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Insured Name MARIAN14 LONG Policy Number RB 752730 <br />VEHICLE COVERAGE INFORMATION <br />No. Year Make Model Vehicle Identification No <br />1 2007 LEXDS RX 400,AWD JTJHW3lU972031753 $ 816.00 <br />Auto Assessment for Consumer Services $ 1.80 <br />Personal Catastrophe Liability Premium $ 321.00 <br />TOTAL AUTOMOBILE PREMIUM $ 1,139.80 S 20.00 <br />Vehicle 1 Annual Mileage 1.0000 <br />VEHICLE 1 INFORMATION Garage Location. IRVINE, CA 92604 <br />Year Make Model Vehicle identification No. Sym Class Code Territory inspect <br />2007_LEXUS RX 400 AND JTJHlr3117972021753 700220011 623 W <br />Liability <br />Premium Premium <br />A. Liability <br />Bodily Injury - Each Person $ 250,000 <br />Bodily Injury - Each Accident $ 500,000 <br />$ <br />240.00 <br />Property Damage <br />Each Accident $ 100,000 <br />$ <br />115.00 <br />B. Medical Payment <br />Each Person <br />C. Uninsured Motorists <br />Bodily Injury - Each Pinson 5 25,000 <br />Bodily Injury - Each Accident $ 50,000 <br />5 <br />47,00 <br />Property Damage <br />Each Accident. <br />D. Damage To Your Auto <br />Actual Cash Value (ACV) minus deductible <br />shown <br />Collision Loss $ 1,000 <br />$ <br />296.00 <br />Comprehensive Loss s 1,000 <br />$ <br />118100 <br />Towing and Labor Cost <br />Per Disablement <br />Total Premium for Vehicle <br />Endorsements Listed Below <br />TOTAL VEHICLE PREMIUM <br />91s.0D <br />ti -Car Good Driver <br />i -Theft Devices <br />;YEHI LE—E#UWRSE1lIEltlt 1 <br />.. <br />09 -09 iiNIN5t7RED MOTORZSTS COVERAGE - :,. CA <br />PP1301 12 -99 COV FOR DAMAGE TO YOUR AUTO EXCLUSION <br />AU112 09 -89 ADDITIONAL INTEREST <br />NAME: TOXIC TESTING LLC <br />ADDRESS 89 LAKESHORE DRIVE <br />CITY: IRVINE ST: CA ZIP: 92604 <br />A0741 02 -07 11MITED MEXICO COVERAGE <br />'A83714 07 -05 PERSONAL CATASTROPHE LIABILITY <br />LIMIT OF LIABILITY COV A $1,000,000 <br />TERR: 1, AUTOS 2, HOMES 2 <br />•AR3657 10 -85 PCL WATERCRAFT <br />JOHNSON 9.9FOOT <br />'indicates a change was made to your policy. <br />AK 5034 (08 00) CONTINUED <br />APPROVED AS TO R M <br />Laura Shcedv <br />AAssista ity Attorn. <br />Operator I tnfornwation <br />MARIA" LONG <br />Driver Sill-license Number <br />CA £0701182 <br />Date of Birth Sex Marital Status <br />07 -17 -1954 F Married <br />Operator 2 'tnfomwtion <br />JONN HAYNES. <br />Driver SVUcense Number <br />CA 01522741 <br />Date of Birth Sex Marital Status <br />07 -09 -1954 M married <br />Passive Restraints <br />$ 321.00 <br />CC34C <br />