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<br />II 2-,st Century Insurance Company <br />6301 Owensmouth AVQnue Woodland Hilla, California 91367 <br />DECLARATION PAGE <br />PERSONAL UMBRELLA <br /> <br />PEP 90Z4Z60 <br /> <br />06/01'rb'f~'-""ll'V01/0Z <br /> <br /> <br />INSURED COPY *-* <br /> <br />RENEWAL DECLARATION OFFER <br />EFFECTIVE 06/01/01 <br /> <br />IN THE EVENT PAYMENT IS NOT RECEIVED <br />IY THE DUE DATE NOTED IELOW IN THE <br />STATEMENT OF ACCOUNT, YOUR POLICY <br />IECOMES NULL AND VOID. <br /> <br />PEP 90Z 4Z 60 ~ <br /> <br />POLICY <br /> <br />WHEN ATTACHED m THE PERSONAL lfMf3RELLA POLICY, THESE DEClARATIONS COMPLETE lHE POIJCY AND <br />REPRESENT THE CURRENT STATUS OF YOUR COVERAGES NfD lIMITS OF LIA8lLITY ACCORDING TO OUR RECOfI)S. <br />.. .. <br /> <br />,~ <br /> <br />= <br /> <br />ROBERT J ASH <br />6ERRI ASH <br />13361 PROSPECT AVE <br />SANTA ANA CA 9Z70S <br /> <br />LIMITS OF LIABILITY <br />l. PERSONAL LIABILITY S IF-INSURED AET NTI <br />EACH OCCURAENCE EACH OCCURRENCE <br />1,000,000 ZSO.OO <br /> <br />BASIC POLICY PREMIUM <br />160.00 <br /> <br />POUC PREMIUMS <br />ADDITIONAl CHARGES <br />ZO.OO <br /> <br /> <br />. ". <br /> <br />... . . <br /> <br />. <br /> <br />. <br /> <br />YOU AGREE THAT PRIMARY INSURANCE IS IN FORCE AND WILL CONTINUE TO BE IN FORCE FOR ALL EXPOSURES <br />COVERED BY THIS POLICY FOR AT LEAST THE LIMITS SHOWN BELOW. <br /> <br />" . <br /> <br />. ". <br /> <br />BODILY INJURY - <br /> <br />COMPREHENSIVE PERSONAL LIABILITY <br /> <br />PROPERTY DAMAGE- <br />BODILY INJURY AND PROPERTY <br />DAMAGE COMBINED <br /> <br />$ 100.000 EACH PERSON <br />$ 300,000 EACH OCCURRENCE <br />$ 50.000 EACH OCCURRENCE <br />$ 100.000 EACH OCCURRENCE <br /> <br />AUTOMOBILE LIABILITY <br />RECREATIONAL VEHICLE LIABILITY <br /> <br />-------- ADDITIONAL CHARGES -------- <br />AUTOMOBILES Z 10.00 <br />RESIDENCES 1 INCLUDED <br />1-4 FAMILY RENTALS .00 <br />RECREATIONAL VEHICLES 1 10.00 <br />YOUTHFUL OPERATORS .00 <br /> <br />*-* REMINDER. ALL PRIMARY LIMITS MUST BE <br />IN FORCE AS NOTED AIOVE ~ <br /> <br />(b-~~ <br /> <br />OS/OZlOl <br /> <br />DATE <br /> <br />FOR POLICY SERVICE CALL (800) 443-3100 CLAIMS SERVICE PHONE, (800) 3ZZ-8Z00 <br />- STATEMENT OF ACCOUNT FOR POLICY 90Z4Z60 OZ - <br />TOTAL PREMIUM ................ . 180.00 <br />AMOUNT DUE 06/01/01 ........ . 180.00 <br /> <br />~ <br />