Laserfiche WebLink
11:11'I:1, INTO] *94iTd:1,rSO: FAkglei *2r:1:8asillI -AJIII :l:F_lelk MCI 0 :11'Iwo <br />CALIFORNIA INSTALLMENT FEE DISCLOSURE ENDORSEMENT <br />Policy Number: 72 WEC AB1 Z5Q Endorsement Number: <br />Effective Date: 02/01/20 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: AEF Systems Consulting Inc <br />8502 E CHAPMAN AVE STE 376 <br />ORANGE CA 92869 <br />This endorsement applies only to the insurance provided <br />because California is shown in Item 3.A. of the <br />Information Page. <br />A service fee of $7.00 is charged for each installment <br />when your premium is paid in installments. The service <br />fee is $5.00 per withdrawal when you select an <br />electronic fund transfer payment plan. The service fee <br />will be added to the premium amount shown on your <br />premium billing statement. <br />Form WC 99 03 75 Printed in U.S.A. <br />Process Date: 12/23/19 Policy E: <br />Rime Mattagmient DMsion <br />REVIEWED&APPROVED BY: <br />'� Risk Management Analyst <br />