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Auto Insurance Declarations Page W Toggles A Farmers`Company Coverage Information Coverage only applies to vehicles showing premium or'Included' Premiums by Vehicle Coverage Limits #1 #2 #3 Protect Your Assets Bodily Injury $30,000 each person Liability $60,000 each accident $281 $343 $205 Property Damage Liability $15,000 each accident $157 $224 $144 Protect Your Vehicle $500 $500 Comprehensive Actual Cash Value Less Deductible - Ded Ded $155 $492 $500 $500 Collision Actual Cash Value Less Deductible - Ded Ded $373 $847 Uninsured Motorist Property Damage with Actual Cash Value - $5 $5 Collision Uninsured Motorist Property Damage $3,500 each accident - - - Roadside Assistance $75 each disablement Included Included Included Rental Reimbursement - - - Limit is$1,000 unless another limit is Additional Equipment specified - Included Included Original Parts Replacement No Coverage - - - Protect You &Your Loved Ones Medical Payments No Coverage - - - Uninsured Motorist No Coverage - - - Bodily Injury Total Premium Per Vehicle $438 $1,100 $1,693 Policy and Endorsements This section lists the policy form number and any applicable endorsements that make up your insurance contract:TOG-AUT- CA00 1-22 TA;TOG-AUT-CA54 1-22 TA;TOG-AUT-CA60 1-22 TA;TOG-AUT-CA62 1-22 TA;TOG-AUT-CA50 1-22 TA Information on Additional Fees The"Fees"stated in the"Premium/Fees"section on the front apply on a per-policy, not an account basis.Your policy may include a fraud assessment fee of$0.88 per vehicle per six months and may be subject to a $5.00 late fee if your premium payment is not received on time.The following fee(s) may also apply: $50 cancellation fee, $4 installment plan fee, $10 returned payment fee. Fees may be deemed a part of the premium under applicable state law. TOG-AUT-CA03 5-24 TA gettoggle.com Page 3