2020/02/19 Antonio D Boccia Renewal DeclarationAODOHNHMHJHMGOHNCKAPLKNDODPOGPFBPMJKADOPJMFGDIIOKPLELKAMKPEMFFHEDEBKEPIKDDDLLDLDLLDDDLDLDL
IDS Property Casualty Insurance Company
3500 Packerland Drive
De Pere, WI 54115-9070
POLICY NUMBER:
POLICY PERIOD:
12:01 AM Standard Time
LAPSE IN COVERAGE:
02/19/2020 - 08/19/2020
FOR CLAIMS SERVICE CALL:
FOR CLIENT SERVICE CALL:
RENEWAL DECLARATION
CALIFORNIA
BX10355779
NONE
1-888-404-5365
1-888-404-5365
Antonio D Boccia
Reema M Boccia
9820 ALTO DR
LA MESA, CA 91941-4450
BODILY INJURY LIABILITY
PROPERTY DAMAGE LIABILITY
UNINSURED MOTORIST BODILY INJURY
MEDICAL EXPENSE - EXCESS COVERAGE
UNINSURED MOTORIST PROPERTY DAMAGE
COLLISION
COMPREHENSIVE
TOWING AND LABOR COSTS
RENTAL EXPENSE
TOTAL SEMIANNUAL PREMIUM PER VEHICLE
TOTAL SEMIANNUAL PREMIUM ALL VEHICLES -
CONSOLIDATED VEHICLE ASSESSMENT FEE
COVERAGE/LIMIT
$250,000 EACH PERSON
$500,000 EACH ACCIDENT
$5,000 EACH PERSON
$100,000 EACH ACCIDENT
$250,000 EACH PERSON
$500,000 EACH ACCIDENT
CAR 1-WAIVER OF COLLISION DEDUCTIBLE
DEDUCTIBLES CAR 1-$500 3-$500
DEDUCTIBLES CAR 1-$100 3-$100
$75 PER DISABLEMENT
$20 PER DAY/$600 PER OCCURRENCE
2018 LEXS1
RX 350/RX 3
3 2019 BMW
I3 ELECTRIC
$171.00 $203.00
INCL INCL
INCL INCL
$50.00
$1.00
$127.00
$42.00
$5.00
$4.00
$66.00
$2.00
$235.00
$46.00
$5.00
$7.00
$400.87 $564.87
$965.74
CAR 3-WAIVER OF COLLISION DEDUCTIBLE
$0.87 $0.87
Coverage is provided only when both a premium and limit are shown.
adca01a (001)
01/07/2020
DRIVER INFORMATION
LIENHOLDER INFORMATION
YOUR POLICY HAS THE FOLLOWING ENDORSEMENTS:
YOUR POLICY HAS THE FOLLOWING DISCOUNTS:
CAR INFORMATION CARS KEPT AT LOCATION OTHER THAN RESIDENCE
1. Antonio D Boccia
2. Reema M Boccia
3.
4.
5.
6.
MULTI-CAR, PREMIER SAFETY, FULL COVERAGE, COSTCO
2018 LEXS - GOOD DRIVER, ANTI-THEFT DEVICE, DUAL AND SIDE AIRBAGS
2019 BMW - GOOD DRIVER, ANTI-THEFT DEVICE, DUAL AND SIDE AIRBAGS
2018
2019
LEXS
BMW
2T2ZZMCA1JC115427
WBY8P2C54K7D01979
AMENDATORY ENDORSEMENT
SPECIAL EQUIPMENT/CUSTOMIZATION: NONE
ADDITIONAL INTEREST/LIENHOLDER - 2018 LEXS RX 350/RX 350 F SPORT
ADDITIONAL INTEREST/LIENHOLDER - 2019 BMW I3 ELECTRIC
Lexus Financial Services, PO Box 105386, Atlanta, GA 30348-5386
BMW Financial Services NA, LLC, PO Box 8002, Hilliard, OH 43026-8002
cdec09 - CA
APCMHNHMHJHMGOHNCKAPLKNDODPOGPEFMOJKADOPLOEGGNLJIFHGJKAPOBIEIKAKKGNOANIKDLDLLDLDDDLDDLDLLL
aica05 (003)
IDS Property Casualty Insurance Company
3500 Packerland Drive
De Pere, WI 54115-9070
Policy Number:
California Rating Mileage Disclosure Statement
We are required by California State Law Section 381.1 to inform you of information that we use to rate your policy.
Please refer to your policy and declarations for specific information regarding your coverage and limits. Information
related to traffic convictions or at-fault accidents is available upon request.
Your Driver Information
BX10355779
Antonio D Boccia
Years of Driving Experience 27
Applicable Driver Discounts GOOD DRIVER
Reema M Boccia
Years of Driving Experience 21
Applicable Driver Discounts GOOD DRIVER
Your Vehicle Information
Please contact us to update the estimated annual miles you expect each vehicle will be driven during the 12-month period
following your policy renewal date. If you do not contact us, we will continue to use the mileage estimate shown below
for the renewal policy.
Annual Miles Driven - Current Policy
Annual Miles Driven - Renewal Policy
Vehicle Usage
ZIP Code of Vehicle Garaging Location
Applicable Vehicle Discounts ANTI-THEFT DEVICE
DUAL AND SIDE AIRBAGS
MULTI-CAR
2018 LEXS RX 350/RX 3
7,500
7,500
Business
91941
Annual Miles Driven - Current Policy
Annual Miles Driven - Renewal Policy
Vehicle Usage
ZIP Code of Vehicle Garaging Location
Applicable Vehicle Discounts ANTI-THEFT DEVICE
DUAL AND SIDE AIRBAGS
MULTI-CAR
2019 BMW I3 ELECTRIC
12,000
12,000
Work/Regular
91941