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2013-11-2617:00 LONG 94...✓8000xx <br />P 414 <br />Insured Name MARIANN LoNG Pollcy Number Ra 752790 <br />No. Year Make Model Vehicle Identification No <br />1 2001 LEXVS AX 400 AND dTdRN310972021153 0 069.00 <br />Auto Assessment for Consumer Services ¢ 1.00 <br />Personal Catastrophe Liability Premium S 177.60 <br />Vehicle I Annual Mlleaga 144DO <br />7.80 <br />'Y'2:IB2gq'12 Ot ,,, <br />Liability <br />A. Liahllity, <br />Premium <br />Oporator 1 Information <br />Bodily Injury • Each Person <br />$ <br />2 5 0, 0 ifO <br />Bodily Injury• Each Accident <br />0 <br />000,000 <br />Property Damage <br />07-11-199a F Mottled <br />¢ 131.00 <br />EsOh Accident <br />$ <br />100,000 <br />B. Medical Payment <br />Driver SULlcense Number <br />12-99 <br />Eaah Pomon <br />07-09-1454 N Married <br />C. Uninsured Motorists <br />LIMITED MEXICO COVERAGE <br />Bodily Injury - Each Person <br />0 <br />25,000 <br />Bodily Injury -EOoh Acaldent <br />$ <br />50,000 <br />Property Damage <br />Each Accident <br />TERA: 1, AUTOS 1, BONES 1 <br />D. Damage To Your Auto <br />09-04 <br />PCL AMENDMENT-DNELLIN(+/APARTMENT RENTAL <br />Actual Cash Value (ACV) minus <br />deductible shown <br />Collision Loss <br />$ <br />1,000 <br />Comprehensive LOSS <br />$ <br />11 000 <br />Towing and Labor Cost <br />Per Disablement <br />Total Premium for Vehicle <br />ADDRESS 17 aRIDGEWOOD <br />7.80 <br />'Y'2:IB2gq'12 Ot ,,, <br />Term <br />Premium <br />Oporator 1 Information <br />Pdr Ion <br />MARIAna none <br />Tarin <br />Driver SULicense Number <br />S 266.00 <br />Date of Birth Sex Marital Status <br />D ori i4wn, O <br />07-11-199a F Mottled <br />¢ 131.00 <br />DPerafor 2 Information <br />iit�3N3VRSD <br />JoaN aAYNZa <br />.... <br />Driver SULlcense Number <br />12-99 <br />Dale of Birth Sex Marital status <br />07-09-1454 N Married <br />¢ 54,94 <br />LIMITED MEXICO COVERAGE <br />$ 290.00 <br />0 12D.00 <br />Goad Driver Plus Passive Reatr&inta <br />Bovines Multi-Polinv <br />`Indicates a change was made to your policy. <br />AK 5034 (08 00) CONTINUED <br />029600 12 0000930 <br />Pdr Ion <br />Veh <br />Tarin <br />NumberI�dta <br />;. <br />D ori i4wn, O <br />��,PYeminm :... <br />I'P0407 <br />O6 14 <br />iit�3N3VRSD <br />MOTORISTS COVERANFi CA <br />.... <br />PPI301 <br />12-99 <br />COV FOR DAMAGE TO YOUR AUTO EXCLUSION <br />AU741 <br />02-07 <br />LIMITED MEXICO COVERAGE <br />AK3714 <br />07-05 <br />PERSONAL CATASTROPHE LIABILITY <br />$ 177.00 <br />LIMIT OF LIABILITY COV A 01,D00,000 <br />TERA: 1, AUTOS 1, BONES 1 <br />AR3664 <br />09-04 <br />PCL AMENDMENT-DNELLIN(+/APARTMENT RENTAL <br />ADDRESS 9 NORTEGROVE <br />ADDRESS <br />CITY: IRVINE ST: CA ZIPi 92604 <br />ADDRESS 17 aRIDGEWOOD <br />ADDAE£0 <br />CITY: IRVINE ST: CA ZIP: 92604 <br />ADDRESS 49 LARKSPT7R LANE <br />ADDRESS <br />CITY: MAMMOTH LAKES ST: CA ZIP: 99546 <br />AU971 <br />10-09 <br />AUTO CHANGES TO YOUR POLICY 1 <br />WAIVCR OF COLL DEDUCTIBLE DOES NOT APPLY <br />PP030b <br />00-86 <br />LOSS PAYABLE CLAUSE <br />`Indicates a change was made to your policy. <br />AK 5034 (08 00) CONTINUED <br />029600 12 0000930 <br />