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Policy Number: BA040000048078 <br />Effective Date: 08128120'18 <br />TOTAL PREMIUMS <br />.. .. ... .. <br />Liability <br />$1„896 <br />Medical Payments <br />Premium <br />Uninsured Motorists Bodily Injury <br />$194 <br />Uninsured Motorists Property Damage <br />Collision Deductible Waiver <br />Comprehensive <br />�— $180 <br />Specified Causes of lass —� <br />is Less, Minus $500 Deductible <br />j Collision <br />$231 <br />Roadside Assistance <br />R� ental Reimbursement <br />_- - <br />Loan/Lease Gap <br />Audio, Visual and Data Electronic Equipment <br />Cost of hire means the total amount you incur for the hire of "autos" you don't own (not including "autos" you borrow or rent <br />from your partners or "employees" or their family members).. Cost of hire does not include charges for services performed by <br />motor carriers of property or passengers. <br />Estimated <br />Annual <br />Cost Of Hire <br />Liability Coverage <br />Physical Damage Coverage <br />Total ITEM <br />FOUR <br />Premium <br />Premium <br />Limit Of Insurance <br />-' <br />Premium <br />Actual Cash Value Or Cast Of Repair, <br />_ <br />L <br />is Less, Minus $500 Deductible <br />--Whichever <br />_- - <br />For—Each—Covered Auto. <br />Number Of Employees (including Volunteers) <br />Discounts <br />a Pay in Full - <br />a Multi -Line <br />Driver Information <br />_ Listed Drivers Excluded Drivers <br />MELEKE LAKAI - HOLLY LE <br />ANTHONY LE <br />MCADS030817-CA <br />Page 4 of 4 <br />