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ITEM THREE <br />SCHEDULE OF COVERED AUTOS YOU OWN (Continued) <br />COVERAGES -PREMIUMS, LIMITS AND DEDUCTIBLES <br />(Absence of a deductible or limit entry in any column below means that the limit or deductible entry <br />inthecorrespondinglTEM TWO column applies instead. <br />AUTO MEDICAL <br />PAYMENTS <br />MEDICALEXPENSEAND <br />INCOME LOSS BENEFITS <br />(Virginia Only) <br />UNINSURED MOTORISTS <br />UNDERINSURED <br />MOTORISTS <br />Limit Stated <br />In The Medical <br />Expense and <br />Income Loss <br />Benefits <br />Covered <br />Limit <br />Endorsement <br />Auto No. <br />Each Insured <br />Premium <br />For Each Person <br />Premium <br />Limit <br />Premium <br />Premium <br />CAl <br />$ 5,000 <br />$ 40 <br />$1,00O3 000 <br />$ 164 <br />CA2 <br />> 5,000 <br />$ 28 <br />$1, 00O3 000 <br />$ 164 <br />Total <br />Premium <br />- <br />$ 328 <br />COVERAGES -PREMIUMS, LIMITS AND DEDUCTIBLES <br />(Absence of a deductible or limit entry in any column below means that the limit ordeductible entry <br />In the comaspondinq ITEM TN0 column applies Instead. <br />SPECIFIED CAUSES <br />COMPREHENSIVE <br />OF LOSS <br />COLLISION <br />TONING & LABOR <br />Limit <br />Limit <br />Limit <br />Stated In <br />Stated In <br />Stated In <br />ITEM TWO <br />ITEM TWO <br />ITEM TWO <br />Minus <br />Minus <br />Minus <br />Deductible <br />Deductible <br />Deductible <br />Covered <br />Shown <br />Shown <br />Shown <br />Limit Per <br />Auto No. <br />Below <br />Premium <br />Below <br />Premium <br />Below <br />Premium <br />Disablement <br />Premium <br />[Al <br />$ 500 <br />$ 220 <br />$ 500 <br />$ 512 <br />rA� <br />S 500 <br />$ 250 <br />$ 500 <br />$ 602 <br />Total <br />Premium <br />'-'1 <br />S 11114 <br />DA CW 01 10 13 Allstate insurance Company ,,--�``���''````��••`--`�� R twe & A"Ro BY. <br />Inw,etl Full Copy ic4�1=p' <br />Risk Management Malt <br />