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MARIANN LONG & ASSOCIATES - 2012
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MARIANN LONG & ASSOCIATES - 2012
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Last modified
3/14/2013 1:42:14 PM
Creation date
3/14/2013 9:30:28 AM
Metadata
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Template:
Contracts
Company Name
MARIANN LONG & ASSOCIATES
Contract #
A-2011-212-01
Agency
PUBLIC WORKS
Expiration Date
11/30/2014
Insurance Exp Date
11/22/2013
Destruction Year
2019
Notes
A-2011-212
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KEMPER <br />PREFERRED <br /> <br />PCG AGENCIES INC tnstJfailce PrQVile?d .... <br />11914TH ST Nw STE 300 <br />ST PAUL, MN 55112 KEMPER INDEPENDENCE <br /> <br />Agency Phone (800)327-1500??? INSURANCE COMPANY <br />12926 Gran Bay Pkwy W -Jacksonville, FL 32258 <br />0000423 02 MB 0.404 -AUTO T4 0 5705 92604.332489 -C03-10 3212286 RB 752730 Effective: 11-22-2012 <br />IIIIII'II1111111iI'III"I"'I'I"'IIIIII'IIII'I'I'I'1'II111'IIII' Expiration: 11-22-2013 <br />Producer Code 12:01 a.m. standard time. <br />MARfANN LONG 53-1222 <br />89 LAKESHORE <br />IRVINE, CA 92604-3324 <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 />130licV. <br />:: ...... .................................................. <br />RESIDENCE PREMIUM (SECTION 1 AND SECTION 11) <br />$ <br />390.00 <br />NONE ' <br />AUTOMOBILE PREMIUM (SECTION 111) $ 981.80 NONE <br />PERSONAL CATASTROPHE LIABILITY PREMIUM $ 225.00 NONE <br />TOTAL POLICY PREMIUM' - $ 1,596.80 s .00 <br />For information about additional costs to you related <br />to this policy, please read endorsement B00001. <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 />?J), k t Cam & <br />ACl.
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