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�.� Lit _ <br />Auto coverage schedule <br />1. <br />2000 Dodge Pickup <br />VIN: 1B7GL22X7YS786987 <br />Liability <br />liability. MedPay ................... <br />. ................... <br />Premium <br />$457 $15 <br />Comp Comp Collision Collism <br />Physical Damage <br />Y g <br />Deductible Premium Deductible Premium <br />....... I..... <br />Premium <br />... ................................. I................. <br />$1,000 $28 $1,000 $128 <br />Premium discounts <br />Policy <br />• <br />Stated Amount. <br />Garaging Zip Co- <br />.................................. ........................................ .. ..............I...I............ <br />01954225 -6 Paid in Full and Renewal <br />Additional Insured information <br />............................ ....................... .......... I ....................... <br />....... . <br />1 . Additional insured CITY OF SANTA AMA A <br />20 CIVIC CTR PL SANTA Ai IR, <br />Company officers <br />President <br />Form 6489 CA (05106) <br />Secretary <br />z <br />