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1-4 BRISTOL WEST <br /> Noir INSURANCE GROUP <br /> Underwritten by:COAST NATIONAL INSURANCE COMPANY <br /> Vehicle 1 PREMIUM $1,348.00 <br /> Year/Make/Model: 2020 RAM 1500 BIG H <br /> Vehicle Identification#: 1 C6RREFG5LN333680 <br /> ACV/Stated Amount (including $2,000 permanently attached equipment)** ACV <br /> Surcharge: No <br /> Discounts: PACKAGE <br /> Garaging Zip Code: 92691 <br /> Radius: 300 MILES <br /> Loss Payee: N/A <br /> Additional Interest: CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 <br /> **A vehicle's stated amount should indicate its current retail value, including any special or permanently attached equipment. In the <br /> event of a total loss the maximum amount payable is the lesser of the Stated Amount or Actual Cash Value, less deductible. Be <br /> sure to check stated amounts of your vehicle at every renewal. <br /> Coverage Per Person Per Accident Deductible Premium*" <br /> Limit Limit <br /> BODILY INJURY AND PROPERTY DAMAGE LIABILITY $1,000,000 CSL $981.00 <br /> MEDICAL PAYMENTS $2,000 $11.00 <br /> UNINSURED/UNDERINSURED MOTORIST BODILY $300,000 CSL $108.00 <br /> INJURY <br /> COMPREHENSIVE $1,000 $35.00 <br /> COLLISION DEDUCTIBLE WAIVER $1,000 $143.00 <br /> TOWING AND LABOR $3.00 <br /> ($75 PER INCIDENT/$300 PER TERM) <br /> RENTAL REIMBURSEMENT $19.00 <br /> ($30 PER DAY/30 DAYS MAXIMUM) <br /> HIRED AUTO $1,000,000 CSL $48.00 <br /> **Excludes all fees including the policy fee, fraud fee, SR22 <br /> fee(if applicable)and installment/EFT fee(if applicable). <br /> Risk M rtmtDivision <br /> REviarAip&APPROVED Sy: <br /> A Act' <br /> ® <br /> Risk Management Specialist <br /> f <br /> CV-ENDECO4 06/19 Issued Date: 07/31/24 Page 2 of 3 <br />