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USAA CASUALTY INSURANCE COMPANY <br />RFNFWAI nF <br />PAGE 2 <br />MAIL MCH -M -S <br />(A Stock Insurooce Company) <br />state <br />04 Veh <br />POLICY NUMBER <br />USAA® 9800 Fredericksburg Road - San Antonio, Texas IBZ88UA <br />00462 63 39C <br />7101 8 <br />1543i <br />i <br />i:J7jYrj <br />CALIFORNIA AUTO POLICY <br />POLICY PERIOD: (12:01 A.M. standard time) <br />RENEWAL DECLARATIONS <br />EFFECTIVE <br />MAY 04 2001 TO NOV 04 <br />2001 <br />(ATTACH TO PREVIOUS POLICY) <br />01 <br />CATHY M MOREHEAD <br />Named Insured and Address <br />CATHY M MOREHEAD <br />2409 N VALENCIA AVE <br />SANTA ANA CA 92706-2063 <br />Des CrI tion of Vehicle(s) <br />VEH USE - <br />WORK/SCHOOL <br />VE14 YEAR TRADE NAME MODEL <br />BODY TYPE <br />ANNUAL <br />MILEAGE <br />IDENTIFICATION NUMBER <br />SYM <br />les <br />o <br />DXr <br />eok <br />04 97 VOLVO 850 <br />WAGON 5D <br />11000 <br />YV1LW5543V2314851 <br />12 <br />B <br />The Vehicle(s) described herein is principally garaged at the above address unless otherwise stated." W/C=Work/School; B=Basin n ss; F=Fenn; P=Pleasure <br />VEH 04 SANTA ANA CA 92706-2063 <br />This policy provides ONLY those coverages for <br />VEH <br />VEH <br />VEH <br />VEH <br />which a remium is shown below. <br />04 6 -MONTH <br />D=DED PREMIUM <br />D=DED i PREMIUM <br />D=DED PREMIUM <br />D=DED <br />PREMIUM <br />OVERAGES LIMITS OF LIABILITY <br />("ACV" MEANS ACTUAL CASH VALUE) <br />AMOUNT SAMOUNT] <br />S <br />AMOUNT $ <br />AMOUNT <br />$ <br />PART A - LIABILITY <br />BODILY INJURY EA PER $1,000,0010 <br />EA ACC $1,000,OOC 236.69 <br />PROPERTY DAMAGE EA ACC $ 100,OOC 109.22 <br />tx'\ <br />PART C - UNINSURED MOTORISTS <br />\ <br />BODILY INJURY EA PER $ 300,00 <br />EA ACC $ 500,OOC 59.05 <br />WAIVER OF COLL DEDUCTIBLE 12.54yy <br />"j' <br />ADDITIONAL INTEREST - EMPLOYER <br />APPRORp AS TO F RM <br />EVANS WITHYCOMBE MANAGEMENT„ PHOEIX, AZ <br />ADDITIONAL INTEREST - EMPLOYER <br />t_a_ <br />CITY OF SANTA ANA PUBLIC WRKS, SA TA ANA, CA <br />ADDITIONAL INTEREST - EMPLOYER <br />i ura$heedy <br />CITY OF SANTA ANA, SANTA ANA, CA <br />Deputy City Attorney, <br />ADDITIONAL INTEREST - LESSOR AND LOSS PAYEE <br />VEH 04 VOLVO FINANCE NORTH AMERICA, SPRINGFIELD OH <br />ENDORSEMENTS: ADDED 05-04-01 - NONE <br />REMAIN IN EFFECT(REFER TO PREVIOUS POLICY)- A137(01) 5100CA(01) A072(03) <br />A073(03) *** 13580(02) <br />E <br />In WITNESS WHEREOF, we have caused this policy to be signed by our President and Secretary at San Antonio, Texas, <br />on this date MARCH.29,, 001 <br />�r�� <br />Bra ford W. Rich Henry Iccellio Jr. <br />5000 C Secretary President <br />