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..................................................................................................................................................................................................................................... <br /> Uninsured/Underinsured Motorist Bodily $100,000 each Person/$300,000 each Accident $148.00 <br /> Injury............................ ........................................................................................................................................................................................ <br /> Uninsured Motorist Property Collision Deductible Waiver Applies $2.00 <br /> Damage/Collision Deductible Waiver <br /> .. <br /> ............ ...............•....................................................................-.............................................................................................. ................................ <br /> Medical Payments $5,000 each Person/each Accident $6.00 <br /> --....--•--•... ........................................................................................................I.,..................... <br /> Comprehensive Actual Cash Value Less$500 Deductible $137.00 <br /> .................................................................................................................................................................................................... <br /> Collision Actual Cash Value Less$500 Deductible $654.00 <br /> ..................................................................................................................................................................................................................................... <br /> Rental $40 each Day/Maximum 30 Days .....$29:00 <br /> ....................................................................................................................................................................... <br /> Roadside Assistance $75 Towing and$75 for Non-Towing Services $4.00 <br /> per Occurrence/Maximum 3 Occurrences <br /> ................................................................................ .........-. ...................--..................._-................-.-....... <br /> Non-Factor Equipment $1,000 luded <br /> ........ . Y........ .....-............................--................... <br /> . . . . .... • • . . . . . . . . .. ..........•.............-..........................-.............-.-...........................Inc.............. <br /> .. . ....... .. <br /> Total Premium for 2A22 CADILLAC XT4 SPORT UTL 4DR $1,414.00 <br /> 2024 MERCEDES GLE 450 4MATIC UTL 4X4 4D,VIN:4JGFB5KB9RB164893 <br /> Garaging Address: 7062 Tennessee River Ct, Eastvale,CA,91752-3908 <br /> Primary Use of the Vehicle: Commuting <br /> Current Term Annual Mileage: 13,000 <br /> Renewal Term Annual Mileage: 13,000 <br /> Current Term Mileage Program: Estimated <br /> Renewal Term Mileage Program: Estimated <br /> Coverages Limits Premium <br /> ............................................................---........................---.....................,.....--.....................-.--......................--...............-.-....................I................. <br /> Bodily Injury Liability $250,000 each Person/$500,000 each Accident $258.00 <br /> Property Damage Liability $100,000 each Accident <br /> ...................................................................................................................................................................................... <br /> Uninsured/Underinsured Motorist Bodily $100,000 each Person/$300,000 each Accident $44.00 <br /> Injury.................... .... ....... ..... . ..... <br /> ..-. ...........................•-•--•... <br /> Uninsured Motorist Property Collision Deductible Waiver Applies $2.00 <br /> Damage/Collision Deductible Waiver <br /> ................... ............................................................ <br /> .......................................................................................................................................... ........ <br /> Medical Payments $5,000 each Person/each Accident $5.00 <br /> .................... ..... . . .................................................................................................................................................................................................. <br /> Comprehensive Actual Cash Value Less$500 Deductible $222.00 <br /> ....................................................................................................................................................................................................,............................. <br /> Collision Actual Cash Value Less$500 Deductible $606.00 <br /> .................................................................................................................................................................................................................................... <br /> Rental $40 each Day/Maximum 30 Days $27.00 <br /> ......................................... ............................................................... .........-......................... <br /> ............................._............................................. <br /> Roadside Assistance $75 Towin g and$75 for Non-Towing Services $4.00 <br /> per Occurrence/Maximum 3 Occurrences . <br /> ........................................................................ .. .. ........................................................ <br /> Non-Factory Equipment $1,000 Included <br /> ...................................................................................................................................................................................................................... <br /> Total Premium for 2024 MERCEDES GLE 450 4MATIC UTL 4X4 4D $1,168.00 <br /> Subtotal Policy Premium(Ali Vehicles) $3,429.00 <br /> ...................... ......................................................................................................................................................................................................................................... <br /> Fraud Fee $3.52 <br /> P <br /> .r.. ...............(A­[ <br /> .....ll...Ve h.......icles..........)........................................... $3 <br /> ............................................................................................................,.......432......5.2' <br /> Total 6 Month Policy emium.. <br /> Policy Contract and Endorsements <br /> Your insurance policy and any endorsement(s) contain a full explanation of your coverage. The policy contract is form U-10 <br /> California Auto Policy(03/2023),The contract is modified by endorsement(s): <br /> U-176 CA 03/2023 Page 3 of 3 <br />