California Code, Insurance Code - INS § 11629.75

(a) A certified producer shall provide to an applicant for a low-cost automobile insurance policy under this article a notice relating to coverage under the policy.  The notice shall be provided in a separate document at the time of application and include the following statement in 14-point boldface type:

“Notice

This policy provides liability coverage for injuries or death caused to other persons in the total amount of ten thousand dollars ($10,000) per person in any one accident, and up to a total amount of twenty thousand dollars ($20,000) for all persons in any one accident.  The policy also provides up to three thousand dollars ($3,000) in liability coverage for property damage in any one accident.

These limits are very low compared to coverage outside of the low-cost automobile program.

If you are at fault for an accident where the damage exceeds the coverage provided by this policy, you can be held personally responsible for the losses.

If you want higher coverage limits, you must purchase a different policy.

This policy does not cover damage to your own vehicle caused by you or anyone else.  The plan offers uninsured motorist coverage as an option.  However, comprehensive coverage and collision coverage are only available for purchase outside of the program.

This policy does not cover your bodily injury or your death.  You do have the option to purchase uninsured motorist bodily injury coverage in the total amount of ten thousand dollars ($10,000) per person in any one accident and up to a total amount of twenty thousand dollars ($20,000) for all persons in any one accident.  You also have the option to purchase medical payments coverage in the amount of one thousand dollars ($1,000) per person in any one accident.

This policy does not cover any other driver in your household who meets any of the following criteria:

(b) When the certified producer establishes delivery of the disclosure form specified in subdivision (a) by obtaining the signature of the applicant or insured, there shall be a conclusive presumption that the certified producer has complied with the disclosure requirements of this section.