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Policy number. D 1954225 7 <br />BEAUCHAMP ENTERPRISES I <br />P9ye 2 nt 2 <br />Auto coverage schedule <br />Premium discounts <br />Poly ... .. <br />01954225-7 Paid in Full and Renewal <br />Additional Insured information <br />i Addrtionallnsured <br />CITY OF SA'NiA ANA A <br />2U CIVIC C1 PL SANTA ANA, CA 92705 <br />Company officers �� <br />�rr <br />g. i i <br />President <br />form 6489 CA (05:D6) <br />Secretary <br />ft <br />S <br />8 <br />a <br />o — <br />o <br />°o <br />w <br />°a <br />e <br />a <br />°o <br />[7 <br />a <br />a <br />a C <br />a <br />Stated Amount: $18,000 <br />1. <br />2000 Dodge Pickup <br />Garaging Zip Code. 92831 Radius: 50 <br />VIN. 197GL22X7YS785987 <br />Liability <br />V Med P .... _.., ....__ .... <br />Iia6i10 a ............." . <br />Premium <br />$121 $13 <br />G Cmn CGli;ion Coi Adla Tolal <br />Camp P Deductible Prenxum ..._ _.. -- �� <br />Physical Damage <br />DeJura6le Premw!n -- — $579 <br />Premium <br />$1,000 $28 $1,000 $117 <br />Premium discounts <br />Poly ... .. <br />01954225-7 Paid in Full and Renewal <br />Additional Insured information <br />i Addrtionallnsured <br />CITY OF SA'NiA ANA A <br />2U CIVIC C1 PL SANTA ANA, CA 92705 <br />Company officers �� <br />�rr <br />g. i i <br />President <br />form 6489 CA (05:D6) <br />Secretary <br />ft <br />S <br />8 <br />a <br />o — <br />o <br />°o <br />w <br />°a <br />e <br />a <br />°o <br />[7 <br />a <br />a <br />a C <br />a <br />