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.� � State Farm <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 Liability <br />Bodily Injury 1,000,000/1,000,000 <br />Property Damage 1,000,000 <br />$461.05 <br />D 500 Deductible Comprehensive <br />$31.83 <br />G 500 Deductible Collision <br />$143.79 <br />H Emergency Road Service <br />$5.36 <br />U Uninsured Motor Vehicle <br />Bodily Injury <br />500,000/1,000,000 <br />$153.76 <br />U1 Uninsured Motor Vehicle <br />Property Damage $4.82 <br />Total Premium $800.61 <br />If any coverage you carry is changed to give broader you the broader protection without issuing a new policy, <br />protection with no additional premium charge, we will give starting on the date we adopt the broader protection. <br />DISCOUNTS These adjustments have already been applied to your premium. <br />Multiple Line ✓ <br />Multicar ✓ <br />Driving Safety Record ✓ <br />California Good Driver ✓ <br />Loyalty ✓ <br />Total Discounts $2,198.91 <br />Other Available Discount(s) <br />You may be eligible for additional discounts <br />See the enclosed insert for more information. <br />Mature Driver <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 />(continued on next page) <br />Policy Number: 583 7885-D15-55C Page number 3 of 5 <br />Prepared February 20, 2026 <br />