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HOLDER CODE CLEAR-1 PAGE 2 <br />INOTEPAD: INSURED'S NAME Clearsource Financial Consulting OP ID: AR Date 12102/2020 <br />* of cancellation to be mailed to certificate holder; 10 day notice for <br />non-payment of premium. <br />Risk MmRgmentDMsian <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />