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������ <br />Insured Name MARIANN LONG <br />Policy Number RB .752730 <br />VEHICLE COVERAGE INFORMATION <br />Each Accident <br />SUMMARY OF COVERED VEHICLES) AND PREMIUMS) <br />Term <br />$ <br />Premium <br />SECTION III <br />No. Year Make Model Vehicle Identification No <br />1 2007 LEXDS RX 400 AWD JTJHOP31D972021753 <br />$ 775.00 <br />Auto Assessment for Consumer Services <br />$ 1 . s 0 <br />Personal Catastrophe Liability Premium <br />S 225.00 <br />TOTAL AUTOMOBILE PREMIUM <br />S 1 , ool . Ho <br />Vehicle 1 Anaual Mileage 10000 <br />VEHICLE 1 INFORMATION Garage Location: IRVINE, CA 92604 <br />Bodily Injury -Each Person <br />Year Make Motlel Vehicle Identification No. Sym Class Code <br />Territory Inspect <br />2007 LEXUS RX 400 A➢rD JTJH➢r310972021753 - 700220012 623 yr <br />Limit of Term <br />Bodily Injury -Each Accident <br />Liabilit Premium <br />operator '1 Information <br />Y <br />MARIANN LONG <br />A. Liability <br />Driver St/License Number <br />Bodily Injury -Each Person S 250,000 <br />cA Eo7 011 a2 <br />Date of Binh Sex Marital Status <br />Bodily Injury -Each Accident $ 5 0 O , O O O $ 2 2 8 . O O <br />07 -17 -1959 F Married <br />Property Damage <br />Each Accident <br />$ <br />1 0 0, 0 0 0 <br />$ <br />1 0 9. 0 0 <br />B. Medical Payment <br />Each Person <br />C_ Uninsured Motorists <br />_ <br />Bodily Injury -Each Person <br />$ <br />2 5, 0 0 0 <br />Bodily Injury -Each Accident <br />$ <br />5 0, 0 0 0 <br />$ <br />4 5. 0 0 <br />Property Damage <br />Each Accident <br />D. Damage To Your Auto <br />Actual Cash Value (ACV) minus deductible shown <br />Collision Loss <br />$ <br />l, 0 0 o <br />S <br />2 a i. 0 0 <br />Comprehensive Loss <br />$ <br />1, 000 <br />S <br />112.00 <br />Towing and Labor Cost <br />Per Disablement <br />Total Premium for Vehicle <br />Endorsements Listed Below <br />775.00 <br />APPLIED TO <br />Operator 2 Information <br />JOBN HAYNEB <br />Driver SVLicense Number <br />CA C1522791 <br />Date of$irth— Sex - Marital Status <br />07 -09 -1959 M MarrloQ <br />Multi -Car Good Driver Plus Passive Restraints <br />Anti -Theft Devices <br />VEHICLE ENDORSEMENTS) <br />Edition Veh Term <br />Number Date Description No Premium <br />�PP0487 06 -10 DNINSDRED MOTORISTS COVERAGE - CA <br />PP1301 12 -99 COV FOR DAMAGE TO YODR ADTO EXCLDSION <br />A0112 09 -89 ADDITIONAL INTEREST <br />NAME: TOXIC TESTING LLC <br />ADDRESS 89 LARESHORE DRIVE <br />CITY: IRVINE ST: CA 22P: 92604 <br />AU741 02 -07 LIMITED MEXICO COVERAGE <br />AR3714 07 -05 PERSONAL CATASTROPHE LIABILITY $ 225.00 <br />LIMIT OF LIABILITY COV A $1,000,000 <br />TERR: 1, AOTOS 1, HOMES 1 <br />AK3657 10 -85 PCL ➢rATERCRAFT <br />JOHNSON 9. 4FOOT <br />i�,r �I_EL St.�c�ly <br />"..�Lx +al C:ily /1�Lc?r�: c ^. <br />`Indicates a change was made to your policy. oo,sas n 0000n�, �✓ <br />AK 5034 (OS 00) CONTINUED <br />,. <br />