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Renewal auto policy declarations Page 2 of 5 <br /> Policy number: OT�34, 311 <br /> Policy effective date: July 11, 2025 <br /> o erne detail for 1990 Nissan <br /> Coverage _ _ Limits Deductible _ premium <br /> Automobile Liability Insurance Not applicable $492,59 <br /> Bodily Injury $250,000 each person <br /> $500,000 each occurrence <br /> ® Property Damage $100,000 each occurrence <br /> Auto Collision Insurance Actual cash value $500 $142,40 <br /> Waiver of deductible applies <br /> Auto Comprehensive Insurance Actual cash value $250 $ 9,51 <br /> - . f —_._... - _ - <br /> Rental Reimbursement Not purchased* <br /> Towing and labor Costs Not purchased* <br /> Uninsured Motorists Insurance for Bodily $250,000 each person - Not applicable $218.41 <br /> Injury $500,000 each accident <br /> Automobile Medical Payments Not purchased* <br /> Coordinated Medical Protection Not purchased* <br /> Sound System Not purchased* <br /> Tape Not purchased* <br /> Total premium for 1990 Nissan $912.91 <br /> *This coverage can provide you with valuable protection. To help you stay <br /> current with your insurance needs,contact your Allstate agent to discuss <br /> coverage options and other products and services that can help protect <br /> you, <br /> VIN JN'IRZ26A2LX011623 Dating Information <br /> Your premium is determined based on certain <br /> information, including the following: <br /> This vehicle is driven for pleasure,rated as an extra <br /> vehicle with no assigned operator. <br /> Allstate uses mileage Information as one factor to help determine your premium amount. <br /> Important Note:The annual mileage figure applicable to this vehicle for the expiring p g policy period was;3,000-3,499.1f'he <br /> annual mileage figure applicable to this vehicle for the current policy period is:3,000.3,499. <br /> The required odometer Information to calculate your annual mileage for the current policy period was not provided,was <br /> Illegible,could not be obtained or the most recent odometer reading we received was less than a previous reading, <br /> If any of the information shown above Is incorrect,missing or changes In the future,please contact your Allstate <br /> representative.please keep in mind that a change In any of the information may result in an adjustment to your premium. 3�' <br /> M <br /> �r <br /> a <br /> is <br /> P <br />