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CITCOM, INC. 2 -2012
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CITCOM, INC. 2 -2012
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Last modified
10/28/2014 9:43:46 AM
Creation date
8/27/2012 11:20:33 AM
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Template:
Contracts
Company Name
CITCOM, INC.
Contract #
N-2012-089
Agency
POLICE
Insurance Exp Date
9/15/2015
Destruction Year
0
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® AAA Policy Number: CAA062230406 <br />Drivers <br />Name <br />William H Romesburg <br />Cit Co m, Inc <br />PO BOX 890513 <br />Temecula, CA 92589-0513 <br />Gender <br />Marital Status <br />Year First Licensed <br />Accidents & Traffic Convictions <br />Principally At-Fault Accidents <br />Total Traffic Convictions <br />Vehicles <br />Driver Status <br />Regular Operator <br />Male <br />Single <br />1984 <br />O <br />O Minor: O Major: O Serious: O Severe: O <br />2008 CADILLAC (CIT COM1) <br />Coverage Details <br />Coverages Limits of Liability Premium' <br />Liability <br />Bodily Injury $1,000,000 Each Person $147 <br />$1,000,000 Each Occurrence <br />Property Damage $100,000 Each Occurrence $80 <br />Medical <br />Medical Payments $5,000 $32 <br />Physical Damage <br />Comprehensive (Less Deductible) Actual Cash Value $1,000 $116 <br />Collision (Less Deductible) Actual Cash Value $1,000 $490 <br />Car Rental Expense (Per Day) $30 $36 <br />Uninsured Motorist <br />Uninsured 8a Underinsured Motorist(s) Bodily Injury $30,000 Each Person $28 <br /> $60,000 Each Occurrence <br />Uninsured Deductible Waiver Yes <br />Total Premium ? $929 <br />Endorsements and Certificates <br />Number Title <br />2011 MEMBER'S AUTOMOBILE POLICY -POLICY NUMBER CHANGE <br />2052 LOSS PAYABLE -NOTICE TO LIEN HOLDER <br />2052R LOSS PAYABLE -DIFFERENT REG OWN ER <br />2184 EXCLUSION OF DESIGNATED PERSON <br />2231 GUARANTEED RENEWAL <br />A.PPRO VEZ] AS 'TO pgRM <br />Laura Sheedy?- <br />Assis[ant ,ty A[toruey
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