Loading...
2011/07/17 Nahill, Patricia Automobile Insurance 0,i _ Interinsurance Exchange of the Automobile Club ®: Automobile Insurance Policy Coverages and Limits Renewal Declarations Ne are pleased to offer you a renewal for your automobile insurance policy. To renew your policy, send at least the minimum )ayment on or before the due date. Insurance is in effect only for the vehicles, coverages, and limits of liability shown on this leclarations page and as set forth in the insurance policy and endorsements. These declarations, together with the contract and he endorsements in effect, complete your policy, If any change to your policy or to the information we have on file results in a Iremium decrease during the policy period, the Interinsurance Exchange reserves the right to apply any refund due to your )utstanding balance. NAMED INSURED(Item 1.) AUTO POLICY NUMBER: G 2093498 NAHILL, PATRICIA POLICY PERIOD(PACIFIC STANDARD TIME) PO BOX 1006 POLICY EFFECTIVE DATE: 07-17-11 12:01 A.M. MURRIETA CA 92564-1006 POLICY EXPIRATION DATE: 07-17-12 12:01 A.M. VEHICLES 'EHICLE IDENTIFICATION VEHICLE GARAGE ANNUAL VERIFIED !UMBER YEAR MAKE MODEL NUMBER USE ZIP CODE MILES I MILEAGE 1 2006 HOND PILOT EX 5FNYF28566BO51378 BUSINESS 92585 7,501 -10,000 VERIFIED COVERAGES AND LIMITS ANNUAL PREMIUMS Coverage is not in effect unless a premium or the word"included"is shown. COVERAGES LIMITS OF LIABILITY Vehicle 1 Vehicle Vehicle Vehicle Vehicle Liability 3odily Injury $1,000,000 each person/ $1,000,000 each occurrence $340 property Damage $1,000,000 each occurrence $196 bedica/ NA Ohysical Damage (Actual cash Value unless othemise staled,less deductible) Vehicle 1 Vehicle Vehicle Vehicle Vehicle :omprehensive ACV $81 Less Deductible) $100 :ollision ACV [$356 Less Deductible) $500 'at Rental Expense Per Day) $30 $32 Jninsured Motorist 3odily Injury $250,000 each person/ $500,000 each accident $87 Jninsured&Underinsured Vehicles Jninsured Deductible Waiver i Included Jninsured Collision f NA rota) Premium $1091 aREM1UM DISCOUNTS "NA"indicates coverage not purchased._ 'lease refer to the enclosed document entitled"Premium Discounts Applied to Your Automobile Policy.' Total Annual Premium* $ 1091 *If at any time you choose to pay less than the full balance outstanding, (includes all applicable discounts.) Less Policyholder Savings Dividend $82 finance charges of up to 1.5% per month of the balance outstanding will apply as explained in your billing statements,which are part of these declarations. Net Premium* $ 1009 It _ t Interinsurance Exchange of the Automobile Club ®' Automobile Insurance Policy Coverages and Limits Renewal Declarations are pleased to offer you a renewal for your automobile insurance policy. To renew your policy, send at least the minimum payment on or S )re the due date. Insurance is in effect only for the vehicles, coverages, and limits of liability shown on this declarations page and as set g It in the insurance policy and endorsements. These declarations, together with the contract and the endorsements in effect, complete your cy. If any change to your policy or to the information we have on file results in a premium decrease during the policy period, the v :rinsurance Exchange reserves the right to apply any refund due to your outstanding balance. g MED INSURED(item 1.) AUTO POLICY NUMBER:CAA 071156481 ItHILL, PATRICIA POLICY PERIOD(PACIFIC STANDARD TIME) BOX 1006 POLICY EFFECTIVE DATE: 07-17-12 12:01 A.M. URRIETA CA 92564-1006 POLICY EXPIRATION DATE: 07A7-13 12:01 A.M. iHICLES 11CLE YEAR MAKE MODEL IDENTIFICATION VEHICLE GARAGE ANNUAL' VERIFIED ABER NUMBER USE ZIP CODE MILES MILEAGE 1 2006 HOND PILOT EX-L 5FNYF28566BO51378 BUSINESS 92585 7,501 -10,000 VERIFIED )VERAGES AND LIMITS ANNUAL PREMIUMS ,Verage is not in effect unless a premium or the word"included"is shown. ,VERAGES LIMITS OF LIABILITY Vehicle 1 Vehicle Vehicle Vehicle Vehicle Ibillty Illy Injury $1,000,000 each person/ $1,000,000 each occurrence $340 i -party Damage $1,0D0,DD0 each occurrence $195 +dfcal NA ysical Damage (Actual cash Value unless otherwise stated,less deductible) Vehicle 1 Vehicle Vehicle Vehicle Vehicle mprehensive ACV $61 as Deductible) $1DO Ilision ACV $356 i as Deductible) $5DD `• r Rental Expense er Day) $30 $32 linsured Motorist dlly Injury- $1,000,DD0 each person/ $1,000,000 each accident $146 I Jninsured&Undednsured Vehicles insured Deductible Waiver I Included insured Collision NA )tal Premium $1150 i IEMIUM DISCOUNTS "NA" indicates coverage not purchased. tase refer to the enclosed document entitled"Premium Discounts Applied to Your Automobile Policy." Total Annual Premium" If at any time you choose to pay less than the full balance outstanding, (Includes all applicable discounts.) $ 1150 nance charges of up to 1.5% per month of the balance outstanding will apply Less Policyholder Savings Dividend $ 82 s explained in your billing statements,which are part of these declarations. Net Premium* $ 1068 ' To see the annual mileage for your expiring policy, please refer to the Notice of Annual Mileage" page contained in your renewal package. PGNOOOO.01 YOUSHI 4�o° CERTIFICATE OF LIABILITY INSURANCE F °nT 6/291201229/2012 THIS CERTIFICATE ] ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(lea)moat be endoreetl. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER License#0664249 CONTACT Heffernan Insurance Brokers PHONE NAME: SherYoung Hu F x Hutton Centre Drive,Suite 600 uc Ne X1.1 714 361.7700 �ic No:1 (714)361-7701 Santa Ana,CA 92707 ADDAIL RESS: INSURER(S)AFFORDING COVERAGE NAICN .,_ INSURER A:Citizens Insurance Company Of Illlnols INSURED INSURER e:Navigators lnsDTance Company 42307 PEN INSURER C: PO Box 2473 INSURER D: Menifee,CA 92586 - INSURERS: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I AM SLIER �TR TYPE OF INSURANCE S 3 . POLIOYNUMBER MAVODYE MINUO LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,00D,000 A TXCOMMERCIAL GENERAL UABIUTY OB3 959818300 6/2612012 6/2612013 PREMISES H"Nr puce $ 300,000 CLAIMS MADE �X OCCUR IAED EXP An one pareon) $ MID( PERSONAL B ADV INJURY $ 1,000�00( GENERALAGGREGATE S 2,00 ,000 CENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S 2, ,,0 POLICY X J88 LOO $ j AUTOMOBILE LIABILITY BIN DSNG HE LILIMIT Ea aalaenl 1,000,00 A ANYAUTo OB3959818300 612612012 6/2612013 BODILYINJURY(Pwperaon) $ ALLONNED SCHEDULED j AUTOS AUTOS BODILY INJURY(Pwac wt) $ X HIREDAUTOS H �O NONNNED i PROPER D AUTOS pwacdtlenl U S _ S UMBRE0.LIA8 OCCUR EACHCCCURRENCE S EXCESS LAB CWMS.MADE AGGREGATE $ LIED RETENTION$ __ $ WORKERS COMPENSATION NC STATU. OTH- ANDEMPLOYERS'LIABILITY YIN R AM'PROPRIETORIPARTNERIEXECUTNE EL.EACH ACCIDEM $ OFFICERRJEIABER EXCLUDED? NIA (Meneetoryln NH) s E.L.OISEASE-EAEMPLOYE 5 IIyea,RIPTIOe OFO DESCRIPTION Of OPERATIONS belay _ E.L.DISEASE-PODGY OMIT $ B PROFESSIONAL CMIODPL813"8NV 11/9/2010 11/9/2012 PERCLAIM 1,000,uuu j B LIABILITY CMI0DPL813"8NV 11/9/2010 11/9/2012 AGGREGATE 2,000,0011 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ANach ACORD101,AdOlonal Remarks Schedule,xmwespecelsregDlred) PROJECTS AS ON FILE WITH THE INSURED INCLUDING BUT NOT LIMITED TO ON-CALL PLANNING AND ENVIRONMENTAL REVIEW FOR THE CITY OF MENIFEE.PROFESSIONAL LIABILITY RETRO DATE:01101199. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF MENIFEE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN:CARMEN CAVE ACCORDANCE WITH THE POLICY PROVISIONS. 29714 HAUN RD. _ MENIFEE,CA B2686 AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD