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T Kemper <br />A UNITRIN BUSINESS <br />RJF -PCG INSURANCE AGENCY <br />7225 NORTHLAND DR N 1!301 <br />MINNEAPOLIS, MN 55428 <br />Agency Phone(800)327 -1500 <br />0000636 MB "AUTO T2 0 5684 92604- 332489 - CO5 -10 2811257 <br />II��I�I�I��I�IIIII�1��111�111' I' I 'lllll "�I11'lll'I�I�I��'111111I <br />MARIANN LONG <br />89 LAKESHORE <br />IRVINE, CA 92604 -3324 <br />KEMPERINDEPENDENCE <br />INSURANCE COMPANY <br />12926 Gran Bay Pkwy W - Jacksonville, FL 32258 <br />RB 752730 Effective: 11 -22 -2010 <br />Expiration: 11 -22 -2011 <br />Producer Code 12:01 a.m. standard time. <br />53 -1222 NOTICE OF INSURANCE <br />AMENDED DECLARATIONS - PACKAGE PLUS <br />This amended declarations page replaces all prior, declarations as of the Change Effective Date. The required <br />premium will be separately billed under the Kemper Billing System. Please attach this Declaration page to your <br />CHANGE EFFECTIVE DATE: 09 -14 -2011 CHANGE EFFECTIVE TIME: 12:01 a.m. <br />Your policy has changed. The areas that have changed are indicated below. <br />Insured Request Auto Endorsement <br />If you have any questions concerning why these changes were made to your policy, please contact vour <br />(SECTION .......... ................:........,::..: <br />RESIDENCE PREMIUM SECTION 1 AND SECTION II <br />::.$::::::::..34.8.- <br />0.0NONE <br />AUTOMOBILE PREMIUM (SECTION III) <br />$ <br />817.80 <br />NONE <br />PERSONAL CATASTROPHE LIABILITY PREMIUM $ 225.00 $ 18.00- <br />TOTAL POLICY PREMIUM $ 1,390.80 $ 18.00 - <br />For information about additional costs to you related <br />to this policy, please read endorsement BC0001. <br />COVERAGE APPLIES ONLY IF A PREMIUM OR LIMIT OF LIABILITY IS SHOWN FOR THE COVERAGE. <br />DETAILS CONCERNING SPECIFIC COVERAGES AND PREMIUMS FOR YOUR POLICY CAN BE FOUND ON <br />THE FOLLOWING PAGES. <br />APPRUvr�� <br />au; a Stitt Sheedy <br />Assistant Atrorne. <br />`Indicates a change was made to vour oolicv. <br />