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.F, PERSONAL AUTOMOBILE POLICY Amended Decfaradon effective <br />, IF,�� i AMENDED DECLARATION Sep D6, 2024 <br />1175WOWIF Supersedes any previous declaration bearing <br />the same policy number for this policy period. <br />ANTHONY H TRAN <br />KIM LE <br />8821 ACACIA AVENUE <br />GARDEN GROVE CA 92841 <br />WAWANESA INSURANCE <br />PO BOX 82867 <br />SAN DIECO CA 92138-9492 <br />TELEPHONE: 8 00-640-2920 <br />Policy Number Account Number Polity Period 12:01 A.M. standard time at the address of <br />41895650 132790791-1 ]- From Sep 06, 2024 to Mar06, 2925 the Named Insured as stated herein <br />Named Insured's Phone Number: 714-722.5667 Named Insured's Email Address. Anthonyhtran8821 @gmaif.00m <br />Your amended 6 month premium Is $4,144.35. Refer to the breakdown of ,premiums below. <br />The change in premium for the remainder of the policy period is-S4.72. <br />Description of Owned Vehicle(s) <br />Vehicle Year I Maker Model Vehicle Identlfleatlon Number Premium per Vehicle($) <br />1 2023 1-Wta CAMRY SEISE 4T1T11AK0Pli1773811 <br />$81 &64 <br />NIGHTSHADE <br />2 2016 Lexus RX 350 <br />2T2ZK1BAXFC203663 <br />$693.93 <br />3 2021 Toyota COROLLA LE <br />5YFEPMAE4MP151714 <br />$1,218.35 <br />4 2015 Toyota CAMRY LUSEiXLE+XSE <br />4T113F1FK4FU489834 <br />$1,415,43 <br />Premium Sub+totai for Vehicles <br />$4,1".35 <br />Insurance is provided only with respect to the coverages for which a Premium is stated, subject to all conditions <br />of the policy. <br />Coverage and Limits of Liability <br />Premiums per Vehicle ISj <br />See Policy for Coverage Details 1 <br />2 3 <br />4 <br />Bodily Injury Liability <br />$100.000 per pefsont$300,000 each occurrence <br />180.90 <br />178.79 342,80 <br />452.94 <br />Properly Damage Liability <br />100.000 each occurrence <br />11t_40 <br />110.24 l 198.06 <br />268.711 <br />Medical Payments <br />$5,000 each person <br />61.71 <br />57.92 02.23 <br />98.76 <br />Comprehensive <br />1,000 deductitrie <br />44.87 <br />35.81 49.911 <br />38.98 <br />Collision <br />$1,000 deductible <br />281.95 <br />181.00 <br />387.02 <br />374.23 <br />Roadside: Assistance <br />T39 5.37' <br />Rental Expense <br />$40 dayJ1,200 max each covered loss <br />40.32 <br />31.07 37.97 <br />38.83 <br />L <br />APPROVED <br />By Cynthia Mora at 4:48 pm, Dec 10, 2024 <br />Aug 20, 2024 14:28 es "Wawanesa Insurance" is a trademark o <br />