Laserfiche WebLink
2013 - 1425 17;08 LONG 9495598500» P 4/4 <br />Insured Name MARIANN LONG PollcyNumber RB 752730 <br />No, Year Make Model Vehicle Identification No <br />1 2007 LEXUS RX 400 AND JTJ5W31U972021753 $ 069.00 <br />Auto Assessment for Consumer Services $ 1,90 <br />Personal Catastrophe Liability Premium $ 177 00 <br />TOTAL AUTOMOBILE PREMIUM 8 1,047-90 <br />Vehicle I Annual Mileage 14400 <br />:: rw�nvwk, �rvrwmm�r;w4v yas�ge F4CeAGARAkt .', IRVINE,,'. <br />:.Year Make Mfpdof :: :Vehicle Identification Ne. <br />2007 �LEXIIS B.lf':.4QD' AND JrTJHN31'U97202i.7�8�8 <br />CA ; 92604':'::. <br />C,fA99 Cbd4 <br />Limit of <br />Term <br />Liability <br />Premium <br />operat r <br />Operator 1 Information <br />A. Liability <br />P remftam <br />PF0407 <br />66 -10 <br />nouc <br />UNINSURED MOTORISTS COVERAGE _:::CA <br />PP1301 <br />12 -99 <br />Driver SULicense Number <br />Bodily Injury - Each Person <br />$ 250,000 <br />02 -07 <br />LIMITED MEXICO COVERAGE <br />Bodily Injury • Each Accident <br />$ Soo, 000 <br />$ <br />2166.00 <br />Date of Birth Sex Marital Status <br />Property Damage <br />LIMIT OF LIABILITY COV A $1,000,000 <br />07 -11 -1954 F Married <br />Each Accident <br />$ 100,000 <br />$ <br />131.00 <br />Operator 2 Information <br />B. Medical Payment <br />ADDRESS 5 NORTHGROVE <br />JOHN HAYNES <br />Each Person <br />ADDRESS <br />Driver $dLirense Number <br />C. Uninsured Motorists <br />CITY; IRVINE ST: CA ZIPi 92604 <br />Bodily Injury • Each Person <br />$ 25,000 <br />Data of Birth Sex Marital Status <br />Bodily Injury - Each Accident <br />$ 50,000 <br />$ <br />54.00 <br />07 -09 -1994 M Married <br />Property Damage <br />ADDRESS 48 LARKSPUR LANE <br />Each Accident <br />ADDRESS <br />D, Damage To Your Auto <br />AU971 <br />10 -09 <br />AUTO CHANGES TO YOUR POLICY 1 <br />Actual Cash Value (ACV) minus deductible shown <br />WAIVER OF COLL DEDUCTIBLE DOES NOT APPLY <br />Collision Loss <br />$ 1,000 <br />$ <br />298 -00 <br />Comprehensive Loss <br />$ 11000 <br />$ <br />120.00 <br />Towing and Labor Cost <br />Per Disablement <br />Total Premium for Vehicle <br />Goon Driver Plus Pasaive Restraints <br />Anti -Theft Devicoa Multi - Policy <br />VEHICLE ,ENDORBEMEN7 <br />3 <br />Edition <br />Number, <br />:: Date <br />Descriptlpn No <br />P remftam <br />PF0407 <br />66 -10 <br />UNINSURED MOTORISTS COVERAGE _:::CA <br />PP1301 <br />12 -99 <br />COV FOR DAMAGE TO YOUR AUTO EXCLUSION <br />AV741 <br />02 -07 <br />LIMITED MEXICO COVERAGE <br />XK3714 <br />07 -05 <br />PERSONAL CATASTROPHE LIABILITY <br />$ 177.00 <br />LIMIT OF LIABILITY COV A $1,000,000 <br />TERR: 1, AUTO$ 1, HOMES 1 <br />AK3664 <br />09 -04 <br />FCL AMENDMENT - DWELLING /APARTMENT RENTAL <br />ADDRESS 5 NORTHGROVE <br />ADDRESS <br />CITY; IRVINE ST: CA ZIPi 92604 <br />ADDRESS 17 BRIDGEWOOD <br />ADDRESS <br />CITY: IRVINE ST; CA ZIP; 92604 <br />ADDRESS 48 LARKSPUR LANE <br />ADDRESS <br />CITY: MAMMOTH LAKES ST: CA ZIP: 93546 <br />AU971 <br />10 -09 <br />AUTO CHANGES TO YOUR POLICY 1 <br />WAIVER OF COLL DEDUCTIBLE DOES NOT APPLY <br />PP0305 <br />08 -86 <br />LOSS PAYABLE CLAUSE <br />`Indicates a change was made to your policy. <br />AK 5034 (08 00) CONTINUED 924950 Q 0moam <br />