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POLICY NUMBER: P5683475 <br /> A Lihi•,•iy:%tit d Compsuiy <br /> SAFECO INSURANCE COMPANY OF OREGON <br /> AUTOMOBILE POLICY DECLARATIONS <br /> NAMED INSURED: POLICY CHANGE <br /> FREDERICK ELLIS CHANGED EFFECTIVE: JAN. 6 2020 <br /> 111101111111011111/11/111100 POLICY PERIOD FROM: APR. 20 2019 <br /> ONOMMINOMMID TO: APR. 20 2020 <br /> at 12:01 A.M, standard time at <br /> the address of the insured as <br /> AGENT: stated herein. <br /> ABC AGENCY INC AGENT TELEPHONE: <br /> 3720 SW 141ST AVE STE 211 (503) 597-5009 <br /> BEAVERTON OR 97005-2349 <br /> RATED DRIVERS FREDERICK ELLIS, 4111.11111111111111111111.111114 , <br /> 2018 VOLKSWAGEN TIGUAN SEL PREMIUM 4 DOOR ID#I 3VV4B7AX5JM207693 <br /> LOSS PAYEE VW CREDIT <br /> 2004 VOLKSWAGEN GOLF GLS TDI 4 DOOR IDO 9BWGR61J044032739 <br /> Insurance is afforded only for the coverages for which limits of liability or <br /> premium charges are indicated. <br /> COMBINED SINGLE LIMIT: 8500,000 S <br /> BODILY INJURY& r500,000 $ <br /> PROPERTY DAMAGE Each Occurrence Each Occurrence <br /> LIABILITY <br /> PERSONAL INJURY 1111111 <br /> PROTECTION <br /> UNINSURED/UNDERINSURED MOTORISTS: $500,000 <br /> COMBINED $500,000 MUM <br /> IMMINP <br /> BI&PD LIABIILITY Each Accident Each Accident <br /> DEDUCTIBLE: SEE YOUR POLICY SEE YOUR POLICY <br /> COMPREHENSIVE Actual Cash Value U <br /> g Less 5100 Deductible <br /> M COLLISION Actual Cash Value <br /> Less $500 Deductible <br /> 0 <br /> 0 <br /> ADDITIONAL COVERAGES: <br /> o ROADSIDE ASSIST IWO MIN <br /> 0 <br /> o TOTAL $ TOTAL $ 41110. <br /> 0 <br /> o You may pay your premium in full or in installments. There is no installment fee <br /> for the following billing plans: Full Pay. Installment fees for all other billing <br /> plans are listed below. If more than one policy is billed on the installment bill, <br /> 0 only the highest fee is charged. The fee is: <br /> $2.00 per installment for recurring automatic deduction (EFT) <br /> $5,00 per installment for recurring credit card or debit card <br /> $$5,00 per installment: for all other payment methods <br /> -CONTINUED- <br /> P 0 BOX 515097, LOS ANGELES, CA 90051 <br /> �o_4aa7n D QIQn _ - , - nnrr ooInAnrn• nar 91110 <br />