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MARKEL INSURANCE COMPANY <br />Installment Endorsement <br />It is hereby agreed and understood that the premium is to be paid on an installment basis as follows: <br />Premium: $2,321.00 <br />Fees: $ 128.00 <br />Deposit: $1,158.00 <br /> Installments Taxes & ~ <br />h <br /> <br />1• <br />12/01/2011 <br />$979.00 re <br />arees <br />included <br />2• 02/01/2012 $490.00 included <br />3• 04/01/2012 $490.00 included <br />4• 06/01/2012 $490.00 included <br />If you elect a payment plan, then you will be subject to installment fees for each payment ranging from $3-$10 depending on the <br />state. If you elect electronic funds transfer, these fees will not apply. <br />This endorsement is effective: l2/01/2011 forms a part of <br />Policy: MW00017162-01 <br />Dated: 10/31/2011 <br />Issued to: Santa Ana Police Officers Association (a nonp <br />By: Markel Insurance Company <br />All other terms and conditions of this policy remain unchanged. <br />MWC 1200 05 10 6 of 28 <br />