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`~~, Interinsurance Exchange of the Automobile Club <br />® s <br />~*`~ Personal Umbrella <br />Coverages and Limits <br />Renewal Declarations <br />We are pleased to offer you a renewal for your personal umbrella insurance policy. To renew your policy, send at least the <br />minimum payment on or before the due date. Insurance is in effect only for the coverages and limits of liability shown on <br />this declarations page and as set forth in the insurance policy and endorsements. These declarations, together with the <br />contract and the endorsements in effect, complete your policy. <br />ITEM 1. YOUR NAME AND ADDRESS <br />SUTARIA, TC AND SUTARIA, TARULATA POLICY NUMBER <br />CAU 000271132 <br />P.O. BOX 26363 POLICY PERIOD <br />SANTA ANA CA 92799-6363 (Standard Time at the address described under ITEM 1.) <br />THIS POLICY IS EFFECTIVE <br />FROM: 01-15-2010 12:01 A.M. <br />TO: 01-15-2011 12:01 A.M. <br />ITEM 2. LIMITS OF LIABILITY <br />LIMIT OF LIABILITY: $1,000,000 DEDUCTIBLE: $250 <br />(IN EXCESS OF THE LIMITS OF LIABILITY OF PRIMARY INSURANCE) <br />ITEM 3. SCHEDULE OF REQUIRED MINIMUM PRIMARY INSURANCE <br />DESCRIPTION LIMITS OF LIABILITY <br /> BODILY INJURY PROPERTY DAMAGE LIABILITY <br />COMPREHENSIVE PERSONAL LIABILITY <br />(OR HOMEOWNERS LIABILITY) <br />$500, 000 <br />AUTOMOBILE LIABILITY $500, 000/$500, 000 $100, 000 <br />WATERCRAFT LIABILITY $500,000 <br /> <br />WARNING: THE "MAINTENANCE OF PRIMARY INSURANCE" PROVISION OF YOUR POLICY INVOKES COVERAGE LIMITATIONS IF PRIMARY INSURANCE IS <br />NOT MAINTAINED. PLEASE REVIEW YOUR POLICY CAREFULLY. <br />ITEM 4. ENDORSEMENTS IN EFFECT <br />ITEM 5. EXPOSURES <br />BASIC (1 RESIDENCE, 1 AUTO) <br />2 ADDITIONAL AUTOMOBILES <br />1RENTALPROPERTY <br />HIGH LIMIT <br />PREMIUM TOTAL EXPOSURE <br />PREMIUM TOTAL ENDORSEMENT <br />PREMIUM TOTAL ANNUAL POLICY <br />PREMIUM <br /> $278 $278 <br />THIS PREMIUM IS BASED ON INFORMATION CURRENTLY IN OUR RECORDS. <br />OTHER COVERAGES, LIMITS, AND EXCLUSIONS APPLY -PLEASE REFER TO YOUR POLICY. <br />FOR QUESTIONS OR CHANGES, CALL TOLL FREE AT 1-87722-2100, <br />See reverse side for Privacy Protection Act Notice <br />PROCESS DATE 11-16-2009 <br />Eusozoon PLEASE KEEP WITH YOUR POLICY <br />Ezoo7oe <br />111709 <br />