Laserfiche WebLink
41 Ob California Casualty <br />Home Office: San Mateo, CA <br />Coverage provided by: California Casualty Indemnity Exchange <br />AUTOMOBILE POLICY DECLARATIONS <br />RENEWAL <br />For questions on your policy or to report a loss, <br />call 800-800-9410. This document can be viewed <br />at calcas.com/My-Account. <br />Your policy is billed by E-Z Pay. Billing <br />information will be mailed separately. <br />NAMED INSURED(S): POLICY NUMBER: POLICY PERIOD: <br />Davalos, Mayra & Castillo, Marco 101 4226699 Effective 11/04/25 Expiration 11/04/26 <br />1909 W 15th St 12:01 A.M. Standard Time at the <br />Santa Ana, CA 92706-3236 Named Insured''s address of record <br />Residence Type: Owned - Single -Family <br />e: macjrca@gmail.com <br />Outline of Coverage for the 2023 HYUND PALISADE Vehicle ID Number: KM8R7DGE6PU507804 <br />Vehicle Type: Automobile <br />Garaged at: 1909 W 15th St, Santa Ana, CA 92706-3236 <br />Loss Payee(s): SCHOOLS FIRST CREDIT UNION <br />Annual Mileage on current policy term: 8,000 Vehicle Usage: Work 0-29 <br />Annual Mileage on previous policy term: 12,000 <br />Coverage is provided where a premium is shown. See your Policy Contract for coverage details. <br />Coverage <br />Bodily Injury Liability <br />Property Damage Liability <br />Uninsured Motorists <br />Other Than Collision <br />Collision <br />Towing and Labor Costs <br />Transportation Expense <br />Loan Lease <br />Vehicle Premium Subtotal <br />CA Anti -Fraud Fee <br />Total Vehicle Premium with Fees <br />Limits <br />Deductible Premium <br />$100,000/$300,000 Each Person/Each Accident <br />$362.00 <br />$50,000 Each Accident <br />$227.00 <br />$100,000/$300,000 Each Person/Each Accident <br />$116.00 <br />Actual Cash Value Subject to Deductible <br />$250 $482.00 <br />Actual Cash Value Subject to Deductible <br />$500 $763.00 <br />Broad Coverage Applies <br />$15.00 <br />Optional Limits Apply $30 Per Day/$900 Maximum <br />$8.00 <br />Applies <br />Included <br />$1,973.00 <br />The following discounted factors have been applied to this vehicle: <br />Platinum Discount <br />$1.76 <br />$1,974.76 <br />APPROVED <br />By Tu Tian Nguyen at 11:25 am, Jun 09, 2026 <br />UP-1176 CA (09/22) Page:1 of 6 <br />