claim under towing and labor protection; however, if you have four claims of this type in any 36-month
period, we have the option of eliminating this coverage from your policy;
5. any other not-at-fault accident or claim unless there are two or more of these accidents or claims in any 12-
month period.
"Refusal to renew" means our refusal to renew your personal auto policy in the same company which originally issued
the policy. To the extent of any possible conflict between this notice and the Texas Administrative Code (28 T AC §5.
7016), the latter will be controlling.
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RCM.DEC.2019