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NATIONAL GENERAL <br /> an.4lfstatecompany Policy Number: Date of Notice <br /> PO Box 3199 9 W Inston Salem NO 27102-3199 2029345173 0610612025 07:07 PM <br /> Named Insured: <br /> ABEL CALESTINO MORALES-LUNA <br /> ABEL CALESTINO MORALES-L,UNA Policy Period: <br /> <br /> The lattermost of 12:01 AM or time coverage is effective <br /> SANTA ANA CA 92704-1366 <br /> Policy Underwritten By: <br /> Integon National Insurance <br /> Tu TranTvTraoDlgita y signed Nguycn6y Company <br /> Nguyg ,�0 3040 0,TV 24 Hour Claim Reporting: 1.800-468-3466 <br /> For Policy Information: 1-877.468.3466 <br /> WWW.MyNatGenPol!cy.com <br /> APPROVED - Your Agent: <br /> Southland Auto Insurance <br /> By Tu Tran Nguyen at 7:30 am,Jun 11,2025 638 S Harbor <br /> Santa Ana CA 92335 <br /> (714)775-2300 <br /> CA PERSONAL AUTO DECLARATIONS PAGE <br /> New Business Effective 61612025 7:07 PM <br /> INTEGON NATIONAL INSURANCE COMPANY <br /> Drivers and Household Residents <br /> #1 Abel Calestino Morales-Luna Operator: Principal#3 <br /> Driver Status License# Lie.State Date of Birth Gender Marital Status Driver Pts Yrs.Licensed <br /> Rated Driver XXX9139 CA XXIXX11975 Male Married 0 24 US;O INT'L <br /> #2 Sofia Cruz Bautista Operator: <br /> Driver Status License# Lie.State Date of Birth Gender Marital Status Driver Pts Yrs.Licensed <br /> Excluded Driver XXIXX11977 Female Married <br /> #3 Cristian Morales Operator: Principal#1 <br /> Driver Status License# Lie.State Date of Birth Gender Marital Status Driver Pts Yrs.Licensed <br /> _Rated Driver XXX0413 CA XXJXX12002 Male Married 0 6 US;O INT'L <br /> #4 Jazly Giselle Morales Operator: Principal#2 <br /> Driver Status License# Lie.State Date of Birth Gender Marital Status Driver Pts Yrs.Licensed <br /> Rated Driver XXX0309 CA XXIXXI2001 Female Married 0 7 US;O INT'L <br /> Insured Vehicle(s)and Schedule of Coverages <br /> #12023 NISS KICKS SR VIN:3N1CP5DVXPL532349-AG1038 <br /> Usage: Pleasure <br /> Estimated Annual Mileage:6000 <br /> Garaging Location:92704 <br /> Coverages Provided Limits 1 Deductibles Premium <br /> Bodily Injury $30,000 Each Person 1$60,000 Each Accident $164,00 <br /> Property Damage $15,000 Each Accident $123.00 <br /> *SEE IMPORTANT NOTICE SECTION FOR REDUCED LIMITS IN <br /> SPECIFIED SITUATIONS <br /> Other Than Collision $1,000 Deductible <br /> $54.00 <br /> Collision <br /> $1,000 Deductible $502.00 <br /> Total For This Vehicle $843.00 <br /> #2 2013 FORD EXPLORER VIN: 1FM5K7D84DGB93660-AE2218 <br /> Usage: Pleasure <br /> Estimated Annual Mileage: 11000 <br /> 10039CA(03012010) <br />