Insurance - Kaplan - 2013-09-26Insurance,. POLICY NUMBER: A2513988
A I.RVay A1wU tCompany
SAFECO INSURANCE COMPANY OF AMERICA
AUTOMOBILE POLICY DECLARATIONS
(CONTINUED)
NAMED INSURED:
MARK SODEN
FRANCENE KAPLAN
PO BOX 10263
COSTA MESA CA 92627 -0106
AGENT:
CONSOLIDATED OC INS AGENCIES
101 PACIFICA STE 255
IRVINE CA 92618 -4692
RENEWAL
POLICY PERIOD FROM: SEPT 26 2013
TO: SEPT 26 2014
at 12:01 A.M. standard time at
the address of the insured as
stated herein.
AGENT TELEPHONE:
1 -866- 472 -3326
RATED
DRIVERS
MARK SODEN,
FRANCENE
KAPLAN
2010
HONDA
INSIGHT EX
4
DOOR
ID# JHMZE2H72AS015464
2001
FORD
F150
4
DOOR PICK -UP
ID# 1FTRX18L91NB45694
Insurance is afforded only for the coverages for which limits of liability or
premium charges are indicated.
ti
LIABILITY:
a
°
BODILY INJURY
5500,000 S
155.90
$500,000 $
237.00
m
Each Person
Each Person
5500,000
$500,000
a
m
PROPERTY DAMAGE
Each Occurrence
$100,000
104.90
Each
Occurrence
N
Each Occurrence
Each
$100,000
Occurrence
145.50
ti
MEDICAL PAYMENTS
$2,000
14.30
$2,000
18.70
o
UNINSURED AND UNDERINSURED
MOTORISTS:
o
BODILY INJURY
$500,000
82.50
$500,000
90.50
o
°
:Each Person
Each Person
°
5500,000
Each Accident
N
Each
Accident
Accident
C
of
COMPREHENSIVE
Actual Cash Value
34.40
Actual
Cash Value
31.50
N
Less $250 Deductible
Less $250
Deductible
°
°
COLLISION
Actual Cash Value
138.90
Actual
Cash Value
140.60
Deductible
Less 51000
Deductible
WAIVER OF COLLISION DEDUCTIBLE
11.10
11.30
ADDITIONAL COVERAGES:
ANTI FRAUD FEE
1.80
1.80
TOTAL S
543.80
---------- TOTAL $
676.90