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JJJ///�"0B1lf interinsurance Exchange of the Automobile Club <br />Mailing Address: P.O. BOX 25001 SANTA ANA, CALFFORNiA 92789-5001 <br />�FhiY CPv�� <br />BINDER OF INSURANCE <br />Name and Address of Lienheider or Additional insured Policy Number: CAA078581350 <br />THE CITY OF SANTA ANA AND ITS OFFICERS, EMPLOYEES, F NOTICE TO LIENHOLDER <br />AGENT VOLUNTEER$, AND REPRESENTATIVES ACTING UNDER IN THE EVENT OF CANCELLATION OF THIS <br />DIRECTION OF THE CITY BINDER, THE EXCHANGE WILL GIVE THE <br />LIENHOLDER 10 DAYS' WRITTEN NOTICE OF <br />20 CIVIC CENTER PLAZA, SANTA ANA CA 82701 CANCELLATION. <br />The Interinsurance Exchange of the Automobile Club hereby acknowledges itself bound to the named insured for the coverages Spatted In the <br />schedule subject to all the provisions of the Exchange's applicable policy form. The Issuance of a policy lo the named Insured or, if a policy Is in force, <br />Ilse Issuance of an endorsement covering the automobile, boat or trailer described herein shall vold this binder. A pro rata premium charge computed for <br />the term of coverage in accordance with the current rates of the Exchange In effect at inception of the binder will be made unless such a policy or policy <br />endorsementis issued. This binder shall not be construed to attold cumulative Insurance with any existing policy. <br />Nameofinsured: LINDAOHANLON <br />DESCRIPTION OF AUTOMOBILE, BOAT, OR TRAILER <br />Car No, <br />Year <br />Trade Name Type of Body or Boat <br />Identification Number <br />3 <br />2014 <br />INFI OX70V6 <br />JN8CS1MU0EM451234 <br />Property Damage Liability <br />S thousand dollars, each occurrence <br />1Z <br />❑ <br />AUTOMOBILE INSURANCE <br />LIMITS OF LIABILITY <br />"Y.. indicates coverage bound and afforded. <br />Car 3 <br />Car# <br />_ <br />Bodily Injury Liability <br />$ thousand dollars, each person <br />$ thousand dollars, each occurrence <br />10 <br />❑ <br />Property Damage Liability <br />S thousand dollars, each occurrence <br />1Z <br />❑ <br />Medical Payments <br />$ each person <br />{ <br />❑ <br />Under! nsuredlUni nsured Motorists <br />Not Less Than $15,000 each person430,000 each acoldent <br />Q <br />❑ <br />Comprehensive (ins(. Fire and Theft) <br />(a) Actual Cash Value less $ 500 deductible <br />[ <br />❑ <br />(b) Limit of Liability of $ less $ deductible <br />� <br />❑ <br />Collision <br />Uninsured Deductible Waiver <br />(a) Actual Cash Value less $ 560 deductible <br />(� <br />❑ <br />(b) Limit of Liability oP $ less $ deductible <br />❑ <br />❑ <br />,„,._...�.._❑ <br />Uninsured collision <br />_....,....�.... .. <br />El <br />WATERCRAFT INSURANCE (Boat), <br />LIMITS OF LIABILITY <br />"✓” indicates coverage taaund and afforded, <br />._,..v. .._.._.v... <br />Bodily Injury <br />Damage <br />Liability and Property <br />Liability <br />Thousand Dollars, each occurrence <br />Actual cash value not to exceed Limit of Liability of <br />$ less $ deductible <br />Physical Damage <br />Effective Date of Binder: 03/03/2016 12:01 A.M. Pacific Standard Time <br />This binder Shall expire 30 days from !Ste effective date or may be cancelled by the named insured at any time during such 30 -day period. The Exeharige <br />may cancel this binder by mailing to the named insured at the address shown above written notice stating when, not less than 10 days §hereafter, such <br />cancellation shad be silective. The mailing of such notice shall be sufficient proof of notice. <br />DisMck office: „GLA ACSC Management Services, Inc, <br />By: C haneE _ ATTORNEY-IN-FACT <br />Authcr¢ed RepresentatjveJ <br />4 <br />9eSte (92'%a) jf <br />