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®o Interinsurance Exchange of the Automobile Club <br />C1' Automobile Insurance Policy Change Confirmation <br />06/12/2018 <br />Named Insured and Mailing Address: <br />LINDA JANE OHANLON <br />14930 XXXXXXXXXXXX <br />Sherman Oaks, CA 91403 <br />Policy Number: CAA078581350 <br />Policy Term Dates: 12/13/2017 - 12/13/2018 <br />IMPORTANT NOTICE: This will confirm the policy change(s) you recently made effective 0611312018. You will be receiving a Policy Change Declaration in <br />the mail shortly. <br />DRIVER INFORMATION: <br />Limits ($) <br />Vehicle 1 <br />Bodily Injury <br />1,000,000/1,000,000 <br />$702 <br />Property Damage <br />Driving Safety Record <br />Drivers' Names (Last, First) <br />Date of Birth Gender Rated Veh <br />Year First <br />Goo Chargeable Citations Chargeable Accidents <br />Uninsured/Underinsured Motorist Bodily Injury <br />100,000/300,000 <br />Licensed <br />Comprehensive <br />Ohanlon, Linda <br />XX -XX -1956 F 01 <br />1973 <br />Y 1 0 <br />Ohanlon, Linda <br />Excluded F <br />(See Above) <br />0 0 <br />VEHICLE INFORMATION: <br />No. Year Vehicle Garage <br />Make/Model Zip Code <br />1 <br />VEHICLE PREMIUM INFORMATION: <br />Annual Verified Deductibles Special Car Rent. Primary <br />raged Miles Mileage Salvage Comp. Collision Equip. Expense Driver <br />No 6,147 Yes No $500 $500 $35 01 <br />Coverages <br />Limits ($) <br />Vehicle 1 <br />Bodily Injury <br />1,000,000/1,000,000 <br />$702 <br />Property Damage <br />250,000 <br />$446 <br />Medical Payments <br />Driver Course Loyalty <br />Professional <br />Uninsured/Underinsured Motorist Bodily Injury <br />100,000/300,000 <br />$153 <br />Comprehensive <br />(See Deductibles) <br />$162 <br />Collision <br />(See Deductibles) <br />$2,346 <br />Car Rental Expense <br />(See Above) <br />$82 <br />Uninsured Collision <br />Uninsured Deductible Waiver <br />Yes <br />Included <br />12- MONTH VEHICLE PREMIUM: <br />$3,989 <br />LIMIT OF LIABILITY (IF APPLICABLE) <br />No. Year Vehicle Make/Model Limit of Liabilitv <br />POLICY DISCOUNTS: Please review these carefully as you are warranting that you are entitled to the following discounts. <br />Good Good Student Multi - <br />Multi - <br />Mature Driving <br />Grp -Deg. <br />Verified <br />Driver Student Away Vehicle <br />Policy <br />Driver Course Loyalty <br />Professional <br />Mileage <br />Yes No No No <br />Yes <br />No No Yes <br />No <br />Yes <br />CURRENT 12 -MONTH POLICY PREMIUM TOTAL: $3,989 NEW 12 -MONTH POLICY PREMIUM TOTAL after Policy Changes: $3,989 <br />SUBJECT(S) OF POLICY CHANGE: <br />THIS IS NOT A BILL <br />Auto - Add/Change Driver This policy change will not increase or <br />Auto - Add/Change Other Party decrease your premium. <br />Auto - Correction A <br />LCAA0203A Insurance provided to qualfed Auto Club members by the Interinsurance Exchange of the Automobile Club. 8010(1/17) <br />E20160803 CA Dept. of Insurance Lic. #0003259 <br />061218 Page 1 of 1 % /12- / P / O�,t 3 0.j- y <br />