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Declaration Page (continued) <br /> • Vehicle 1 -Deductible reduced to$100 for glass loss. <br /> • Any outstanding credit will be applied to your remaining account balance.However,'i nsu red'can request an immediate refund for <br /> any outstanding credit if preferred. <br /> • Contact your agent for a Farmers Friendly Review@ to learn more about policy discounts,coverage options,and other products you <br /> may qualify for. Farmers has a newer Auto product that may be available to you. <br /> *Information on Additional Fees <br /> The"Fees"stated in the"Premium/Fees"section on page 1 apply on a per-policy,not an account basis.The following additional fees <br /> also apply: <br /> 1. Service Charge per installment(Inconsideration of our 2. Late Fee:$15.00(applied per account) <br /> agreement to allow you to pay in installments): 3. Returned Payment Charge:$25.00(applied per check, <br /> For Recurring Electronic Funds Transfer(EFT): $0.00 electronic transaction,or other remittance which is not <br /> (applied per account) honored by your financial institution for reasons including, <br /> For Recurring Credit/Debit Card plans: $5.00(applied per but not limited to,insufficient funds or closed account) <br /> account) 4. Reinstatement Fee:$18.40(applied pervehicle,20% <br /> For all other payment plans: $7.00(applied per account.) discount will apply for Good Drivers) <br /> If this account is for more than one policy,changes in these fees are One or more of the fees or charges described above may be <br /> not effective until the revised fee information is provided for each deemed a part of premium under applicable state law. <br /> policy. <br /> Countersignature <br /> Authorized Representative <br /> farmers.com Policy No. 52340-12-34 Questions? Manage your account: <br /> Call your agent Thanh Trieu at(619) Go to www.farmers.com to access <br /> 528-9988 or email your account anytime! <br /> ttrieu@farmersagent.com <br /> 56-6176 2nd Edition 3-19 <br /> Page 3 of 3 <br />