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NATIONAL G E N E RAL <br /> an Allstate company Policy Number: Date of Notice <br /> PO Box 3199•Winston Salem NC 27102-3199 2029345173 11/21/2025 03:56 PM <br /> Named Insured: <br /> ABEL CELESTINO MORALES-LUNA <br /> ABEL CELESTINO MORALES-LUNA Policy Period: <br /> SPC 61 12/612025.616/2026 12:01 AM <br /> 329 S HARBOR BLVD The lattermost of 12:01 AM or time coverage is effective <br /> SANTA ANA CA 92704-1366 <br /> Policy Underwritten By: <br /> Integon National Insurance <br /> Company <br /> 24 Hour Claim Reporting: 1-800.468.3466 <br /> For Policy Information: 1.877.468.3466 <br /> www.MyNatGenPolicy.com <br /> Your Agent: <br /> Southland Auto Insurance <br /> 638 S Harbor <br /> Santa Ana CA 92335 <br /> (714)775-2300 <br /> CA PERSONAL AUTO DECLARATIONS PAGE <br /> Endorsement Effective 12/6/202512:01 AM <br /> A recent change was made to your policy. <br /> INTEGON NATIONAL INSURANCE COMPANY <br /> Drivers and Household Residents <br /> #1 Abel Celestino Morales-Luna Operator: Principal#3 <br /> Driver Status License# Lic.State Date of Birth Gender Marital Status Driver Pts Yrs. Licensed <br /> Rated Driver XXX9139 CA XX/XX/1975 Male Married 0 25 US;O INT'L <br /> #2 Sofia Cruz Bautista Operator: <br /> Driver Status License# Lic.State Date of Birth Gender Marital Status Driver Pts Yrs. Licensed <br /> Excluded Driver XX/XX/1977 Female Married <br /> #3 Cristian Morales Operator: Principal#1 <br /> Driver Status License# Lic.State Date of Birth Gender Marital Status Driver Pts Yrs. Licensed <br /> Rated Driver XXX0413 CA XX/XX/2002 Male Married 0 7 US;O INT'L <br /> #4 Jazly Giselle Morales Operator: Principal#2 <br /> Driver Status License# Lic.State Date of Birth Gender Marital Status Driver Pts Yrs. Licensed <br /> Rated Driver XXX0309 CA XX/XX/2001 Female Married 0 8 US;O INT'L <br /> Insured Vehicle(s) and Schedule of Coverages <br /> #1 2023 NISS KICKS SR VIN:3N1CP5DVXPL532349-AG1038 <br /> Usage: Pleasure Prior Term Estimated Annual Mileage: 6000 <br /> Estimated Annual Mileage: 6000 <br /> Garaging Location: 92704 <br /> Coverages Provided Limits/Deductibles Premium <br /> Bodily Injury $30,000 Each Person/$60,000 Each Accident $158.00 <br /> Property Damage $15,000 Each Accident $119.00 <br /> *SEE IMPORTANT NOTICE SECTION FOR REDUCED LIMITS IN <br /> SPECIFIED SITUATIONS <br /> Other Than Collision $1,000 Deductible $54.00 <br /> Collision $1,000 Deductible $470.00 <br /> Total For This Vehicle $801.00 <br /> #2 2013 FORD EXPLORER VIN: 1FM5K7D84DGB93660-AE2218 <br /> Usage: Pleasure Prior Term Estimated Annual Mileage: 11000 <br /> 10039CA(03012010) <br />