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PK E 5 <br /> USAA CASUALTY INSURANCE COMPANY ADDL INFO ON NEXT PAGE MAIL MCH-M-1 <br /> RENEWAL OF <br /> 1 (A Stock Insurance Company) State 10 5 V� POLICY NUMBER <br /> USAW 9800 Fredericksburg Road-San Antonio,Texas 78288 CA 8 0 XM 00744 89 6 0 C 7101 0 <br /> CALIFORNIA AUTO POLICY POLICYPERIOD: (12:01 A.M. standard time) <br /> RENEWAL DECLARATIONS EFFECTIVE JUN 07 2025 TO DEC 07 2025 <br /> ATTACH TO PREVIOUS POLICY OPERATORS <br /> Named Insured and Address 01 JOSHUA M BOBROVE <br /> JOSHUA M BOBROVE <br /> 2419 VISTA DEL CAMPO <br /> SANTA BARBARA CA 93101--4662 <br /> Description of Vehicle s VEH USE* vt D-CCL <br /> les <br /> 1rE}i YEAJ TRADE NAME MODEL BODYIYPE IT IDENTIFICATION NUMBER SYM <br /> 05 17 TOYOTA PRIUS HYB 4D 13372 JTDKBRFUIH3041393 P <br /> The Vehicle(s)described herein is principally garaged at the above address unless otherwise stated. W1G-W0rkG -ool•D-Busl F=Farm;P--Rhsure <br /> VEH 05 SANTA BARBARA CA 93101-4662 <br /> Is po icyred prove es t ose coverages w are a premium is shown below. a limits shown <br /> may be uced by policy provisions and may not be combined regardless of the number of <br /> vehicles for which a premium is listed unless specifically authorized elsewhere in this policy. <br /> COVERAGES LIMITS OF LIABILITY VEH VEH VEH VEH <br /> 05 <br /> ("ACV"MEANS ACTUAL CASH VALUE) D==0ED6PR MI MH D=DED PREMIUM D=DED I PREMIUM D=DED PREMIUM <br /> AMOUNT $ MOUNT $ MOUNTI AMOUNTI $ <br /> PART A -- LIABILITY <br /> BODILY INJURY EA PER $ 500 , 00 <br /> EA ACC $1, 000, OOC 271 . 31 <br /> PROPERTY DAMAGE EA ACC $ 300, OOC 134 .24 <br /> PART C - UNINSURED MOTORISTS <br /> BODILY INJURY EA PER $ 500, 00 <br /> EA ACC $1, 000, OOC 107 . 18 <br /> WAIVER OF COLL DEDUCTIBLE 1 . 75 <br /> PART D - PHYSICAL DAMAGE COVERAGE <br /> COMPREHENSIVE LOSS ACV LESS D 500 82 . 61 <br /> COLLISION LOSS ACV LESS D 500 291 .26 <br /> VEHICLF, 'TOTAL PREMIUM 888 . 35 <br /> 6 MONTH PREMIUM $ 888 . 35 <br /> PREMIUM DUE AT INCEPTION. THIS IE NOT A BILL, STAT MENT 70 FOLLOW. <br /> ADDITIONA MES GE (S) - SEE FOLLO ING GE (S) <br /> DDITIONAL INTEREST -- EMPLOYER <br /> CITY OF SANTA ANA ATTN WATER R, SANTA ANA, CA <br /> ENDORSEMENTS: ADDED 06-07-25 - NONE <br /> REMAIN IN EFFECT (REFER TO PREVIOUS POLICY) - A073 (05) A200CA(01) RSGPCW (01) <br /> 5100CA(02) <br /> INFORMATION FORMS: 50CA 05 CADS 05 40CA 01 13580 03 <br /> _1051 RSM36 OON I I I I I I I I 1H <br /> In WITNESS WHEREOF, we have caused this policy to be signed y our President and Secretary at San Antonio,Texas, <br /> on this date MAY 4, 2025 <br /> 5404 C 05-12 Kelly Armstrong,Secralary Randy Termear,President <br /> 53383-05-12 <br />