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KEMPER <br />PREFERRED <br />PGG AGEIVCIES IIVG <br />119 14TH! ST NW STE 300 <br />ST PAUL, MN 55112 <br />Agency Phone (900)327-1500 <br />0000548 MB "AUTO Te 0 5697 02604-332489 •C05.112 <br />11111111111411111]111lJill IIf Ill' 114 111111111 11111111141111 111111 <br />MARIANN LONG <br />69 LAKESHORE <br />IRVINE, CA 926o4-3324 <br />;err .ur�rl.+ce Pr��vld+�d.. Y.... :.. ......:. ....:..>:;,:.:: <br />KEMPERINDEPENDENCE <br />INSURANCE COMPANY <br />12926 Gran Bay Pkwy W - Jacksonville. FL 32258 <br />5815274 RB 752730 <br />Producer Code <br />53-1222 <br />POLICY DECLARATIONS - PACKAGE PLUS <br />Effective; 11-22-2015 <br />Expiration; 11-22-2016 <br />12;01 a.m. standard time. <br />RESIDENCE PREMIUM (SECTION I AND SECTION II) $ 392.00 <br />PAYMENT EXPECTED FROM INSURED <br />AUTOMOBILE PREMIUM (SECTION Ill) $ 893.74 <br />PAYMENT EXPECTED FROM INSURED <br />i PERSONAL CATASTROPHE LIABILITY PREMIUM $ '177.00 <br />V TOTAL POLICY PREMIUM $ 1,462.74 <br />COVERAGE APPLIES ONLY IFA 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 />AKd5034 (D8c0h0) ge wars made to yoLlr policV.ONTINUED ON REVERSE <br />CC 023161 9 0000548 <br />