Laserfiche WebLink
4tC:7--E+4-: 0ei0 b01 :a32 PM ADLr 'HORST fed VERSIIIE Cr" <br /> AR '3 Za'3 E�'�S :3 r5 i's3 P. r32 <br /> • <br /> Vehicle. Sc:hr:dule <br /> _..___ MERCURY CA UALTY COMPANY <br /> Pot ' Number Polley Penpd -_"-"'-'.- <br /> ____AT 10 q$JS`� lauo'12:otA_m__.,.__._..-To 12.01 A K. ��Producer Name and Code ___ <br /> 081.29/2000 108/29/2007 CAI:MELi. a—no IIVSrsV. <br /> 4 ` <br /> ADLERHCRST INTERNATIONAL INC - - - _ <br /> Dnsetiphon of Vehicles <br /> "'---- <br /> �..�, i, Ivfake Bores Type/Torms. a _._.-M odel _Ow W__.-_ <br /> t�7.990 UVOTA '� "7—.(72 5 PICKUP __—_ — -C Sbriel Ydurrtbar rt Ccvt or Vrytara -c7i: `sTv. <br /> Y9 $ _—_._.-.__ .—_- -- ...... _._.-__ LT4StNS1ASL00444.[ -...._. <br /> _..I _-- 1!2 T PICKUP 8,610 Ot7.11T0 . .• <br /> L YG'P----_KS07737 _-1&,0Y0 g:. <br /> o G erasing Address("Same"means kept at mailing address) �"-- � <br /> 2 SAME <br /> _.�..._..._.---_-'-'"—.`----. __.. <br /> 1,_ __ _ <br /> _ _ <br /> ____. <br /> ...... <br /> - LP/A4 Names and Addresses of Loss PaVeeslLP),Additional flttarostalAl!and Ptaglaterad OwnarslNU) _- _ _ <br /> - <br /> 2 GF/A GEb4RAL NOTORS ACCEPTANCE CORP PC BOK 252.5 <br /> - LIUSSON <br /> DH 4423 <br /> COVERAGES ._.-... •_...__--.-�.. <br /> ® - --Liability r_ PREMIUMS <br /> SI $ ,000 each person $ ,fl00 each accident <br /> Veh# t Veh # ' Veh# V®h# 4 h 9 Voh#�-- <br /> PS $ --h _ 1 <br /> ,000 each accident or — -.._i—"-`"' - <br /> 500 ,000 Combined Sireee Limit 609 609 <br /> Reinsured Motorist - 61 $- 0 Co"^----.___._.i..____ <br /> & ,0000 Combined fsingla Limit 20 20 -._ <br /> 00 000 ooehpersorC.._..-,,,.�.-.._. $ 00,000 each accident - - -- <br /> Uninsured Motorist . Pp <br /> __,..0._.-3509 Maximum.___--___.-...... 7 <br /> .__.._ _ <br /> Coeacion DeductibN Waiver 4 <br /> E'v s e Medical Expenee Providing For Reenburae'r tit to Company .""`"" ....-- <br /> SDgD oaph person No C><coa• Nn Ralmbursomont ._.� 24 _ 24 <br /> C i npreher sivo•.Uadoctible(el '�""'�—_-----_-- __ _ <br /> ,s-.A. Vnh s 250 Veh Va Veh h 4 126 _....._ <br /> v. <br /> Galli mg.-I)eductible(s) "' 5_—_._.._.__......G_._.._....._—...9__-_ _3._..—.._. <br /> .a Vet a Veh Veh 263 <br /> ._._�I...._._. o $ <br /> 500 Veh Veh <br /> ➢'owing and Labor-Amount Par Dixelletnant�-• """��'-"„".__3..._._...___—.— ., <br /> Veh Veh Veh Voh Vnh Vol) <br /> Rent er Cnr rtanafi4 i— .___.,".__�_____.._ <br /> . g.., _ _ each sings Maximum <br /> — <br /> Premiums Per Vehicle <br /> 660 1046 <br /> L <br /> 11C.36 7/1990 <br /> Date Mailed: 07/1 0/2000 <br />