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Stat eFarm <br />Driver excluded: GIOVANNI ROMERO EFF 06-19-2023. <br />Principal Driver & Assigned Drivers <br />For each automobile, the Principal Driver is the individual <br />who most frequently drives it. <br />Each driver is designated as an Assigned Driver on the <br />household automobile that they most frequently drive. Your <br />premium may be influenced by the information shown for <br />these drivers. <br />COVERAGE AND LIMITS See your policy for an explanation of these coverages. <br />A <br />Liability <br />Bodily Injury 250,000/500,000 <br />Property Damage 100,000 <br />$355.59 <br />D <br />Comprehensive <br />$256.44 <br />G <br />1000 Deductible Collision <br />$362.22 <br />H <br />Emergency Road Service <br />$4.18 <br />U <br />Uninsured Motor Vehicle <br />Bodily Injury 250,000/500,000 <br />$105.84 <br />U1 <br />Uninsured Motor Vehicle <br />Property Damage <br />$7.22 <br />Total Premium <br />$1,091.49 <br />If any coverage you carry is changed to give broader <br />protection with no additional premium charge, we will give <br />DISCOUNTS These adjustments have already been applied to your premium. <br />you the broader protection without issuing a new policy, <br />starting on the date we adopt the broader protection. <br />Multiple Line <br />✓ <br />Multicar <br />✓ <br />Driving Safety Record <br />✓ <br />California Good Driver <br />✓ <br />Loyalty <br />✓ <br />Total Discounts <br />$3,737.64 <br />SURCHARGES AND DISCOUNTS <br />Driving Safety Record Rating Plan <br />Your driving safety record, along with other rating factors, <br />determines what you pay for Liability, Medical Payments, <br />Comprehensive, Collision, and Uninsured Motor Vehicle <br />Coverages. Policyholders with no accidents and convictions <br />pay less than those with accidents and convictions. <br />The Driving Safety Record Rate Level that is assigned to <br />your policy moves up, down, or stays the same every policy <br />renewal, depending upon your driving record. For every 12 <br />(continued on next page) <br />Policy Number: 711 6355-A27-75A <br />Prepared December 5, 2024 <br />Page number 3 of 5 <br />