Laserfiche WebLink
<br />11/28/2000 10:36 <br /> <br />3105465478 <br /> <br />ED :APRI~LIA~ PYD <br /> <br />or~GE 84 <br /> <br />A"ERICAN MANUFACTURERS MUTUAL INS. CO. <br /> <br />KEMPER INSURANCE PACKAOE - CONTINUATION CERTIFICATE <br /> <br />THIS CERTIFICATE CONTINUES YOUR PDLICY IN FORCE FOR <br />THE POLley PERIOD SHOWN. IT HILL BECOME EfFECTIVE <br />ONLY IF THE llEQUlRED PROIIUM 1$ PAID BEFORE THE <br />-FROM- DATE STATED. THE REQUIRED PR~IUM MILL IE <br />SEPA~TELY IILLED UNDER THE KEMPER IILLING SYSTEM. <br />PLEASE ATTACH THIS CERTIFICATE TO YOUR POLICY. <br /> <br />(f'Iy.~ <br />~ ~ClIriM...... <br /> <br />Na~ Insured and malllng .ddreas <br /> <br />Polley n~mber Rq OlilS9S <br />Polit:Y period: <br />From 01-01-00 <br />To 01-01-01 <br />12:01 AM Standard Time <br />al the 'n""eeI Localion <br /> <br />EONARD C CAPRIELIAN <br />DEIOIIAH J CAPRIElIAN (lttVcP) <br />613 HRD STREET <br />MANHATTAN lEACH CA 90Z" <br /> <br />AgenVI~ 55-2071 <br />GllOSSLIOHT INSURANCE INC <br />Po lOX Zli9li' <br />LOS ANGELES CA '0024 <br /> <br />The ~. .hown ..bove Is the 'nsured location ~Ie.. olhtlrwl... stated: <br /> <br />eo.._ I. Provided ""'ere a limll of liability is .hown for the cov.... <br />SECTION I: Blonl<el Property Limll . 926. 000 all~e In.ured Loc.tion <br />Oe<Iuctible . 1 000 <br />In c.a.. of · 10.. ~nder Section I. _ ClOVer only that part '"the 10" OVer the deductible sLaled. <br /> <br />SECTION II: limit. of liability. 300,000 "aell OCcur...r.:e. P.."""., Uability <br />· 1.000 each per""", Uedlcal Paym'ml' 10 Oth... <br />0tIter In.ured location: <br /> <br />SECTION Ill: 0."l'IpI1on 01 a~Io. or 1...11.... <br />Auto <br />No. V.... Trade "'a""""odcI <br />1 IS JAGUAR XJ' <br />Z 9'i TOYOTA PREvIA <br />S 91 fllERCEDfS 560 SEC <br /> <br />Vehicle IdenUftcation Number <br />SAJAV1S4IFC"9lil. <br />JTSACJ2RzRl131617 <br />HDICAli5~511375 <br /> <br />CI... Code <br />nOnOOll <br />"20Z001O <br />12062&021 <br /> <br />C<edit Code <br />(see below) <br />1 <br />lCA <br />lCAI <br /> <br />, - ~ Or mare .ot... , = Goocl_ A = Paaa,ve -'Ill Cls""'nl C _ A/rtj.L.- a.-eke OIs_ <br />2 "'" Ortver tra'nll'tg 7 "'" Acc.IcIenI P,re~tion eo""rwe e _ Anti.. Then: DeVice twSCOUnt <br />The .....0. or tralle.. deecribM In t~i, poIiey.... principally gar"lled a' the In_ed Lor:.tllon unle.. oll1erwl.. Italed: <br /> <br />- per""". · SIlO, 000 eocll accident. Bodily Injury Uobility <br />each accident, Property Dam. Wobi!ity <br />.- ........... A~to Medical P..~t. <br />e.." oteun'e".,.. Personal Cal..trophe Liability Endor_t <br />.aell person, . 500,000 eKl1 accident. UninlUrelI MOlorl.t, _ Bodily Injury <br />.ocII aoc:ident, Unin'lItlld Moloriot. . ""'pet't1f D'rnago <br />Damage to Your Auto: Actu" calli value IACV) mlnu. deductible: <br />Auto 1 AUlD 2 A~to 3 <br />Colllsion 10" . 250 . 250 . 250 <br />Other tl\an collision '.... . 250 . 250 . 250 <br /> <br />Limit. of Wabllity. SOO. ODD <br />. 100,000 <br />. !i.000 <br />'1.too.OOO <br />. SOD. ODD <br /> <br />Umll per cIi..blemenl for T_lnll _ lAbor eo.t.: <br />· 75 . 75 . 75 . <br />y....r premium for this polley. $I. SIS. 00 IIn TO FOLLDIl <br />PAYPfENT EXPECTED FROM INSURED <br /> <br />AuIo <br />. <br />. <br /> <br />SAFE DRIVER LIST. POINTS ARE DETERMINED IY RULES OF THE SAFE DRIVER PLAN. <br />ACCIDENT 04-22-9' HAlVED <br /> <br />"114001 <br /> <br />-~---->SEE NEXT <br /> <br /> <br />TO FORM <br /> <br />COMPANY USE. <br />VS1197 <br /> <br />1'1'0'187 <br />Alt4ZU <br /> <br />A1t4001 <br />11-92 <br /> <br />AJl:4001 <br /> <br />:',iidwci Vigliotta <br />.\'Pllty Cilv6.,Uorncy <br />pAGE<------ <br /> <br />loU-0079 <br />