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15.03.2019 15:24 <br />17145444996 #0217 P 14/19 <br />Ah Truck Insurance Exchange (A Reciprocal Insurer) <br />Member Of The Farmers Insurance Group Of Companless <br />FARMERS <br />INSURANCE Home Office: 6301 Owensmouth Ave., Woodland Hills, CA 91367 <br />POLICY DECLARATIONS - SERVICE OR OFFICE <br />PRIMARY POLICY <br />Named ERICGRUVER <br />Insured <br />Mailing 2021 E FOURTH STE 116 <br />Address SANTA ANA, CA 92705 <br />PollcyNumber 01504-40.07 ❑Audltable <br />Policy From 08.25.2019 <br />Period To 08-25-2020 12:01A.M. Standard time at your mailing address shown above. <br />In return for the payment of premium and subject to all the terms of this policy, we agree with you to provide insurance as stated in <br />this policy. We provide insurance onlyfor those Coverages described and forwhich a specific limit of Insurance is shown. <br />Your Agent <br />Bob Davis <br />Po Box 3847 <br />Tustin, CA 92781 <br />(714)5053893 <br />56.2407 1.15 <br />562407-IDI <br />A%I//111 1 Page 1 of s <br />