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<br />~1' ~TERINSURANCE EXCHA~E of the Automobile Club <br />.",. AUTOMOBILE INSURANCE RENEWAL DECLARATIONS <br /> <br />'..J <br /> <br />PLEASE READ: These declarations constitute our offer to renew this insurance for the policy period shown below. Renewal is contingent upon <br />your payment of alleas! the Minimum Due betore or on the Due Date shown in the enclosed Insurance Billing. Failure 10 pay at least the Minimum <br />Due before or on the Due Date shall mean that you rejected this renewal offer. All coverage afforded by this policy will then ~erminate at 12:01 <br />a.m., Pacific 51andard Time, on the Effective Date shown in these declarations under "Policy Penod." These declarations, together with the <br />contract and the endorsements in effect, complete your policy. I <br /> <br />ITEM 1. YOUR NAME AND ADDRESS <br /> <br />BROWNING, GEORGE AND SHARON <br />916 GREENTREE RD <br />PACIFIC PALISADES CA 90272-3913 <br /> <br />PROCESS DATE AUTO POLICY NUMBER <br />12-11-01 G 4841145 <br /> <br />POLICY PERIOD (PACIFIC STANDARD TIME) <br />EFFECTIVE DATE 1-15-02 12:01 A.M. <br />EXPIRATION D;'TE 1-15-03 12:01 A.M. <br /> <br />ITEM 2. DESCRIPTION OF VEHICLES <br /> <br />VEH. I GARAGE ANTI-THEFT DEVICE AIR <br />NO. YEAR MAKE IDENTIFICATION NO. LEASED FINANCED ANNUAL MILES ELECTRONIC BAGS <br /> ZIP CODE OTHER <br /> ! LOCATOR <br />I 00 BENZ WDBNG70J3YA109043 NO NO 90272 25,001 - 30,000 YES NO YES <br />2 90 BENZ WDBCA45E2LA533681 NO NO 90272 7,501 - 10,000 NO YES YES <br />3 89 PORS WPOAB0913KS120795 NO NO 90272 5,001 - 7,500 NO YES NO <br /> VEHICLE SPECIAL EQUIPMENT * SOUND EOUIPMENT . PARKED <br /> NUMBER CAMPER! 2.WAY TElE. IN <br /> V AN eONV' OTHER PHONE RADIO OTHER GARAGE <br /> RADIO <br /> 1 YES <br /> 2 I YEp <br /> i ROVED AS" It PORM <br /> 3 , YE <br /> r V UA..-- <br /> CRISTl'i"lt LEE SHAW <br />* WARNING: Under Part III of the pOlicy (Physical Damage), special coverage limitations apply unless coverage was Deputy City Attorney <br />specifically purchased for certain equipment. Coverage is indicated by an "X" in the appropriate equipment column, <br /> <br />ITEM 3. COVERAGES AND ANNUAL PREMIUMS (COVERAGES ARE NOT IN EFFECT UNLESS INDICATED AND A PREMIUM IS SHOWN) <br /> <br />POLICY I- LIABiliTY " . MEDICAL III. PHYSICAL DAMAGE IV. UNINSURED MOTORIST <br /> PART <br />COVER. S -PROPERTY C " N-CAR L-UNINSURED F . BOQIL Y INJURY UNIt>(- <br /> A. BODILY INJURY DAhAAOE l.tEO. PAY. eXCESS o - COMPREHENSIVE RENTAL E -COLLISION MOTORIST SUREO &. UNOERINSUREO <br /> AGES MEO.PAY. EXPENSE COLLISION MOTOR VEHICLES <br /> THOUSAND I THOUSAND THOUSAND THOUSAND THOUSAND ACTUAL CASH LESS ACTUAL CASH LESS UNINS. THOUSAND I THOUSAND <br /> VEH DOLLARS DOLLARS DOLLARS DOLLARS OOLLARS VALUEQR SPECIFIEO OOLL.AAS VALUE OR SPECIFIED OED. UNINS DOLLARS I DOLLARS <br /> i EACH EACH EACH EACH EACH Llt.lITOF PER OM LlhAlTOF COLL. EACH , EACH <br /> '0 DEDUCTIBLE DEDUCTIBLE WAIVER <br /> : PERSON OCCUR. OCCUR. PERSON PERSON LIABILITY LIABILITY PERSON , ACCIDENT <br />L ! , <br />I 1 100 300 50 5 ACV 2000 20 ACV 2000 X 100 , 300 <br />M , , <br />I, 2 100 , 300 50 5 100 , 300 <br />T I 3 100 , 300 50 5 ACV 2000 ACV 2000 X 100 , 300 <br />S I , , <br /> , , <br /> , , <br /> , , <br /> , , <br />P 1 342 182 51 116 27 790 70 <br />R 2 250 131 39 53 <br />~I <br /> 3 237 140 23 206 404 30 <br />~.I I I <br />