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MAI Nationwide! 'son side Your Policy Declarations Nationwide Auto Policy �lo cy Period Apr 13 2021 - Jan 31 2022 Po�icy Number 7204J 241301 Insured Vehicle(s) and Schedule of Coverages (continued) 2002 Toyo Sienle/Xle VIN 4T3ZF13(:S2U596983 Coverages Limits of Liability Premium Bodily Injury Liability $ 250.000 Each Person $ 500,000 Each Occurrence $ 29966 Property Damage Lability $ 100000 Each Occurrence $ 24806 Medical Payments $ 5.000 Each Person $ 48.80 Uninsured Motonsts Bodily Injury $ 250.000 Each Person 3 $ 500,000 Each Occurence $ 113-04 o See Endorsement M Damage To Your Auto Actual Cash Value Less $ 500 $ 4240 CT m o Other Than Colhslon 1 Comprehensive) o With Full Safety Glass See Endorsement N Collision N .Actual Cash Value Less $ 500 $ 245 54 o Waver Of Coll,ston Deductible $ 6 25 Custom Equipment $ 3.000 Included Total for this Vehicle $ 100376 2015 Benz E350 VIN WDDHF5KB5FP128136 Coverages Bodry Injury Liability Property Damage Liabihry Medical Payments Uninsured Motonsts Bodily Injury Damaae To Your Auto Limits of Liability $ 250000 Each Person $ 500.000 Each Occurrence $ 100.000 Each Occurrence $ 5.000 Each Person $ 250000 Each Person $ 500.000 Each Occurrence See Endorsement Actual Cash Value Less $ Soo Other Than Collision (Comprehensive) With OEM See Endorsement With Full Safety r_=.lass See Endorsement Collision Actual Cash Value Less $ Soo With OEM Waiver Of Collision Deductible Custom Equipment Pental Reimbofsemenr See Endorsement $ 3 000 $ 30 Per Day $ 900 Per Accident See Endoi sement Premium $ 24506 $ 140 56 $ 2258 $ 9246 $ 10510 $ 70116 $ 626 Included $ 28 75 Total for this Vehicle $ 1 341 94 Risk Mkmgemeniniwiat Revleweo 6 ApP ft ® Risk Management Malyst