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<br />Jan 0: 04 01:56p T~g1 <br />FROM: L.A,CHA MAINTENANCE CO. <br /> <br />mx NO, : 18183568403 <br /> <br />. <br />J ~'3 2004 11:44RM P3 <br />an, u <br /> <br />p.3 <br /> <br />IJLF.ASE' I4fA,O vouA POLICY <br />TM~ d9C1.~ualiMs Pll(JriJAme~ Oeti4rali. <br />Pf~lJ~poIicyno <br /> <br />POLICY NUMBER CA 0-20-66-SIQ- I <br />p~ ....'lh !tIe E)olicy ;1IC"1l\ ichmli1itrd by the' 101m DnQ edition del' 111~"led cotnp'-'e-s the tlbovtJ "lllllbellKl' poIiey <br /> <br />F..", J050 to. 1'94 <br /> <br />OEClAR.A TIONS <br />NAMED INSURED <br /> <br />L.A. CHA MAINTENANCE <br />18816 SN F~NNOo ~SSN <br />NORTHRIOCE CA 91326 <br /> <br />PAGE 3 Of 3 <br /> <br />A <br />G <br />E <br />M <br />, <br /> <br />JOHN KIM INS SERV <br />3807 WILSHIRE aVDIIOO <br />LOS ANGELES CA 90010 <br /> <br />PRIIGIIE.UJVE" <br /> <br />POLICY TERM: SEP 25. 2003 TO MAR 25. 2004 <br />TN! OOlity I''\C'pll ~he later Or: 1 the filM the ~ic'liO" for irI.urancf is ucculed on <br />It'le rjr,( day ollhe POlitY peti<<J; IN 2. '2;0111 m_ 01'1 fN flr.t day of It,e 1)01;10)' pertod, <br />Thli potlty :i"'U .1(I)i1~ a' 12:01 I.m, OIl 'two Ia,lt m.v 01 l~ pOJicy SJft,iOd. <br />CA-26390 <br />PROGRESSIVE CASUALTy INS. CO. <br />P.O. 80~ 94739. CLEVELAND. OHIO 44101 1-800-444-4487 <br /> <br />CO"'~IaL"I"~"""~~ <br /> <br />T/'itj fQIlo",,,,,l') CO\Ieraoe Il'\d "milS ap,Olt 10 Ihe QSSCf/byd WJhicIe IS 3howrn t)elow ())v@13Q814rt1 def...ad in lhe policy o.md are sUDjwr;t 10 I"P. letm$ tmd r;0f'1di1~1 <br />t:onl&lned In lho poIit\<. lfltludll'\9 ;!lmend~ll a(td l!fI~tents, No C:hilll)Qes will b., ef/l}tllvo !)riel' to It,. ton. Change, ate rcoue.,ted. <br /> <br />SCHEOUl( OF COVERED VEHICLES <br /> <br /> <br />SOOY <br />TYPE <br /> <br />VEH <br />NO <br /> <br />DR <br />NO <br /> <br />TRADE <br />YR NAME <br /> <br />1-01 <br /> <br />97 TOYOTA <br /> <br />PICKUP <br /> <br />SERIAL NO <br />4TANl42NXVZ298J12 <br /> <br />VEH TER <br />ClS HO <br /> <br />ZIP <br /> <br />RAO OSC <br />I US COD <br />50 362 <br /> <br />OSC <br />PCT <br /> <br />C05 .36 9132& <br /> <br />LIABILITY PREMIUM 8Y VEHICLE <br /> <br />VEl{ <br />NO <br /> <br />liAS <br />S 1,141 <br /> <br />IIEO <br />PAY <br />$18 <br /> <br />UI>I/UIM 81 <br />$47 <br /> <br />UII/PD <br />$40 <br /> <br />PHYSICAL <br /> <br />DAMAGE PREMIUII BY <br />COLLI S I ON <br />OED PREK <br /> <br />VEHICLE <br />ON-HOO~ <br />lIKIT <br /> <br />nEO <br /> <br />PR[M <br /> <br />VEil <br />TOTAL <br />S 1 .246 <br /> <br />VEH CaMP OR FT/CAC <br />NO ;YPE OED <br /> <br />PREM <br /> <br />Pl <br /> <br />...~~/.2/2 <br /> <br />LOt,>,' ,:/'7'. " <br />../,. <br />';:;1.';(:: ./Y.. <br /> <br />i)m8(llnaur.c ....13 $ba1lC: luss f)ayM <br />It..., tots under P"l I I I is paylthl., ...~ intvt.!t may B1~.t 10 ,. . <br />",," Cas. No <br />'" ",,,,F'lodt2 aGO 03z'if'X'Xxx 8.0 CAICSlIC <br /> <br />Pfog Prer,.."" B\Jdo-t ( 1 <br />R~020.h.Fac;'OllJ~: I='~ 062002 <br /> <br />~KoIC;:t$lQNd, <br /> <br />1113 (12'92:) <br /> <br />INSUREO copy <br /> <br />CVWE091S011217Lll130J <br />