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<br />~ <br />USAA- <br /> <br />, . <br />USAA CASUALTY INSURANCE COMPANY <br /> <br />LAST PAGE 3 <br />MAIL MCH-M-S <br /> <br />RENEWAL OF <br /> <br />(A Stock Insur.nce Company) <br />9800 Fredericksburg Road - San Antonio, Texas 78288 <br />CALIFORNIA AUTO POLICY <br />RENEWAL DECLARATIONS <br />(ATTACH TO PREVIOUS POLICY) <br />Named Insured and Address <br /> <br />s.... 04 V.h POLICY NUMBER <br />~~ 00462 63 39C 7101 <br />POLICY PERIOD: . (12:01 A.M. standard time) <br />EFFECTIVE NOV 04 2002 TO MAY 04 2003 <br /> <br /> <br />01 CATHY M MOREHEAD <br /> <br />CATHY M MOREHEAD <br />2409 N VALENCIA STREET <br />SANTA ANA CA 92706-2063 <br /> <br />N - zool--ctJf <br />A ..- Z-() ()() - C"L <br /> <br />Oescri lion of Vehicle(s) <br />'ltH YEAR TRADE NAME <br /> <br />MODEL <br /> <br />BODY TIPE <br /> <br />ANNUAL <br />MILEAGE <br />11000 <br /> <br />IDENTIFICATION NUMBER <br />YV1LW5543V2314851 <br /> <br />SYM <br /> <br />WORK/SCHC <br />Md~~s Dl4 <br />Wa We- <br /> <br />VEH USE. <br /> <br />04 97 VOLVO 850 <br /> <br />WAGON 5D <br /> <br />12 B <br /> <br />The Vehicle(s) described herein is principally garaged at the above address unless otherwise stated. W/C'W"k/S,'oo'; 6-6.."",; ,-,,,.; POP'" <br /> <br />VEH 04 SANTA ANA CA 92706-2063 <br /> <br />This policy provides ONLY those coverages for <br />which a remium is shown below. <br />VERA E LIMITS OF LIABiliTY <br />("ACV" MEANS ACTUAL CASH VALUE) <br />PART A - LIABILITY <br />BODILY INJURY EA PER $1,000,00 <br />EA ACC $1,000,00 <br />PROPERTY DAMAGE EA ACC $ 100,00 <br />PART C - UNINSURED MOTORISTS <br />BODILY INJURY EA PER $ 300,00 <br />EA ACC $ 500,00 <br />WAIVER OF COLL DEDUCTIBLE <br /> <br />VEH VEH <br />04 6-MONTH <br />D=DED PREMIUM D=DED PREMIUM <br />MOUN $ MOUN $ <br /> <br />VEH <br /> <br />VEH <br /> <br />D=DED PREMIUM <br />MOUN $ <br /> <br />D=DED PREMIUM <br />MOUN $ <br /> <br /> <br />248. 17 <br />107.08 <br /> <br />50.43 <br />10.20 <br /> <br />ADDITIONAL INTEREST - EMPLOYER <br />ITY OF SANTA ANA PUBLIC WRKS, SA TA A A, CA <br />ADDITIONAL INTEREST - EMPLOYER <br />CITY OF SANTA ANA, SANTA ANA, CA <br />ADDITIONAL INTEREST - LESSOR AND LOSS PAYEE <br />VEH 04 VOLVO FINANCE NORTH AMERICA, SPRINGFIELD OH <br /> <br />ENDORSEMENTS: ADDED 11-04-02 - NONE <br />REMAIN IN EFFECT(REFER TO PREVIOUS POLICY)- A137(01) A400CA(01) 5100CA(01) <br />A072(03) A073(03) *** 13580(02) <br /> <br /> <br />~~ <br /> <br /> <br /> <br />In WITNESS WHEREOF. we have caused this policy to be signed by our President and Secretary at San Antonio, Texas. <br />on this date SEPTE~~O, 2002/) . J 'j. A <br />~ t..J kftA.- :/ot...-. ~~ '/I <br />Bra ford W. Rich ~e-nry: J;ccellio Jr. <br />5000 C Secretary Presiaent <br />