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8 <br />Policy Number: <br />Effective Date: <br />BA040000048078 <br />08/28/2018 <br />- 7916 <br />Full <br />This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages <br />will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage <br />by the entry of one or more of the symbols from the Covered Autos Section of the Business Auto Coverage Form next to <br />the name of the coverage, <br />Coverages <br />Coverage <br />Limit <br />Premium <br />Symbol <br />The Most We Will Pay For Any One Accident Or Loss <br />Liability <br />7 <br />$3,000,000 CSL <br />Medical Payments <br />Uninsured Motorists Bodily <br />7 <br />$300,000 CSL <br />$194 <br />Injury <br />Uninsured Motorists <br />Property Damage <br />Rejected <br />I <br />Actual Cash Value Or Cost Of Repair, W hichever Is Less, <br />Minus Deductible Shown In ITEM THREE For Each Covered <br />Comprehensive <br />7 <br />Auto, But No Deductible Applies To Loss Caused By Fire <br />$100 <br />Or Lightning. See ITEM FOUR For Hired Or Borrowed <br />Autos. <br />Actual Cash Value Or Cost Of Repair, Whichever Is Less, <br />Specified Causes of Loss <br />Minus Deductible Shown in ITEM THREE For Each Covered <br />Auto For Loss Caused By Mischief Or Vandalism. See ITEM <br />FOUR For Hired Or Borrowed Autos. <br />Actual Cash Value Or Cost Of Repair, Whichever Is Less, <br />Collision <br />7 <br />Minus Deductible Shown in ITEM THREE For Each Covered <br />$210 <br />Auto. See ITEM FOUR For Hired Or Borrowed Autos, <br />Premium For ITEM FOUR (Hired Auto Coverage) <br />Premium For ITEM FIVE (Non -Ownership Liability) <br />Premium For Endorsements <br />Miscellaneous Fees and Expense <br />California Consumer Services and Fraud Program Fees <br />$3,52 <br />Total Policy Premium <br />$2,047.52 <br />MCADS030817-CA <br />Page 2 of 4 <br />