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State Farm Mutual Automobile Inourance Company <br />1 1 6400 State Farm Drive <br />Rohnert Park CA 94926 <br />NAMED INSURED 00002 <br />75-1289-1 X <br />000002 n , <br />ALL CITY MANAGEMENT, INC <br />1749 S LA CIENEGA BLVD <br />LOS ANGELES CA 90035-4601 <br />E AS TO FORM <br />4H I10 <br />R n Hodg <br />put ity Attorney <br />A <br />"? ^ ! 5 t`$ <br />DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. <br />SEPARATE STATEMENT ENCLOSED IF AMOUNT DUE. <br />73993- . A MATCH 00002 MUTL VOL <br />I DECLARATIONS PAGE <br />POLICY NUMBER 65 0693-A16-75G <br />P? ICY PERIOQ JAN 16 2010 to JUL 16 2010 <br />-` `GENT <br />WILLIAM HAMMONDS lr <br />11040 SANTA MONICA BLVD <br />SUITE 420 <br />LOS ANGELES, CA 90025-7581 <br />PHONE: (310)473-3276 <br />YEAR ICE MOM OODY $TYL VEHICLE ID, NUMBER CLASS <br />NONOWNED AUTO 66000000 <br />S'YMOMS 00VEMOE9 PREMIUMS <br />See policy for coverage details. NONOWNED <br />A Bodily Injury/Property Damage Liability . $457,56 <br />Limit of Liability-Coverage A <br />0 Each <br />Total "pr.mi.UMOr,iAl?i iB:2R10#o JUL 1 4 $4a7 56 7hks is not a biii. <br />IMPORTANT MPSAGF,$ <br />Your policy consists of this declarations page, the policy booklet - form 9805A, and any endorsements that apply, including <br />those issued to you with any subsequent renewal notice. <br />Replaced policy number 0650693-75F. <br />EXCEPTIONS ANR ENIDOR MIENTS (5?s 1ndlvldual ea?vrs$mot for deltails.? <br />IMPORTANT - IDENTIFICATION CARDS MUTL VOL <br />STATE FARM <br />POLICY NUMBER M"113-A16-750 EFFECTIVE POLICY NUMBER 063 06"-A16.79G EFFECTIVE <br />YR MAKE NONOWNED JAN 162010 TO JUL 16 2010 YR MAKE NONOWNED JAN 162010 TO JUL 162010 <br />MODEL VIN MODEL VIN <br />AGENT WILLIAM HAMMONDS N AGENT (WgILWIM HAMMONDS II <br />S THE MINIMUM LIABILITY UNITS <br />COVOEAAGT1PRbYl? BY THE POLICY MEETS THE MINIMUM LIABILITY UNITS CO PHONE %E16 VIDED BY THE POUC HY IEET25178 <br />PRESCRIBED BY LAW. PR ED BY LAW. <br />)0014100014 COVERAGES A SEE THE REVERSE SIDE FOR AN EXPLANATION COVERAGES A SEE THE REVERSE SIDE FOR AN EXPLANATION <br />KEEP A CARD IN YOUR CAR SUDMYH' THIS CARD, OR A PHOTOCOPY OF THOS CARD, <br />WITH YOUR VEHICLE REGISTRATION RENEWAL. <br />7Slf6X-1-X <br />Pol Issue <br />faI10:l1mal <br />Slats Fame Mutual Autome00e Imur+nce Comparry State Farm Mutual AULOm0A0e msura=6 GOO <br />6400 Stab Farts Drive Rohllwt Pack CA f4926 6400 State Farts Drive Rohnert Park CA 9492 <br />INSURED ALL CITY MANAGEMENT, INC MUTL INSURED ALL CITY MANAGEMENT, INC MUTL <br />VOL VOL