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Interinsurance Exchange of the Automobile Club Automobile Insurance Policy Coverages and Limits Renewal Declarations We are pleased to offer you a renewal for your automobile insurance policy. To renew your policy, send at least the minimum payment on or 5 before the due date. Insurance is in effect only for the vehicles, coverages, and limits of liability shown on this declarations page and as set forth in the insurance policy and endorsements. These declarations, together with the contract and the endorsements in effect, complete your policy. If any change to your policy or to the information we have on file results in a premium decrease during the policy period, the Interinsurance Exchange reserves the right to apply any refund due to your outstanding balance. w NAMED INSURED(Item 1.) AUTO POLICY NUMBER:CAA 078164496 ALVARADO, VICENTE POLICY PERIOD(PACIFIC STANDARD TIME) ° 1636 W WASHINGTON AVE POLICY EFFECTIVE DATE: 12-01-24 12:01 A.M. SANTA ANA CA 92706-3312 POLICY EXPIRATION DATE: 12-01-25 12:01 A.M. VEHICLES VEH, YEAR MAKE MODEL IDENTIFICATION VEHICLE GARAGE ANNUAL** VERIFIED SALVAGE NO. NUMBER USE ZIP CODE MILES MILEAGE 6 1995 GMC T151SONOMA 1GTDT14W9S8514785 PLEASURE 92706 3,501- 4,600 VERIFIED NO 7 2019 SUBA XV CROSSTREK JF2GTAEC6K8230128 PLEASURE 92706 10,001-12,500 VERIFIED NO 8 2012 TYTA CAMRYSTDILEIXLEISE 4T1BF1FK5CU087389 PLEASURE 92706 5,601- 7,500 VERIFIED NO 9 2001 GMC YUKON 1GKEC13T31R170329 PLEASURE 92706 2,601- 3,600 VERIFIED NO 11 2011 JEEP COMPASS 1J4NF1FB2BD164200 PLEASURE 92706 3,501- 4,500 VERIFIED NO COVERAGES AND LIMITS ANNUAL PREMIUMS Coverage Is not in effect unless a premium or the word"Included"is shown. COVERAGES LIMITS OF LIABILITY Vehicle 6 Vehicle 7 Vehicle 8 Vehicle 9 Vehicle 11 Liability ' Bodily Injury $30,000 each person! $60,000 each occurrence $190 ; $323 $474 $254 $199 Property Damage $60,000 each occurrence $142 ; $233 $402 $169 ; $146 Medical 1 No Coverage;No Coverage;No Coverage;No Coverage;No Coverage Physical Damage (Actual Cash Value unless otherwise stated,less deductible) Vehicle B Vehicle 7 Vehicle 8 Vehicle 9 Vehicle 11 Comprehensive No Coverage ACV ACV ACV ACV No Coverage: $88 $90 $173 $150 (Less Deductible) No Coverage $500 $500 $500 $250 ; Collision No Coverage ACV ACV ACV ACV No Coverage: $420 $699 $161 $243 (Less Deductible) No Coverage $500 $500 $500 $500 Car Rental Expense (Per Da No Coverage No Coverage No Coverage $35 No Coverage:No Coverages No Coverage!No Coveraga: $27 No Coverage Uninsured Motorist j Bodily Injury- $30,000 each person/ $60,000 each accident $80 $206 $155 $135 $102 Uninsured&Underinsured Vehicles Uninsured Deductible Waiver ;No Coverage: Included Included j Included j Included Uninsured Collision $7 No Coverage;No Coverage;No Coverage'No Coverage Total Premium $419 $1270 ; $1820 $919 ; $840 PREMIUM DISCOUNTS "No Coverage" indicates coverage not purchased. Please refer to the enclosed document entitled"Premium Discounts Applied to Your Automobile Policy." Total Annual Premium* $5268 * If at any time you choose to pay less than the full balance outstanding, (Includes allepplicablediscounts.) finance charges of up to 1.6% per month of the balance outstanding will apply Less Policyholder Savings Dividend $371 as explained in your billing statements,which are part of these declarations. Net Premium* $4897 ** To see the annual mileage for your expiring policy, please refer to the "Notice of Annual Mileage" page contained in your renewal package. cnAa2na� PROCESS DATE 10-23-24 PLEASE ATTACH TO YOUR POLICY (SEE REVERSE) E2U21030 102424