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Liberty <br /> Policy Declarations Mutual. <br /> A summary of your auto insurance coverage <br /> Thank you for renewing with us. <br /> Your declarations are effective as of 03/25/2010. <br /> INSURANCE INFORMATION ~ ACTION <br /> Named Insured: Hanne Inman REQUIRED: <br /> Policy Number: A02-268-004958-40 O 1 Please review and <br /> Policy Period: 03/25/2010-03/25/2011 12:01 AM keep for your records. <br /> standard time at the address of the <br /> Named Insured as stated below. <br /> Mailing Address: PO Box 181333 ~ QUESTIONS ABOUT <br /> Coronado CA 92178-1333 YOUR POLICY? <br /> Affinity Affiliation: Slippery Rock University Alumni Local Agent <br /> Association Krystofiak And Associates <br /> 1-415-291-0202 <br /> Vehicles Covered by Your Policy <br /> VEH YEAR MAKE MODEL VEHICLE ID NUMBER Local Office <br /> 1 2000 PORCFiE 911 WPOCA2998YS653232 50 Francisco Street <br /> Z 2005 CHEVROLET SILVERADO 1GCEC14X45Z206046 Suite 257 <br /> San Francisco, CA 94133 <br /> Coverage Details For service: <br /> 1-800-869-4009 <br /> Your total annual policy premium for all covered vehicles is shown below. A premium Visit us online <br /> is shown for each type of coverage you have purchased for each vehicle. Where no LibertyMutual.com/insurance <br /> premium is shown, you have not purchased the indicated coverage for that vehicle. <br /> Coverage Information <br /> MANAGE YOUR <br /> ACCOUNT ONLINE <br /> ~otal Annual Policy Premium: $1,gpp,Dp Sign up for eService <br /> LibertyMutual. com/insurance <br /> All eligible discounts and benefits have been applied. Includes state sales tax and local <br /> surcharge where applicable. <br /> To report a claim <br /> By Phone <br /> COVERAGE LIMITS PREMIUM PER VEHICLE 1-800-2CLAIMS <br /> (1-800-225-2467) <br /> VEH 1 VEH 2 Online <br /> A. Liability $171 b426 UbertyMutual.com/insurance <br /> Bodily Injury $ 250,000 Each Person Yes Yes <br /> $ 500,000 Each Accident <br /> Progeny Damage $ 100.000 Each Accident Yes Yes THIS IS NOT YOUR <br /> AUTO INSURANCE BILL. <br /> C. Uninsured Motorists YOU WILL BE BILLED <br /> SEPARATELY. <br /> Uninsured Motorists $ 250,000 Each Person $44 $94 <br /> Bodily Injury $ 500,000 Each Accident <br /> rl <br /> D. Coverage for Damage to Your Auto y~y~. <br /> x <br /> Collision $200 $253 ~~y~®~'~'~;J~ <br /> Actual Cash Value Less Deductible Shown i~ <br /> Veh 1 $1000lWaiver Veh 2 $1000/Waiver r t~. <br /> O[her Than Co165ion $118 $94 >r' ~ ~ ,:il~uCC1~:y <br /> Actual Cash Value Less Deductible Shown ~t"~ "~1y <br /> ~gt5tU <br /> Veh 1 $500 Veh 2 5500 <br /> <br /> AUTO 3079 10 09 Page 1 of 3 <br /> ~A~ <br /> l ~ <br /> <br />