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Personal Umbrella Policy Declarations <br />Your policy effective date is December 29, 2022 <br />Total Premium for the Premium Period (Your bill will be mailed separately) <br />Excess Liability <br />Total <br />$219.16 <br />$219.16) <br />Your bill will be mailed separately. Before making a payment, please refer to your <br />latest bill, which includes payment options and installment fee information. If you do <br />not pay in full, you will be charged an installment fee(s). <br />Your policy premium has been developed using the following information: <br />• 2 Vehicles ■ Supporting Allstate Home and/or Auto <br />Policy(ies) <br />• 2 Operators in the household <br />Your Policy is a legal contract between you and Allstate Indemnity Company. <br />Read Your Policy Carefully <br />Discount (included in your total premium) <br />Multiple Policy Discount - <br />Auto and Property 33% <br />Operators in the household* <br />Jacqueline Mjolhus <br />Eric Mjolhus <br />*The operators named are currently listed on your auto policy. If there are any other <br />operators in your household or if any of the operators named have left your household, <br />please contact your agent or producer of record to have your policy updated. <br />Policy Coverages and Limits of Liability <br />Coverages Limits of Liability <br />Excess Liability -Bodily Injury and Property Damage $1,000,000 each occurrence <br />Annual Aggregate Limit $2,000,000 during the <br />current policy period <br />Excess Liability - Personal Injury <br />Annual Aggregate Limit <br />Additional Dwelling Rented To Others <br />$500,000 each occurrence <br />$1,000,000 during the <br />current policy period <br />Not purchased* <br />* This coverage can provide you with valuable protection. To help you stay current <br />with your insurance needs, contact your agent to discuss available coverage <br />options and other products and services that can help protect you. <br />Allstate® <br />Page 1 of 3 <br />Information as of December 28, 2022 <br />Summary <br />Named Insured(s) <br />Jacqueline Mjolhus, Eric J Mjolhus <br />Mailing address <br />5649157th Ave NW <br />Ramsey MN 55303-4044 <br />Policy number <br />1 811389 9711 <br />Your policy provided by <br />Allstate Indemnity Company <br />Policy period <br />Begins on December 29, 2022 at 12:01 <br />A.M. standard time, with no fixed date of <br />expiration <br />Premium period <br />Beginning December 29, 2022 through <br />December 29, 2023 at 12:01 A.M. <br />standard time <br />Your Allstate agency is <br />Sniezek Group Agcy <br />9630 Colorado Ln N <br />Brooklyn Park MN 55445-2384 <br />(763) 205-5322 <br />SniezekAgency@allstate.com <br />Some or all of the information on your <br />Policy Declarations is used in the rating <br />of your policy or it could affect your <br />eligibility for certain coverages. Please <br />notify us immediately if you believe <br />that any information on your Policy <br />Declarations is incorrect. We will make <br />corrections once you have notified us, <br />and any resulting rate adjustments, will <br />be made only for the current policy <br />period or for future policy periods. <br />Please also notify us immediately if you <br />believe any coverages are not listed or <br />are inaccurately listed. <br />MN088NBD 02/22 <br />