State Farm Mutual Automobile Insurance Company

DECLARATIONS PAGE

Policy Number S020591-17F Policy Period August 24, 2007 -

February 23, 2007

Named Insured

Finance 3360/6360 Student

25800 Carlos Bee Boulevard
Hayward, CA 94542

YEAR MAKE MODEL BODY STYLE VEHICLE ID. # CLASS

2001 CHYSLER SEBRIN CONVERTIBLE 3C3EL55HXWT2913 6D30E02
G 33

SYMBOLS COVERAGES PREMIUMS

A Bodily Injury/Property Damage Liability $277.30

Limits of Liability - Coverage A - Bodily Injury
Each Person Each Accident
$100,000 $300,000
Limits of Liability - Coverage A - Property Damage
Each Accident
$100,000

C Medical Payments 64.42

Limit of Liability - Coverage C
Each Person
$25,000

D Comprehensive 62.41

G 100 $100 Deductible Collision 182.58

H Emergency Road Service 4.48

U Uninsured Motor Vehicle 34.74

Limits of Liability - U
Each Person Each Accident
$100,000 $300,000

W Underinsured Motor Vehicle 7.40

Limits of Liability - W
Each Person Each Accident
$100,000 $300,000

Total Premium for This Policy Period $435.08

IMPORTANT MESSAGES

Your policy consists of this declarations page, the policy booklet - form 9813A,
and any endorsements that apply, including those issued to you with any
subsequent renewal notice.