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<br />lNTERlNSllRt\NCE EXCHANGE of the <br />AUTOMOBILE CLUB <br /> <br />Ii..ra..."'~' . <br />~'g.' . 4~... <br />~~JJJ <br />~ <br /> <br />MAILlt'-G ADDRESS: PO Box 2500], Santa Ana, Cillifornia 92799-5001 <br /> <br />Policy Nurnber G5484272 <br /> <br />BINDER OF INSURANCE <br /> <br />Name and Address of Lienholder or Additional Insured <br /> <br />Loan Number <br /> <br />NOTICE TO LlE:'oIHOLDER <br />IN THE EVENT OF CANCELLATION OF 11HS BINDER, <br />THE EXCHANGE \-'{ILL GJVE THE LIENHOLDER ]0 DAYS <br />WRiTTEN NOTICE OF CANCELLATION <br /> <br />nle InteO:ls:.arance Excblngc (If th~ AutOmJbile Club of Southe::m California hereby ackn:rwleeges llse;:U bCUlld lo L'lC Jla~d ins.ured for L1C l:o\'erJges spe.;ificd in th~ sch:~duJc <br /> soojCCt to ~11 <br />provis.ion:;. of the Exchange's applicable policy fofm. TIlt: issua.nce of:l policy to tk:: n:lrned in:;urOO. Of, if D poEcy is in force, the: lssuanc(: of an endorsement cCo\"t:ring. <br /> ,he automobile. ooat or <br />tr.J.iler des::ribed herein shall void tbis b~nder. A pro rata prcntiam charge coft1>Cled fOT the terlU. (If co",:el'3.gc in accnrdance \\ith (he current nlcs of the Exchange in effc.ct <br /> at mception of tlle <br />bind", ",11 be l1l3d.: unles, seell a policy or poli<:y endorsement is issued. ,b,s binder sh~1I Dol be conslrued to afford cumulative insumoce witll any <ousting p~Jicy. <br /> <br />Name ofInsured <br /> <br />ROBERT <br /> <br />SCHAEFER <br />DESCRIPTION OF AUTOMOBILE, BOAT, OR TRAILER <br />Trade Name Ty e of Bod V or Boat <br />C2500 ED P <br />F250 p/U <br /> <br />Identification Number <br />IGBHC29U2SE207466 <br />IFTEF2SY6HPA3B379 <br /> <br />Cart: <br /> <br />Year <br />2005 <br />1987 <br /> <br />CHEV <br />FORD <br /> <br />1 <br />2 <br /> <br /> 'X' jndic>lte Coverage <br />AUTO.MOBll.E INSURA.l~CE LIMITS OF LlABILITY bound and afforded <br /> Car # 1 Car #2 <br />Bodily Injury Liability 1,000,000 thousand dollars, each person X X <br /> 1,000,000 thousand dollars, each occurrence <br />Property Damage Liability 1,000,000 thousand dollars, each occurrence X X <br />Medical Payn"lents $ each person <br />Underinsured Motorist!l:ninsured Motorist Not Less Than $15,000 each person 1$30,000 each accident <br />Comprehensive (ine. Fire and Theft) (a) Actual Cash Value less $ deductible <br /> Limit of Liability of$ less $ deductible <br />Fire and Theft only (a) Actual Ca3h Value less $ deductible <br /> Limit of Liability of $ less S deductible <br />Collision (a) Actual Cash Value less 'f) deductible <br />[SlUninsured Deductible Waiver Limit of Liability ofS less $ deductible <br />Uninsured Collision <br />WATERCRAFT INSURAt'lCE (Boat) LI.:vtITS OF LIABILITY 'X' indicate Coverage <br /> bound and afforded <br />Physical Damage Actual Casb Value llot to ex.ceed Limit of Liability <br /> of $ Jess S deductible <br /> <br />Policy Effective Date <br /> <br />08/04/2D07 <br /> <br />Policy Expiration Date <br /> <br />Dl/10/2008 <br /> <br />Effective Date of Binder 08/04/2007 12:01 AM <br /> <br />This biader shall expire 60 days from the effective dale or may be canceled by the named insured at any time during sueh GO-day period. The Exchange may <br />c3:lecl :his binder by n13iling to lhe named insured at the addn:ss shown abo':c written not,ce stating when, not less than 10 days thereafter, such cancellation shall be etTectiv, <br />n.e maili~E ofsuc:h nolice shall be suHicicnl proof ofnoticc. <br /> <br />District Office HUNTINGTON 3El>_CH OFFICE {714) 596-5765 <br />By JUDY EDWARDS <br /> <br />(Authorized Representative) <br /> <br />ACSC Management Sen:ice, Inc. <br />A TTORNEY -IN-FACT <br /> <br />~ <br />