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Insured Name MARIANN LONG Policy Number RB 752730 <br />No. Year Make Model Vehicle Identification No <br />1 2007 LEXUS RX 400 AWD JTJHW31U972021753 $ 980.00 <br />Auto Assessment for Consumer Services $ 1.80 <br />Personal Catastrophe Liability Premium $ 225.00 <br />TOTAL AUTOMOBILE PREMIUM $ 1,206.80 NONE <br />Vehicle 1 Annual Mileage 14400 <br />VEHICLE 1 INFORMATION Garage Location: IRVINE, CA 92604 <br /> <br />Year Make Model , Vehicle identification No. Class Code Inspect <br />Territory <br />2007 LEXUS RX 400 AWD JTJHW3111972021753 720220012 623 W <br />Limit of Term Change In Operator 1 Information <br />Liability Premium Premium MARIANN LONG <br />A. Liability Driver St/License Number <br />Bodily Injury - Each Person $ 2 5 0 , 0 0 0 Date of Birth Sex Marital Status <br />Bodily Injury - EachAccident$ 500,000 $ 288.00 07-17-1954 F Married <br />Property Damage <br />Each Accident $ 10 0 , 0 0 0 $ 13 9 . 0 0 Operator 2 Information <br />B. Medical Payment JOHN HAYNES <br /> Driver St/License Number <br />Each Person <br />C. Uninsured Motorists Date of Birth Sex Marital Status <br />Bodily Injury -Each Person $ 25,000 07-09-1954 M Married <br />Bodily Injury - Each Accident $ 5 0, 0 0 0 $ 5 7. 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 $ 1, 000 $ 354. 00 <br />Comprehensive Loss $ 1,000 S 142.00 <br />Towing and Labor Cost <br />Per Disablement <br />Total Premium for Vehicle <br />Endorsements Listed Below <br />TOTAL VEHICLE PREMIUM S 980.00 <br /> <br />Multi-Car Good Driver Plus Passive Restraints <br />Anti-Theft Devices <br />PP1301 12-99 COV FOR DAMAGE TO YOUR AUTO EXCLUSION <br />AU741 02-07 LIMITED MEXICO COVERAGE <br />AK3714 07-05 PERSONAL CATASTROPHE LIABILITY <br />LIMIT OF LIABILITY COV A $1,000,000 <br />TERR: 1, AUTOS 1, HOMES 1 <br />AK3657 10-85 PCL WATERCRAFT <br />JOHNSON 9.4FOOT <br />AK3664 09-04 PCL AMENDMENT-DWELLING/APARTMENT RENTAL <br />ADDRESS 5 NORTHGROVE <br />ADDRESS <br />CITY: IRVINE ST: CA ZIP: 92604 <br />ADDRESS 17 BRIDGEWOOD <br />ADDRESS <br />CITY: IRVINE ST: CA ZIP: 92604 <br />ADDRESS 48 LARKSPUR LANE <br />ADDRESS <br />CITY: MAMMOTH LAKES ST: CA ZIP: 93546 <br />$ 225.00 <br />vFNlr.l F CnVFRArF INFORMATION <br />UEifIE E filaOl fVlirl S) '