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I� <br />®gym Interinsurance Exchange of the Automobile Club Milt <br />Personal Umbrella <br />Coverages and Limits <br />Renewal Declarations <br />We are pleased to offer you a renewal for your personal umbrella insurance policy. To renew your policy, send at least the <br />minimum payment on or before the due date. Insurance is in effect only for the coverages and limits of liability shown on <br />this declarations page and as set forth in the insurance policy and endorsements. These declarations, together with the <br />contract and the endorsements in effect, complete your policy. <br />ITEM 1. YOUR NAME AND ADDRESS <br />ROYER, DAVID C AND ROYER, MARY E POLICY NUMBER <br />23933 VIA ARANDA CAU 005257591 <br />SANTA CLARITA CA 91355 -3112 POLICY PERIOD <br />(Standard Time at the address described under ITEM 1.) <br />THIS POLICY IS EFFECTIVE <br />FROM: 04 -02 -2013 12:01 A.M. <br />TO: 04 -02 -2014 12:01 A.M. <br />ITEM 2. LIMITS OF LIABILITY <br />LIMIT OF LIABILITY: $2,000,000 DEDUCTIBLE: $250 <br />(IN EXCESS OF THE LIMITS OF LIABILITY OF PRIMARY INSURANCE) <br />ITEM 3. SCHEDULE OF REQUIRED MINIMUM PRIMARY INSURANCE <br />DESCRIPTION <br />LIMITS OF LIABILITY <br />BODILY INJURY <br />PROPERTY DAMAGE <br />LIABILITY <br />COMPREHENSIVE PERSONAL LIABILITY <br />(OR HOMEOWNERS LIABILITY) <br />$713 <br />_ _ <br />$500,000 <br />AUTOMOBILE LIABILITY <br />$500,000 /$500,000 <br />$100,000 <br />WATERCRAFT LIABILITY <br />$500,000 <br />WARNING: THE "MAINTENANCE OF PRIMARY INSURANCE" PROVISION OF YOUR POLICY INVOKES COVERAGE LIMITATIONS IF PRIMARY INSURANCE IS <br />NOT MAINTAINED. PLEASE REVIEW YOUR POLICY CAREFULLY. <br />ITEM 4. ENDORSEMENTS IN EFFECT <br />2368 AMENDATORY ENDORSEMENT <br />ITEM 5. EXPOSURES <br />BASIC (i RESIDENCE, 1 AUTO) <br />3 ADDITIONAL AUTOMOBILES <br />WATERCRAFT <br />1 RENTAL PROPERTY <br />1 SWIMMING POOUSPA <br />INCREASED LIMIT FACTOR <br />PROCESS DATE 02- 04-2013 <br />EUS0200A <br />E20070B <br />020513 <br />HIGH LIMIT <br />PREMIUM <br />TOTAL EXPOSURE <br />PREMIUM <br />TOTAL ENDORSEMENT <br />PREMIUM <br />TOTAL ANNUAL POLICY <br />PREMIUM <br />$713 <br />$713 <br />THIS PREMIUM IS BASED ON INFORMATION CURRENTLY IN OUR RECORDS. <br />OTHER COVERAGES, LIMITS, AND EXCLUSIONS APPLY - PLEASE REFER TO YOUR POLICY. <br />FOR QUESTIONS OR CHANGES, CALL TOLL FREE AT 1.877-422 -2100. <br />See reverse side for Privacy Protection Act Notice <br />PLEASE KEEP WITH YOUR POLICY <br />