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Kemper <br />A UrvITPIN BUSINESS <br />RJF -PCG INSURANCE AGENCY Insurance Provided By <br />7225 NOR7HL.4N0 ORNOl30� KEMPER INDEPENDENCE <br />M /NNEAPOUS, MN 55428 <br />INSURANCE COMPANY <br />Agency Phone (900)327 -1500 -12926 Gran Bay Pkwy W - Jacksonville, FL 32258 <br />Named Insured and Mailing Address Policy Number Policy Period <br />0000471 FP ••PRSRT T7 t 5999 92604- 332489 - COS -14 9911279 RB 752730 Effective: � 'I -22 -20'1 1 <br />11 "III' 1 "1' 1 1 1 1 l' 1' 1 1 1 l' 1 1 l' 1' I' 11111 "I 111' 1 1 1 .l l 1. l' I' l l l l l l l Expiration : l l -22 -20'12 <br />Producer Code '12:01 a.m. standard time. <br />MAR I ANN LONG 53 -7222 <br />89 LAKESHORE ���ttt <br />IRVINE, CA 92604 -3324 � —�Q �/ ��� <br />POLICY DECLARATIONS - PACKAGE PLUS <br />POLICY SUMMARY INFORMATION <br />Annual <br />Premium <br />RESIDENCE PREMIUM (SECTION 1 AND SECTION II) <br />$ 361 _ 00 <br />PAYMENT EXPECTED FROM INSURED <br />AUTOMOBILE PREMIUM (SECTION III) <br />$ 776 _ 80 <br />PAYMENT EXPECTED FROM INSURED <br />PERSONAL CATASTROPHE LIABILITY PREMIUM <br />S 225 _ 00 <br />TOTAL POLICY PREMIUM <br />$ 1 , 362 . HO <br />For information about additional costs to you related <br />to this policy, please read endorsement BCO00'I . <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 />AK 5034 (08 00) ge was made to your policy.ONTINUED ON REVERSE oo,94z t 00004�t <br />