IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as

soon as possible. Obtain the following information: 1. Name and address of each driver, passenger and witness. 2. Name of Insurance Company and policy number for each vehicle involved.

VEHICLE AND PRESENTED UPON DEMAND

THIS CARD MUST BE KEPT IN THE INSURED

ACORD 50 (2007/02) © ACORD CORPORATION 1983-2007. All rights reserved. INSURANCE IDENTIFICATION CARD

SEE IMPORTANT NOTICE ON REVERSE SIDE

(STATE)

COMPANY NUMBER COMPANY

POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE

INSURED

YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER

AGENCY/COMPANY ISSUING CARD

COMMERCIAL PERSONAL

KANSAS

Overland Park KS 66214

9933 Nieman St

Matthew D Pounds

Leawood KS 66211

4500 College Blvd., # 220

Insurance Management Consultants

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10914 KEMPER INDEPENDENCE INS CO