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Policy number 989951062
<br /> Stage Plus,Inc,
<br /> Paget of 4
<br /> Outline of coverage
<br /> Description Limits Deductible Premium
<br /> ............................. ...................................................................................... .. ........
<br /> Liability To Others $7,945
<br /> Bodily Injury and Property Damage Liability $1,000,000 combined single limit
<br /> Hired Auto Liability To Others 53
<br /> Tt ,000,000 combined sin le limit
<br /> U nnsuredlUnderinsuredeMotoDamage Liab..y .......$1.............................. ............. .............. ................. ..........
<br /> 000,000 combined single limit 977
<br /> .... 11 p y ....e............ ........ ...........................................* ..... ........ .' ,...... .....,....,..........
<br /> Rejected
<br /> MedScalePa11 ylmentstPro ert Damag. ............... .... .$5.......,.,,..,..,........... ......... ,,...... ..,.,,..,.....,.,....
<br /> 5,000 each person 113
<br /> .......................„,..............,..... ...,,......,....................,.,...,..,.....................................................
<br /> Comprehensive 304
<br /> See Auto Coverage Schedule Limit of liability less deductible
<br /> ......... ..................................................... .........................................................................................................
<br /> Collision 1,413
<br /> See Auto Coverage Schedule Limit of liability less deductible
<br /> ........................................ . ...............................................................................................................................
<br /> Subtotal policy premium $10,805.00
<br /> ............................................... ..........................................................................................................I.................
<br /> .
<br /> Waiver of Subrogation Fee 25.00
<br /> Additional Insured Fee 15.00
<br /> Blanket Waiver of Subrogati an. ..Fee.............................. ..............................................................................................75.........
<br /> D0
<br /> Blanket Additional Insured Fee 75.00
<br /> .....................
<br /> California Vehicle Assessment Fee 5.28
<br /> ....................................e... 1,u-m- ..............,..,,.,............................ .................... ... .....
<br /> Total&month policy premium and fees $11,000.28
<br /> Cost of Renting, Hiring, or Borrowing: $5,000 or less(if any)
<br /> Important information about fees
<br /> The following additional fees may apply:
<br /> Late payment fee $10.00
<br /> Fee for returned checks or refused payments$20.00
<br /> Rated drivers
<br /> ...................................................................................................................... .............. ........... ... .................
<br /> 1. Manuel Huante
<br /> ..................................... ................................................. .................. ....... .............*.......
<br /> 2. Cristian Huante
<br /> ................................................. ........... ..... ....................................................... ...........................................
<br /> 3. Jose Garcia
<br /> ............................. ....................... ........................................................... ..... ..... .......................................
<br /> 4, Michael Fuerte
<br /> ............................... ................................................................................... ..... .......................................
<br /> 5. David Hernandez
<br /> Auto coverage schedule
<br /> 1. 2014 FREIGHTLINER M2 Stated Amount:*$60,000(including Permanently Attached Equip)
<br /> VIN:1 FVACXDT2EHFS5828 Garaging Zip Code 92704 Radius: 300 miles
<br /> Personal use: N Bodytype Box Truck
<br /> Liability UWUIM Med Pay
<br /> Liability Premium Premium Premium
<br /> .....................4 ................. ...........
<br /> Premium ....................... . ............................... ...................
<br /> $1856 $149 $19
<br /> Comp Comp CoIUWaiver CoIUWaiver
<br /> Physical Damage Deductible Premium Deductible Premium Auto Total
<br /> Premium .$11 .............. ...............,..,...............................................................................$1,000 $74 $1,000 $409 $2,507
<br /> Continued
<br /> Form 6489 CA(05121)
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