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KEMPERAutoKemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA30022 Underwritten by: Infinity Select Insurance Company Customer Service: (800)722-3391 Claims Service:(800)353-6737 COMMERCIAL AUTO DECLARATION POLICY NUMBER:50007861301 POLICY PERIOD:0911112025 To:031111112026 Loengreen Inc P.O.Box 279 This policy is effective no earlier than the date and time on which the La Canada,CA 91012 application is accepted by the Company and shall expire at 12:01 a,m.on the last day of the policy period shown on the Declarations Page.If the policy is cancelled for nonpayment, it may be continued with or without a lapse in coverage,contingent upon valid payment and in accordance with our underwriting rules. The following coverages and limits apply to each described vehicle as shown below.Coverages are defined in the policy and are subject to the terms and conditions contained in the policy,including amendments and endorsements. No changes will be effective prior to the time changes are requested. Deductible # Year Make I Model VIN Number COL I COM 1 FTC 1 2023 CHEVROLET-SILVERADO MEDIUM DUTY 1HTKJPVK2PH735537 1000/1000/NIA COVERAGES-LIMITS OF LIABILITY PREMIUMS FOR VEHICLES THE COVERAGE IS APPLICABLE ONLY IF A PREMIUM IS INDICATED VEH 1 611PD Liability $1,000,000 CSL 1338 Uninsured Motorist-BI $100,000 CSL 61 Comprehensive 241 Hired Auto-Bodily Injury 71 Hired Auto-Property Damage 23 Non-Owned-Bodily Injury 71 Non-Owned-Property Damage 23 Roadside Assistance Five Disablementstannual 13 term Medical Payments $5,000 18 Collision Deductible Waiver $1000 Deductible 527 PREMIUM BY VEHICLE: 2,386 TOTAL VEHICLE PREMIUM(S): $2,386.00 FEES: $105.00 .see reverse for fee schedule ENDORSEMENTS MADE A PART OF THIS POLICY: TOTAL POLICY PREMIUM: $2,491.00 50461AE201,50461AIS01,504618WF01,50461NOE01, 50461HAE01,500PNCV01 This Policy provides reduced liability coverage limits when an insured auto is being operated by a regular permissive driverwho was not disclosed on the policy application or otherwise as a driver to be covered by this policy,or was not disclosed within (30)days after becoming a driver subsequent to the date of application.Liability limits drop to the minimum California Statutory Liability Limits which are$30,000 for Bodily Injury per person, $60,000 for Bodily Injury per accident, and $15,000 for Property Damage per accident, See PART A-LIABILITY, ADDITIONAL DEFINITIONS USED IN PART A ONLY,Paragraph 1.13 and PART A-LIABILITY EXCLUSION 27. FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM. ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR FRAUDULENT INFORMATION TO OBTAIN OR AMEND INSURANCE COVERAGE OR MAKE A CLAIM FOR THE PAYMENT OF A LOSS IS GUILTY OF A CRIME AND MAY BE SUBJECT TO FINES AND CONFINEMENT IN STATE PRISON. SEE REVERSE FOR ADDITIONAL INFORMATION 50400DCPG04 Page 1 of 2 AMEND DATE: 10/23/2025 ENDORSEMENT:4-2