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Policy number: 980097855 <br /> Straightline Communications LLC <br /> Page of 3 <br /> Important information about fees <br /> An installment fee of$6.00 has been included in each payment.You may avoid paying installment fees by paying your <br /> premium of$2,292.88 in full by October 17, 2024.You may reduce the amount you pay in installment fees by paying <br /> your premium in larger amounts and fewer installments. Please call 1-800-444-4487 for details. <br /> The following additional fees may apply: <br /> Late payment fee $10.00 <br /> Fee for returned checks or refused payments $20.00 <br /> Rated drivers <br /> ....................................................................................................................................................................... <br /> 1. Linda C'Hanlon <br /> Auto coverage schedule <br /> 1. 2019 BMW X3 Actual Cash Value(plus$2,000.00 Permanently Attached Equip) <br /> VIN:SUXTR7C54KLR51417 Garaging Zip Code:91403 Radius:300 miles <br /> Personal use: N Body type:Sport Utility Vehicle <br /> Liability UM/UIM Med Pay <br /> Liability Premium Premium Premium <br /> ......... .................................................................................................................. <br /> Premium $1344 $139 $15 <br /> Comp Comp Collision Collision <br /> Physical Damage Deductible Premium Deductible Premium <br /> .................................................................................................................................................................. <br /> Premium $500 $128 $500 $542 <br /> Rental Rental Roadside Roadside <br /> Other Coverages Limit Premium Deductible Premium Auto Total <br /> .................................................................................................................................................................. <br /> Premium $50 per day $37 $0 $7 $2,212 <br /> Max$1,500 <br /> Additional Insured information <br /> .................................................................................................................................................................... <br /> 1. Additional Insured The City of Beverly Hills <br /> 345 FootHill Road <br /> Beverly Hills, CA 90210 <br /> .................................................................................................................................................................... <br /> 2. Additional Insured City of Santa Ana, Risk Management Division,4th Floor <br /> 20 Civic Center Plaza <br /> Santa Ana, CA 92702 <br /> Waiver of Subrogation information <br /> .................................................................................................................................................................... <br /> 1. Waiver of Subrogation The City of Beverly Hills <br /> 345 FootHill Road <br /> Beverly Hills,CA 90210 <br /> .................................................................................................................................................................... <br /> 2. Waiver of Subrogation City of Santa Ana, Risk Management Division,4th Floor <br /> 20 Civic Center Plaza <br /> Santa Ana,CA 92702 <br /> Important Notice <br /> For your protection California law requires the following to appear on this form. Any person who <br /> knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a <br /> claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state <br /> prison. <br /> Continued <br /> Form 6489 CA(05/21) <br />