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RANESES, MICHAEL-N-2020-091
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RANESES, MICHAEL-N-2020-091
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Last modified
10/27/2021 9:32:00 AM
Creation date
5/6/2020 4:10:21 PM
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Contracts
Company Name
RANESES, MICHAEL
Contract #
N-2020-091
Agency
PLANNING & BUILDING
Expiration Date
4/22/2022
Insurance Exp Date
2/1/2022
Destruction Year
2027
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ADDL INFO ON NEXT PAGE MAIL MCH-M-1 <br />UNITED SERVICES AUTOMOBILE ASSOCIATION RENEWAL OF <br />(ARRVROCALINrERNSURANCEExCHANGE) <br />Slate <br />08 09 tm <br />f�11C,1' I�A.,Nffii <br />USAW 9800Fredericksburg Road - San Antonio, Texas 78288 <br />00186 66 18U 7101 0 <br />CA <br />93 93 <br />k�i <br />CALIFORNIA AUTO POLICY <br />PCL)CYPE39KD. (12:01 A.M. standard time) <br />RENEWAL DECLARATIONS <br />EFFECTIVE MAR 20 2020 TO SEP 20 2020 <br />OPERATORS <br />01 MICHAEL EUGENE RANESES <br />ATTACH TO PREVIOU POLICY <br />Named Insured and Address <br />03 RUTH L RANESES <br />MICHAEL EUGENE RANESES <br />LTC USA RET <br />2409 MIRA MONTE CT <br />TUSTIN CA 92782-9000 <br />escnp <br />on o e c <br />e s <br />V91USE* <br />�ffi <br />TRADE NAME <br />M"]J� <br />�DYTYPEAN <br />NUAL <br />IDBJTIRCAT10NNUNBER <br />sw <br />N <br />08 <br />06 <br />TOYOTA jHILNDR <br />4D <br />4D <br />10000 <br />JTEDD21A760154136 <br />P <br />09 <br />17 <br />TOYOTA <br />HIGHLANDER <br />4D <br />12100 <br />5TDKZRFH9HS524448 <br />B <br />the Vehicle(s) described herein is principally garaged at the above address unless otherwise stated. " wr—waa dmi <br />VEH 08 TUSTIN CA 92782-9000 <br />VEH 09 TUSTIN CA 92782-9000 <br />Is otic � rove es thosecoveragesWhere a premium Is shown 0 ow- a limits shown <br />diced by <br />may e r policy provisions and may ,not be combined regardless of the number of <br />vehicles for which a remium is listed unless s eclficall authorized elsewhere in this ofic . <br />VEH <br />VEH <br />VEH <br />VEH <br />COVERAGES LIMITS OF LIABILITY <br />08 6-MONTH <br />09 6-MONTH <br />("ACV" MEANS ACTUAL CASH VALUE) <br />D=DED PREMIUM <br />D=DED I PREMIUM <br />D=DED PREMIUM <br />D=DED PREMIUM <br />MOUNT $ <br />AMOUNT S <br />AMOUNT 5 <br />MOUNT <br />?ART A - LIABILITY <br />BODILY INJURY EA PER $ 100,00 <br />EA ACC $ 300,000 91.29 156.51 <br />PROPERTY DAMAGE EA ACC $ 100,000 100.77 159.65 <br />?ART B - MEDICAL PAYMENTS <br />EA PER $ 2,000 6.31 9.55 <br />?ART C - UNINSURED MOTORISTS <br />BODILY INJURY EA PER $ 100,00 <br />EA ACC $ 300,OOC 34.76 48.45 <br />?ART D - PHYSICAL DAMAGE COVERAGE <br />COMPREHENSIVE LOSS ACV LESS D 5C 27.19D 50 67.36 <br />COLLISION LOSS ACV LESS D 50 141.20D 50 470.12 <br />TOWING AND LABOR 6.94 6.94 <br />TOTAL PRE IUM SEE FO LOWI G PAGE(S) <br />kDDITIONAL INTEREST - EMPLOYER REVIEWED APP OVED <br />RE RE <br />CBE CITY OF SANTA ANA, OFFICER, SANTA ANA, CA VIE MANAGEMENT DIVISION <br />ADDITIONAL INTEREST - EMPLOYER <br />CBE CITY COSTA MESA OFFICERS,, COSTA MESA, CA <br />ENDORSEMENTS: ADDED 03-20-20 - NONE <br />?EMAIN IN EFFECT(REFER TO PREVIOUS POLICY)- A073(05) RSGPCW( <br />EXCLUSION OF NAMED DRIVER 5100CA(02) <br />INFORMATION FORMS: NIPFCA(05) 320CA(05) CADS(05) 40CA(01) 13580(03) <br />999CA 19 <br />1081 RMF50 00 <br />9 RMM58 00 <br />„ <br />In WITNE WHERE , the ubscnberS at UNITED bLHVICES AUTUMUdILL A CCIA I ION have caused these presents to be signed by <br />their Attorney -in -Fact on this date FEBRUARY 12, 2020 <br />Laura Bishop <br />President, USAA Reciprocal Attorney -in -Fact, Inc. <br />5000 U 07-11 <br />53461-07.11 <br />
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