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UNITED SERVICES AUTOMOBILE ASSOCIATION <br />IA RECIPROCAL INTERINSURANCE EXCHANGE) <br />USAW 9800 Fredericksburg Road - San Antonio, Texas 76288 <br />CALIFORNIA AUTO POLICY <br />AMENDED DECLARATIONS <br />of ACH TO PREVIOUS POLI) <br />lamed Insured aCY <br />nd Address <br />MICHAEL EUGENE RANESES <br />LTC USA RET N-2018-088 <br />2409 M1 INA MON TE CT <br />TUSTIN CA 92782-9000 <br />EH IYEARI TRADE NAME I MODEL <br />BODY TYPE <br />?91171 TOYOTA (HIGHLANDER 14 DOOR <br />ADDL INFO ON NEXT PAGE MAIL MGH -M -i <br />State 108 ,09 , , , ven POLICY NUMBER <br />fCta IiT13RQt331�—IAK, 00186 66 18U 7101 0 <br />01 MICHAEL EUGENE RANESES <br />03 RUTH L RANESES <br />IDENTIFICATION NUMBER <br />120001 5TDKZRFH9HS524448 <br />SYM <br />is vemCietsl aescrmea nerein is pnncipauy garages at the aeove aoaress uniess otnenvise statoa.I«arc-re+arson+m: a=a+:Ieesx f-f+r+eP=Pleeagte <br />IEH 08 TUSTIN CA 92782-9000 <br />IEH 09 TUSTIN CA 92782-9000 <br />This no icy Frovides ONLY those coverages w ers a orein um is shown below. The limits shown_____ <br />may re reouceg by Poiicy PloVisions <br />Vehicles r which a rami Isted unless <br />ano may nor tae c moineg rag raises or me <br />s eclfloc's a t ria elsewhere in this D <br />r}umber or <br />10V. <br />VEH <br />VEH <br />VEH <br />VEH <br />COVERAGES LIMITS OF LIABILITY <br />08 6 -MONTH <br />09 6 -MONTH <br />("ACV" MEANS ACTUAL CASH VALUE) <br />0=DED PREMIUM <br />D=DED PREMIUM <br />D@DED PREMIUM <br />D=DED PREMIUM <br />AM UN $ <br />WOUNTI 6AMOUNT[ <br />WOUNTIa <br />BODILY INJURY EA PER $ 100;00 <br />EA ACC $ 300,00C <br />89.82 <br />268.5 <br />PROPERTY DAMAGE EA ACC $ 100,OOC <br />86.92 <br />245.87 <br />4RT B - MEDICAL PAYMENTS <br />EA PER $ 2,qOC <br />6.55 <br />13.76 <br />4RT C - UNINSURED MOTORISTS <br />BODILY INJURY EA PER $ 100,0.0 <br />EA ACC $ 300,OOC <br />35.26 <br />81.31 <br />kRT D - PHYSICAL DAMAGE COVERAGE <br />COMPREHENSIVE LOSS ACV LESS <br />D 50 <br />24.02 <br />50 <br />87.07 <br />COLLISION LOSS ACV LESS <br />D 5C <br />144.27 <br />50 <br />782.11 <br />TOWING AND LABOR <br />5.88 <br />7.36 <br />k*COVERAGES EXCLUDED WHEN ANY VEHICLE <br />PERATED <br />BY JOY <br />MARIE <br />RA <br />ESES <br />TOTAL PRE <br />IUM <br />SEE F <br />LOWING <br />PAG <br />(S) <br />:H 09 ADDNL INTEREST - PERSONAL CORP CITY OF SANTA ANA OFFICERS AND, <br />SANTA ANA, CA ENDT A074 APPLIES <br />)DITIONAL INTEREST - EMPLOYER <br />iE CITY OF SANTA ANA, OFFICER, SANTA ANA, CA <br />40ORSEMENTS, ADDED 03-20-18 - NONE <br />:MAIN IN EFFECT(REFER TO PREVIOUS POLICY)- A073(05) A074( ) RS PC <br />EXCLUSION OF NAMED DRIVER 5100CA(02) <br />1 WI Nta`y VVHtKt:Ur, me buosrru; <br />heir Attorney -in -Fact on this date <br />100 U 07-11 <br />FEBRUARY 26, 2018 <br />Laura BisPresident, USAA Reciprocal <br />(01)V-4 k'2- <br />L <br />Inc. <br />