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DocuSign Envelope ID: 27010A71- 338E -4DAB- 9153- ACF241916DEC <br />Cancellation: <br />Should the above described policy be cancelled before the expiration date thereof, we will mail written notice of <br />cancellation that complies with state statutes to the certificate holder named above, but failure to mail such <br />notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. <br />Authorized Representative <br />0312012018 <br />Issue date: <br />10316 (02012016) Page 2 of 2 <br />2015 FORD <br />F150 SUP 1FTEX1C87FFC45294 <br />® <br />Collision <br />Lessor of ACV or Stated Amount <br />Subject to $250 Deduction From Each Loss <br />® <br />Comprehensive <br />Lessor of ACV or Stated Amount <br />Subject to $100 Deduction From Each Loss <br />D <br />Specific Perils <br />Lessor of ACV or Stated Amount <br />Subject to nla Deduction From Each Loss <br />2013 FORD <br />F150 SUP 1 FTEX1 CM3DKG20079 <br />Collision <br />Lessor of ACV or Stated Amount <br />Subject to $250 Deduction From Each Loss <br />0 <br />Comprehensive <br />Lessor of ACV or Stated Amount <br />Subject to $100 Deduction From Each Loss <br />❑ <br />Specific Perils <br />Lessor of ACV or Stated Amount <br />Subject to nla Deduction From Each Loss <br />Cancellation: <br />Should the above described policy be cancelled before the expiration date thereof, we will mail written notice of <br />cancellation that complies with state statutes to the certificate holder named above, but failure to mail such <br />notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. <br />Authorized Representative <br />0312012018 <br />Issue date: <br />10316 (02012016) Page 2 of 2 <br />