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Additional Information: <br /> Agency Information: <br /> APPLIED RISK SERVICES INC Please mail all inquiries to: <br /> PO Box 3646 Kemper Commercial Auto <br /> Omaha, NE 68103-0646 11700 Great Oaks Way,Suite 450 <br /> Alpharetta, GA 30022 <br /> Please fax all inquiries to: <br /> (877)722-3391 <br /> DRIVER INFORMATION: <br /> # DRIVER NAME EXCL SR22 <br /> 1 Jeong Won Hung No No <br /> 2 Gyujin Jeong No No <br /> 3 Kenneth Kijae Song No No <br /> 4 Peter Kim No No <br /> 5 Kook Hyun Chung Yes No <br /> 6 Dong Hyun Park No No <br /> VEHICLE LOSS PAYEEIADDITIONAL INTEREST INFORMATION: <br /> VEH# NAME TYPE ADDRESS CITY STATE ZIP <br /> 1 North Mill Credit Trust,ISAOA Lienholder 9 Executive Cir,Ste 230 Irvine CA 92614 <br /> RATING CRITERIA: <br /> VEH# DRV# DRV VEH PERSONAL VEH GARAGING STATED VALUE VEH VEH <br /> PNTS GVW USE USE ZIP (INCL:ADDL.EQUIP STATED VALUE) RADIUS BODY <br /> 1 2 0 19500 NO H 91011 $82,944.00 500 406 <br /> POLICY LEVEL INFORMATION: <br /> PAID-IN-FULL: ❑YES x�NO PHYSICAL DAMAGE ONLY: YES Ox NO CDL DISCOUNT Ej YES ❑x NO <br /> PRIOR COVERAGE: px YES NO BUSINESS EXPERIENCE: ❑YES ONO STATE FILING: YES EX NO <br /> FEDERAL FILING: n YES ONO CGL OR BOP DISCOUNT: YES 0 NO RATED OCCUPATION: General Contractor <br /> (Commercial) <br /> ADDITIONAL DRIVER: 0 YES NO OCCUPATION CODE: B01 <br /> For Personal Use coverage,refer to"Rating Criteria"for each vehicle listed above. PAY PLAN OPTION: 16.67%Down Pay <br /> -5 Installments <br /> SCHEDULE OF APPLICABLE FEES: <br /> DESCRIPTION AMOUNT DESCRIPTION AMOUNT <br /> Waiver of Subrogation Fee $25.00 Additional Insured Fee $50.00 <br /> Vehicle Fee-Distributed $30.00 <br /> 50400DCPG04 Page 2 of 2 AMEND DATE: 10/23/2025 <br /> ENDORSEMENT:4-2 <br />