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<br />NDV-15-21"11"11 1"18: 41"1 FROM: ERIC W CO';" IVERPH D
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<br />7145444996
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<br />TO'714 647 6515
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<br />P.1"I1"12'1"I03
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<br />Under Clllif(lfnl' law, "Ileh driver and each owner of II motor vehicle must be able to establish
<br />financial r"sponslblllty at all times. One of the Evidence of Liability Insurance cards priMed
<br />below must be kept in each vehicle insured under your POliCY for BOdily Injury and Property
<br />Damage Liability. We strongly sugge.t that, in addition. each drivel carry Ii card. EaCh card
<br />lists all Insured vehicles, drivers, and vehicle Identification numbeu.
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<br />Please Cl,Jt c,rds on dolled IiMS. Fold down lhe middle and carry in your wallet. The cards become
<br />invalid on the policy e~pira!lon or termination date. They may nol be used as proof of insurance for
<br />a driver or vehicle nOl covered under your policy.
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<br />Interinlurange Exchange of the
<br />AutomobilG Club
<br />EVIDENCE OF LIABILITY INSURANCE
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<br />I NAMEO lNSU~tD
<br />: GRUVER, ERIC W AND LINDA 5
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<br />, ~O"CY NwnA G 9818~~o
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<br />: EmCTIVE om O~/ 13/0 I EXPIRATION OATE 04/13/02
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<br />I Th~' POliCY OfOVIDOS iU lout LntI minimum Imounllii Qf liability
<br />: insuranCe t8Qllitect by ,1'1. C'- VEH CQr,E $Ee'l'ION I $Q:i~ fQf" ,1'1,
<br />I s.oecllied vehicles ~O Aimed Im~u'MS al'\d l'IUIY ~ttlvida eovlr.o. for
<br />I otrllr genom; Ind Qrhlr ...eni~I.. (15 llrOYlae~ gV ttlo IMut(lI"lCI17l0IlCy.
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<br />If you nave IIn 8CC"ident:
<br />GOlltIG names ana acJC1rossas of;
<br />. fill ptrSQnO in th, Qth,r ...."hi.:;I,(');
<br />_ III pilson, orlMrwi.. irwotved in rhe .ceid,nt. 'or l1i,m!:lIO "
<br />p.aeatrianl;
<br />- III witi'll'"',
<br />O(Jl thD ol'iv8('& Iic(!nao numbtlr 01 me per&OntliJ wM drovt tnG
<br />,oll'ltf v6l\itlll(.s), and !l\~ Vllil'liCI6(1) lit....u pl6h~, i/'leludil'lO U'1I1
<br />stale 0/ registrahon.
<br />00 no, admit reitloniibility for or diiCUSS me c;i~um5tlanOQ' of
<br />the ,t;;c;:kltnr wilh anygne other Il1ln the wli..., gr In ,UU'IQriUICI
<br />A.uto Club oI:1.ims represeotative.
<br />Da I'IOll1it.Clost! yOUI pOlity limllllo lfIy61'l1l.
<br />"""..~lllOly .tlH'" Iny olllm.. .1.,l-U00-672-dZd
<br />u-eOO-"ClAIM). 2:.& houtt. day. ., daYI .. w..k.
<br />For poll'y c"'al1iO" ClaI11-Boo-sa.-6U1,
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<br />- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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<br />I.UAvl".url:ftt:.. t:.llt"ha~Q1' 6' the
<br />Aut....bll. Club
<br />EVIOENCE OF LIABILITY INSURANce
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<br />I N-.MEO INsu~EO
<br />: GRUVER. ERIC W AND LINDA S
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<br />, 'OetCY NUMO.R G 981 B~~o
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<br />: EFFEC",VE ~.rE O~/13/0 1 EXPIRATION DATE 0~/13/02
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<br />: n.il policy tlrolllde! lliI lea.sl tM minimuM M\Our'ltlii 6f liability
<br />, in!urlnr;e required by lilt CA VE."l CODE SECTION 16086 for the
<br />specified vohlclo$ Gnd n&m8d insured, and may PI'9Vlt;t, c;qv,r'lIil.1Qr
<br />, olhQr porion, aM othRr vel1icles '$ provijjed toy tile insurance PGliCY.
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<br />If yau hiVe In .ccl~ln'~
<br />Cet !Ile namei and IClorel!U!S or~
<br />- 1111 per,gR6 in ttMI other vehitle(::.);
<br />- .11 p,rag... "Ihcrwin involved in rhe 8Gcident. lor o".mglo III
<br />t1ft1,&tri,r\,:
<br />~ all wilnosses.
<br />Gellhe driver's lic.an'liI number or the person($) whO drove rP'lo
<br />other 'l'ohicIO(S), and the vlnlCls(s) lIeanso pia,.. InCludinO thO
<br />&\11' or t.gi,tration.
<br />Cto not Idmlt rHponllibilily tor or discu&& tho cllcLlmltln-:ol 01
<br />the Iccidlnt .....ith I"yone Olnr.r tl'la,.. thO ptlliC6 or 11'1 ruJtl\o/iucl
<br />Auto Club (laiml5 regre~entative.
<br />00 not diSCIOSO ~our f)Olicy limitllO iDnyonl.
<br />I",mldl.cely ,eport any clalJll to UI 8.t 1.IOD.S72-S24'
<br />(1"'OU~.7(:LA!"", 24 hOW". Clay, 1 Cla)'. a wOGk.
<br />for pDtiC)' ehllna.l. call 1-800-g2...Gt 4'.
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<br />II you hovI an Z1cclt1Gnl:
<br />a.l th. n.mull.nl:llllJdrn.... Df:
<br />. all ~&Qn, in tn. Olhl!H'" v,hi'9le(,);
<br />. .11 person. othel'wi..e involved in the 8ccident, for 9xarnplQ as
<br />p.d_ttriana:
<br />- ell wim.,1508S.
<br />Oct the dri\lcrs license numbOf ot rn. p<<:lonW who erov. 1M 1
<br />other vchiclo(s), and the ",ohleto(s) IIconsG pftn., in..I~(iinSllh~ :
<br />I lutlll or r.oi IlratiOr\. I
<br />I POLICY NUMBER G 9B 18440 00 not admit tlil,pon~ibililY for or discuss Thi cl,eumDlllneoJl 01 I
<br />: EFFECTIVe OAT! 04/' 3/01 EXPiRATION DATE 04/13/02 ihu~:C~:~~;~~ :::r~:'~:::6~han the police or an euThotitod :
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<br />I Thi$1tOlicy PfQvtQicl.I IU.l1ho mi1'llmum o.moullliS 01 liability DO 1161 dilel6~e 'lOut ~6liey ti""ilt 16 "I'l'yonll. I
<br />I inlufb.it~6 (OOui~o~ &y th. CA VEH CODE. S!CTtON 16Cl51 for I.... ImrDltt;llaClllly report any Q."lm 1:'1..... '" 1-1QO.G'1a...u...G :
<br />: IpOCllied vsnlcle' and namld inlureds ,nlj may pro\lIC1' coverage for Ct-aOD-&7CLAIM). 24 haur'l D. dA~. 7 day, a. weelie. I
<br />, Q1h.... ~er$l;In" ~n~ ol"or ve"'Il;;lol iU pfovidt<l (..y It!. lnil.lrl/'1a JIOII~y. rtClr POl 1",/ Ghlngll, ~.111-800.1J14-81 'I, 1
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<br />I ~o..., II you 1l8ve In aggilittnt:
<br />I f~' Interinsur8nCID Exchangl Of the Q,t thl n,ml'" .nG' p"rfll30lli 0';
<br />I ~:s9IJ Auiomoblle Club . ..II persons in the olh.er veni.ele(s)i
<br />: ~"'I"\~ EVIDENCE OF I.IAUll.lYy INSURANCii . all perSOfl8 olherwlse [nvolVeo if' ,,,e oeclamn. fOl' Ixamtlll al
<br />pede5trio.n~:
<br />. tltl w1rn'$'.'.
<br />Gotl ItJe arr..en lictl1lC numtlo( or tho j:lllrjOI)(.&)~-tlp r
<br />otller vehiele(s), a ,," ~r:n.,.)" I
<br />$late of regi,mUion. "
<br />00 not I!dmi[ respon5iDlliry f or d' eire c.. of
<br />theaccldlll'ltwitharl Or\ 9Ii~or. r.''-1' .'
<br />Al,ltoClubclaims presef'lt_I!'.' I','::: '3HAW
<br />00 nOl di&CIO.&8 yout POliCY' lfR.d-n~m'_~' Il"tt:ornev
<br />IMmediately reltcut .ny M:Yul.t '-800-612-12.6
<br />U-llOD-67CLAIM). Z" hOUlS. day, 7 dlya. w.,k.
<br />For polh:y change., caU1_IOO_92..eU1.
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<br />lnt...lnJurance lixchange of Ihe
<br />Automobile Club
<br />EVIDENCE OF L1"61L1TY INSURANCE
<br />
<br />s
<br />
<br />; NAME.D INSURED
<br />,GRUVER, ERIC W AND LINDA 5
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<br />
<br />: po"cy NUMa~R G 9818440
<br />I EFFECTIVE O,\TE O~/ 13/0 1 EX~lftATION OATI 04/13/02
<br />I
<br />, 'rl,il WlitOy ~u'c;wid.5 It lellllt the rTlImmum amounts 0' liability
<br />I insuranoe rElQuir8d Dy the CA veHCOOI SICTION 18056 to, 1M
<br />, $J;Jecified v~h~le, CEnci named in,urecJs .en'lO may proviae co~srAgo ror
<br />I othilll' per&en& find other v.t1iilf-l", 11.5 provided by th., insurance pOlic)I.
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<br />ITS~
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