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ACSC 10/24/2018 12:04:23 PM PAGE 2/007 Fax Server <br />Automobile Club of Southern California <br />P.O. Sax 25001, Santa Ana CA 92722.5001 <br />AAA.com <br />(877)422-2100 <br />August 5, 2018 <br />LEVY, JOSEF AND GAMSOA-LEVY, LYSA <br />4221 AVENIDA MADRID <br />CYPRESS CA 90630.3405 <br />MODIFIED AUTO INSURANCE RENEWAL <br />Policy Number: CAA 073298668 <br />Thank you for your membership with the Auto Club and for your continued business. A ohange was <br />recently made to your policy that modifies your upcoming renewal. Please replace the renewal <br />declarations previously sent to you with the enclosed updated renewal declarations. <br />This change may have also affected the amount of your Policyholder Savings Dividend since <br />dividend amounts are calculated using your current policy premium. Now that your polloy has been <br />revised, your Policyholder Savings Dlvldend amount Is $456. This amount has already been <br />applied to your renewal premium and may or may not be different from the amount originally <br />Indicated on your renewal offer. Please refer to the reverse of this letter for your most current <br />Policyholder Savings Dividend Statement. <br />Please note that any additional premium or premium credit resulting from the recent change to your <br />policy (Including any adjustment to your Policyholder Savings Dlvldend amount) will be evenly <br />distributed among the remaining premium payment installments. If you have already paid your <br />premium in full you will either: <br />be billed separately for any additional premium, or <br />receive a refund check for any credit due. <br />ff you have not yet paid your renewal premium, please pay at least the minimum amount <br />shown an your previous billing statement. <br />If you have any questions, please contact a Policy Service Representative at 1-877.422.2100, <br />weekdays from 7:00 a.m. to 9:00 p.m. or Saturday from a:00 a.m. to 5:00 p.m. We appreciate your <br />business and are pleased to continue assisting you with your Insurance needs. <br />Sincerely, <br />e 4. / <br />Katrina Bradley <br />Vice President <br />Member Service Center <br />Call (577) 422-2100 Click AAA.com/myeocount to access your Visitor call your local Auto Club branch <br />pollcy and pay your bill online AAA.com/branches <br />E�3'di9" InaLm.,ve provided to quaMad Auto Club members by the lntI &change of the Autamab6a Club. <br />��OC /C c% ('4!✓�/Jf�� Tel �f"��/'��1 E�iLJir L��" `� - �f 1 yY� <br />