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DECLARATIONS FOR A BUSINESS AUTO <br />AMENDED 10/11/11 <br />ITEM ONE Named Insured and Address <br />ROBERT T RASMUSSEN <br />DBA YELLOW CAB OF SC <br />316 NORTH GRANT AVENUE <br />CORONA CA <br />Producer Code: .050 <br />Page 1 <br />Policy No: CP 7168365 1 <br />Producer Name and Address <br />VINCENT 0 KEHRLEIN <br />DBA KEHRLEIN INS AGCY <br />1508 LINCOLN AVENUE <br />92882 SAN RAFAEL CA 94901 <br />Broker: <br />Report Basis: <br />Policy Period: From 07/21/11 to 07/21/12 at 12:01 A.M. Standard Time at your mailing address shown above. <br />Insurer Company and Code: 24260 NATIONAL CONTINENTAL INSURANCE COMPANY <br />Named Insured's Business: 2 TAXI <br />Form of Business: INDIVIDUAL *ADDITIONAL PREMIUM $372 <br />*This policy may be subject to final audit. <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE <br />WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY <br />ITEM TWO <br />SCHEDULE OF COVERAGES AND COVERED AUTOS <br />This policy provides only those coverages where a charge is shown in the premium column on the covered autos schedule. Each of these <br />coverages will apply only to those "autos" shown as covered "autos." "Autos" are shown as covered "autos" for a particular coverage by <br />the entry of one or more symbols from the COVERED AUTO Section of the Business Auto Coverage Form next to the name of the <br />coveraae. <br />EFFECTIVE BINDING, ADDED DRIVER 16 -ORLA MARY <br />B DOBSON AND ADDED ACCIDENTS PER MOTOR VEHICLE REPORT. <br />RA IDS O Rep Cur Date Run Seg End Last Run Eff Date Pages <br />FP8249 E G 11298 12 029 11298 10/11/11 57 <br />Yr PADDLIN DEC <br />11 PMD <br />COVERED AUTOS <br />LIMIT <br />(Entry of one or more of the <br />COVERAGES <br />symbols from the COVERED AUTOS <br />THE MOST WE WILL PAY FOR ANY ONE <br />Section of the Business Auto <br />ACCIDENT OR LOSS <br />Coverage Form shows which autos <br />are covered autos) <br />LIABILITY <br />1,000,000 CSL <br />PERSONAL INJURY PROTECTION <br />PROX D S TO F <br />arately stated in each PIP endorsement <br />(or equivalent No —fault coverage) <br />7 <br />ADDED PERSONAL INJURY PROTECTIO <br />eparately stated in each added PIP endorsement <br />(or equivalent added No —fault coverag ) <br />PROPERTY PROTECTION INSURANCE <br />Ris <br />arately stated in the P.P.I. endorsement <br />(Michigan only) <br />AUTO MEDICAL PAYMENTS <br />UNINSURED MOTORISTS <br />UNDERINSURED MOTORISTS <br />(When not included in Uninsured <br />Motorists Coverage) <br />PHYSICAL DAMAGE <br />ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER <br />COMPREHENSIVE COVERAGE <br />NOT AVAILABLE <br />IS LESS MINUS $ Ded. FOR EACH COVERE <br />IN CALIFORNIA <br />AUTO. BUT NO DEDUCTIBLE APPLIES TO LOSS CAUSED <br />BY FIRE OR LIGHTNING. See ITEM FOUR for hired or <br />borrowed "autos." <br />PHYSICAL DAMAGE SPECIFIED <br />ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER <br />CAUSES OF LOSS COVERAGE <br />NOT AVAILABLE <br />IS LESS MINUS $ Ded. FOR EACH COVERED AUTO <br />IN CALIFORNIA <br />FOR LOSS CAUSED BY MISCHIEF OR VANDALISM. See <br />ITEM FOUR for hired or borrowed "autos." <br />PHYSICAL DAMAGE <br />NOT AVAILABLE <br />ACTUAL CASH VALUE OR COST OF REPAIR, WHICHEVER <br />COLLISION COVERAGE <br />IN CALIFORNIA <br />IS LESS MINUS $ Ded. FOR EACH COVERE <br />AUTO. See ITEM FOUR for hired or borrowed "autos." <br />PHYSICAL DAMAGE <br />NOT AVAILABLE <br />$ for each disablement of a private passenger auto. <br />TOWING AND LABOR <br />IN CALIFORNIA <br />(Not available in California) <br />EFFECTIVE BINDING, ADDED DRIVER 16 -ORLA MARY <br />B DOBSON AND ADDED ACCIDENTS PER MOTOR VEHICLE REPORT. <br />RA IDS O Rep Cur Date Run Seg End Last Run Eff Date Pages <br />FP8249 E G 11298 12 029 11298 10/11/11 57 <br />Yr PADDLIN DEC <br />11 PMD <br />