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Declaration Page(continued) <br /> Policy and Endorsements <br /> This section lists the policy form number and any applicable endorsements that makeup your insurance contract.Any endorsements <br /> that you have purchased to extend coverage on your policy area Iso listed in the coverages section of this declarations document: <br /> 56-56841st ed.;25-4501 8-1 1;25-8531 10-1 2;CA125 4th ed.;169603rd ed.;J70341st ed. <br /> Other Information <br /> • "YOUR POLICY INCLUDES THE FULL PERMISSIVE USER LIMIT OF LIABILITY.PLEASE SEE PERMISSIVE USER LIMITOF LIABILITY IN <br /> YOUR POLICY FOR FURTHER INFORMATION. <br /> • You have the right to designate an additional third party to receive any notice of cancellation for nonpayment of your premium for <br /> this policy. Please contact your Farmers agent if you would like to add,change,or remove a designee. <br /> • Contact your agent for a Farmers Friendly Review®to learn more about policy discounts,coverage options,and other products you <br /> may qualify for. Farmers has a newer Auto product that may be available to you. <br /> *Information on Additional Fees <br /> The"Fees"stated in the"Premium/Fees"section on page 1 apply on a per-policy,not an account basis.The following additional fees <br /> also apply: <br /> 1. Service Charge per installment(Inconsideration of our 2. Late Fee:$15.00(applied per account) <br /> agreement to allow you to pay in installments): 3. Returned Payment Charge:$25.00(applied per check, <br /> - For Recurring Electronic Funds Transfer(EFT): $0.00 electronic transaction,or other remittance which is not <br /> (applied per account) honored by your financial institution for reasons including, <br /> - For Recurring Credit/Debit Card plans: $5.00(applied per but not limited to,insufficient funds or closed account) <br /> account) 4. Reinstatement Fee:$18.40(applied per vehicle,20% <br /> - For all other payment plans: $7.00(applied per account.) discount will apply for Good Drivers) <br /> If this account is for more than one policy,changes in these fees are One or more of the fees or charges described above may be <br /> not effective until the revised fee information is provided for each deemed a part of premium under applicable state law- <br /> policy. <br /> Countersignature <br /> Authorized Representative <br /> farmers.com Policy No. 18488-82-32 Questions? Manage youraccount: <br /> Call your agent John McIver at(714) Go to www.farmers.com to access <br /> 540-5200 or email your account any time! <br /> jmciverl @farmersagent.com <br /> 56-6176 2nd Edition 3-19 <br /> Page 3 of 3 <br />