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Liberty <br /> Mutual. <br /> Coverage Information (continued) <br /> COVERAGE LIMITS PREMIUM PER VEHICLE <br /> VEH 1 VEH 2 <br /> Policy Number: <br /> Annual Premium Per Vehicle: 5533 5867 AO2-268-004958-40 0 1 <br /> Declarations effective: <br /> 03/25/2010 <br /> Total Annual Policy Premium: $1,400.00 ~I <br /> All eligible discounts and benefits have been applied. Includes state sales tax and local <br /> surcharge where applicable. <br /> Discounts and Benefits <br /> All eligible discounts and benefits have been applied to your Total Annual Policy Premium. <br /> VEHICLE DISCOUNTS <br /> VEH 1 VEH 2 <br /> Anti-Lock Braking System Yes Yes <br /> Anti-Theft Device(s) Yes <br /> POLICY DISCOUNTS <br /> • Group Savings Plus • Account Discount <br /> • Educated/Professional Group Discount • Good Driver <br /> • Multi-Car <br /> Additional Information for Vehicles Covered by Your Policy <br /> LOSS PAYEE(S) MONTH/YEAR EXPIRES <br /> VEH 2: GMAC 0512010 <br /> ANNUAL COMMUTING PREVIOUS ANNUAL <br /> MILEAGE MILEAGE MILEAGE eq F~°ti'i.i~ <br /> VEH 1: 5500 Pleasure 5500 "i© <br /> VEH 2: 9500 Business 9500 <br /> ``~.~oRGK ,w <br /> CLASS DEFINITION <br /> VEH 1 : Excess vehicle. P $ ttor„gy <br /> VEH 2: Licensed at least 24 years but less than 54, business use. ~1S t C`ty A <br /> Driver Information Asststa~ <br /> DRIVER NAME: Hanne Inman <br /> DATE OF BIRTH STATE LICENSE NUMBER GENDER MARITAL STATUS <br /> 11/07/1959 CA C1794868 F SN <br /> To ensure proper coverage, please contact us if any information in your policy declaration <br /> is inaccurate. <br /> DRIVING RECORD POINTS: <br /> VIOLATION POINTS ACCIDENT POINTS <br /> VEH 1: 0 0 <br /> VEH 2: 0 0 <br /> <br /> AUTO 3079 10 09 Page 2 of 3 <br /> <br />