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<br />OS/23/2011 08:37 <br /> <br />954577541'2 <br /> <br />RAV PAlHEGVI INSURAN <br /> <br />PAGE ~l <br /> <br />~ <br /> <br />1WJfEG1I1Il'lMOfl) E <br />11m SHOI'GlIIIID <br />SUNRBE. Ft. 3m6 <br /> <br />COIIIIIIerdal Auto <br />Insurance. Coverage SarnIII8JY <br />This is your Declarations Page <br />Your coverage has changed <br /> <br />Pelky ft~ Iml2l9-5 <br />~by: <br />!lroglUIht EIfprtS5 /u$ COl'llpanv <br />FebluIIy 4. am <br />FDky P8iDd; Fell1. ~11 . rft 1.2012 <br />PagI! 1 CIf Jl <br /> <br />..........!JIlIItd"' <br />0IIIlIII s..ict! <br />Melev fI'l7"Il:II~chcck bil11l1g IctMtr. plInl <br />poIit~ doaalJlfll!;. or duo th~ !i1atU$ of a <br />dillnl. <br /> <br />t5M17..s.t01 <br />PJIIItGII_E <br />Q:lInlI! prBgentfDr pelSlIlIII2I:6RM:e. <br />_ I" tt17 <br />for~ANke II your agent I~ <br />I118YiUilblr at lD ft:port II diltm. <br /> <br />NallWld ill$w.d <br /> <br />MA DRAJItWiE AMJ VAC <br />13146 NW 1"'" Sfl&I' <br />P8IIIIIDlCE PN5. R. DOl <br /> <br />Your CCM!1Ig12 begall on February " 2011 at 12:01 B.nL This poIq ellJlbt$ on rebrualJ 1, 2012 8112:01 a.m. <br />This C1M!1'19~ summiIlY.- JOUf prior onI2. Your instnnm polity and any poIi~ endc.D!ment5 GJntIin il fullaplanallon of <br />your Ol'tIl!mge. The poIky Ids 5hown fur an aOJ IIllIY not be cnn1h1n!d with !he Rmi15 forh SlInI toWIl!rag& on another auto. <br />onlessthl! poIkyamtra4alloMhstaddng cftimits. The politycontrac:llsbtn6912 (03/05). The. tuntrad Is modified byfonns <br />2852R ('0J04). '652R. (08106~ 47S7A. (10JlM~ 1890 (06104). 1891 (09104), 1 t98 (O1}04), ~8S2FL (10104), 4881Fl (10104). <br />Z228 (07105) and Z435R. (12JD6). <br />The named il15U1td ozganiation type is a alIporatlon. <br />Poky dIImges Jf....11ve Febru.rr 1. zm <br />p;ei!iii;riidia~:"" ... ........ ................. ......... .......~SS70.3r... .0-......,...............,............,...................,. ..... ..... ... ........, ,- <br /> <br />~:"'''''' ...... .................. .............. ............ yourdiGO;UiiiiiiftimiiilOiiim.cfiang,:cr..... ..... ......... ......... '" ........ ,.....,.. <br /> <br />The dI3nges shown .,. wiD not b@ ~ pMr to the !till! 1he dJanges wrll! R!qU!S1l!d. <br /> <br />. <br />CIlIllNtIl <br /> <br />~0IIll64llg n (05AI6) <br />