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GMCO <br />GOVERNMENT EMPLOYEES INSURANCE COMPANY <br />Washington DC VERIFICATION OF COVERAGE <br />(SEE BELOW UNDER CAUTIONARY NOTE) <br />INSURED <br />Policy Number: <br />0378354906 <br />Effective Date: <br />03-18-07 <br />ANN E CHRISTOPH <br />Expiration Date: <br />09 -18 -07 <br />ALFREDO CAREAGA <br />Registered State: <br />CALIFORNIA <br />31713 COAST HIGHWAY <br />SOUTH LAGUNA, CA 92651 <br />To whom it may concern: <br />This letter is to verify that we have issued the policyholder coverage under the above policy number for the dates indicated in the effec- <br />tive and expiration date fields for the vehicle listed. This should serve as proof that the below mentioned vehicle meets or exceeds the <br />financial responsibility requirement for your state. <br />Vehicle Year: 1989 <br />Make: TOYOTA <br />Model: PICKUP <br />VIN; JT4RN93P7K5006213 <br />COVERAGES <br />BODILY INJURY LIABILITY <br />PROPERTY DAMAGE LIABILITY <br />MEDICAL PAYMENTS <br />UNINSURED & UNDERINSURED MOTORISTS <br />UNINSURED MOTORIST PD <br />Lienholder <br />CITY OF COSTA MESA <br />77 FAIR DRIVE <br />COSTA MESA, CA 92626 <br />Additional Information: <br />Issued 2/26/2007 <br />_ Additional Insured <br />If you have any additional questions, please call 1 -80D- 841 -3000 <br />LIMITS <br />$1MIL /$1MIL <br />$100,000 <br />$10,000 <br />$100,000/$300,000 <br />$3,500 <br />Interested Party <br />19) N911f8itY lfwbN <br />NON -DED <br />CAUTIONARYNOTE: THE CURRENT COVERAGES, LIMITS, AND DEDUCTIBLES MAYDEFFER FROM THE COVERAGES, LIMITS, AND DEDUCTIBLES IN EFFECT AT OTHER <br />TIMES DURING TEE POLICYPERIOD. THIS VERIFICATION OF COVERAGE REFLECTS THE COVERAGES, LIMITS AND DEDUCTIBLES AS OF THE ISSUED DATE OF THIS <br />DOCUMENT WHICH IS SHOWN UNDER "ADDITIONAL INFORMATION" OR WAN ISSUED DATE IS NOT SHOWN, THE DATE OF THIS FACSIMII,E. <br />U -33 (5 -05) <br />