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<br />SS!, 12 07 09:54a TASSA CONSllI TING <br /> <br />Sep 12 2007 9:09 FL _ITY INSURANC~ SERVIC <br /> <br />Agent CoFY <br />00550T.' <br />:,'-.. <br /> <br />PelSOnal Auto Policy . California <br />Declaration ~ge 1 of 3 <br /> <br />eompany: <br />Unlgard rns..-ance Company <br /> <br />!"Olley Number: <br />UA125606 <br /> <br />Named InsUfed: <br />Rex H81venoo <br />255 easc.a.de Falls Dr <br />FoIsomCA95630 <br /> <br />~ <br />fldelity InsurallC" SeMce In< <br />PO 1loo< 2096 <br />l!edceIey CA 94702 <br />(510) 548-ll2oo <br /> <br />a1'l-444-00~2 <br /> <br />510. B61'15 <br /> <br />C,. <br />I <br />"1' <br />5oG:i" <br /> <br />p.2 <br /> <br />p.l <br /> <br /> <br />,I <br /> <br />P,O. Bole 90101 ! It . <br />Bellevue. WA 98OO!l , <br /> <br />Ren_1 Ded;lJ'&tion lssUlllll .... 06/05107 <br />replaces a~ prior dedamtions.lfan)l. and with <br />poky proYi$i<>n!. and endorSements, If any. <br />issued to fom' II part thereof completes th is <br />Per.iOf1a1 Aut.. PoliCY., . <br /> <br /> <br />C...,.,.. it provided only wIIere a premium . <br />and a limit ot li-ability Is shoWn for 1IIe <br />coverage. <br /> <br />Polley perl ocI from 07lCY9lfJ7 to 01J09/Q8 <br />at 12:01 "'.M. 5*-ndard time at 1he <br />adclress of the named InNAld. <br /> <br />ecwerage Part <br /> <br />Urnls of UabilIty <br /> <br />A.liabllity ~ <br />Bodily Injury and Property Damage ~ each KCidtnl <br /> <br />B. MHIica1 Payments S 5.000 limit <br /> <br />C. Unlnwred lIIIotOrirt <br />Bodily Injury <br /> <br />S 1 00.000 each aceident <br /> <br />D.~ageTOYourAuto <br />Qthenhlln Collision <br /> <br />a(;lUal cash value <br />In Inus dedudlble <br /> <br />CoIhlo<l <br /> <br />adUal cash value <br />minus deductible <br /> <br />Additional Coverages: <br />Towing and Labor <br />Increased Tr8I\Sportatlofl Expense <br />Waiver of ColsiOll [)eductble <br /> <br />S 30 per day 1$9Ol1 maximum <br /> <br />Total pAlllllum byvelllde <br />Total prelllillm for policy period <br /> <br />vehicle PrCll\lul'll5 <br />1 2 <br />01 BMW 01 IlMW1 <br /> <br /> <br />$173 $ 2111 <br />$ 16 $ 17 <br />$ 32 $ ;:1) <br />$60 S ;.2 <br />$200 ded S~OO ded <br />$128 $ 131 <br />$500 ded $500 ded <br />$ 4 S 4 <br />$ 12 !. '12 <br />$ 12 $ -12 <br />$437 $459 <br />$ 896 <br /> 14,0 14.0 <br /> <br />j." ~~ ".~ <br /> <br />. <br /> <br /> <br />If <br /> <br />J':i~ '~1 <br /> <br />consratulatlOlisl The excellent driving record ol your household has earned you our speci'" Accident Free Driver Credit. <br />This along with your e1i&ibllily for the other eredlt(s) listed beIoo> has reduced your total a~to premium, please <br />note that tile total p-emium shown abcwe aJreldy Includes the premium reductiOn. <br /> <br />CroSS Sold Credit Renewal credt 12~/' <br />5% PaS$i'Ie Restraint veil 1.2 15% Anti-Theft DisCOuntVeh 1.2 <br />Accident Free Driver CredII Vetl 1 25 .0%. Veil 2 25.0% <br /> <br />".' <br />tl <br />:'"" . ., <br /> <br />llllulti-Car Di;aunt Veh 1,2 <br />Good Studlmt ()IVT 3 <br /> <br />} 'M' <br />lHANIC YOU FOR QtOOSING UNKiARD FOR. YOUR lNSURAN'CE N~tDS." 'r. <br />'i~' (1,' 100m' , <br />, YLf //2.. 11 <br />,,- cI , II' <br /> <br /> <br />XI"'" D4.03 <br /> <br />~il:'~} <br />