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Insured Name MARIANN LONG <br />VEHICLE COVERAGE INFORMATION <br />Policy Number RB 752730 <br />SECTION III <br />No. Year Make Model Vehicle Identification No <br />1 2007 LEXUS RX 400 AWD JTJHW31U972021753 $ 816.00 <br />Auto Assessment for Consumer Services $ 1.80 <br />Personal Catastrophe Liability Premium $ 225.00 <br />TOTAL AUTOMOBILE PREMIUM $ 1,042.80 $ 18.00 - <br />Vehicle 1 Annual Mileage 10000 <br />VLHIGLE 7 INFORMATION Garage Location: IRVINE, CA 92604 <br />Year Make Model Vehicle Identification No. Sym Class Code Territory Inspect <br />2007 LEXUS RX 400 AWD JTJHW31U972021753 700220011 623 W <br />Limit of Term Change In <br />Liability Premium Premium Operator 1 Information <br />A. Liability <br />12 -99 <br />COV FOR DAMAGE TO YOUR AUTO EXCLUSION <br />Bodily Injury - Each Person $ <br />250, 0 0 0 <br />ADDITIONAL INTEREST <br />Bodily Injury - Each Accident $ <br />500, 0 0 0 $ <br />240. 0 0 <br />Property Damage <br />- <br />ADDRESS 89 LAKESHORE DRIVE <br />Each Accident $ <br />100, 000 $ <br />115.00 <br />B. Medical Payment <br />02 -07 <br />LIMITED MEXICO COVERAGE <br />Each Person <br />07 -05 <br />PERSONAL CATASTROPHE LIABILITY <br />C. Uninsured Motorists <br />LIMIT OF LIABILITY COV A $1,000,000 <br />Bodily Injury - Each Person $ <br />25, 0 0 0 <br />TERR: 1, AUTOS 1, HOMES 1 <br />Bodily Injury - Each Accident $ <br />50, 000 $ <br />47.00 <br />Property Damage <br />JOHNSON 9.4FOOT <br />Each Accident <br />D. Damage To Your Auto <br />Actual Cash Value (ACV) minus deductible <br />shown <br />Collision Loss $ <br />1, 000 $ <br />296. 0 0 <br />Comprehensive Loss $ <br />1, 000 $ <br />118.00 <br />Towing and Labor Cost <br />Per Disablement <br />Total Premium for Vehicle <br />Endorsements Listed Below <br />TOTAL VEHICLE PREMIUM <br />$ <br />816.00 <br />Multi -Car Gp__C Driver <br />Anti -Theft Devices <br />VE}iIC.E E111DOtZS:EIVIEl�11 {S <br />PP1301 <br />12 -99 <br />COV FOR DAMAGE TO YOUR AUTO EXCLUSION <br />AU112 <br />09 -89 <br />ADDITIONAL INTEREST <br />NAME: TOXIC TESTING LLC <br />ADDRESS 89 LAKESHORE DRIVE <br />CITY: IRVINE ST: CA ZIP: 92604 <br />AU741 <br />02 -07 <br />LIMITED MEXICO COVERAGE <br />*AK3714 <br />07 -05 <br />PERSONAL CATASTROPHE LIABILITY <br />LIMIT OF LIABILITY COV A $1,000,000 <br />TERR: 1, AUTOS 1, HOMES 1 <br />AK3657 <br />10 -85 <br />PCL WATERCRAFT <br />JOHNSON 9.4FOOT <br />*Indicates a chance was made to vnur nolicv <br />MARIANN LONG <br />Driver St/License Number <br />CA E0701182 <br />Date of Birth Sex Marital Status <br />07 -17 -1954 F Married <br />Operator 2 Information <br />JOHN HAYNES <br />Driver St /License Number <br />CA C1522741 <br />Date of Birth Sex Marital Status <br />07 -09 -1954 M Married <br />Passive Restraints <br />$ 225.00 $ 18.00- <br />