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UH3 A664942 07 1001631 <br />The Home Office address for the Insurance Company shown on the policy Declarations page is: <br />Allmerica Financial Alliance Insurance Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />Allmerica Financial Benefit Insurance Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />Campmed Casualty & Indemnity Company, Inc. <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />Citizens Insurance Company of America <br />(A Stock Company) <br />808 North Highlander Way <br />Howell, MI 48843-1070 <br />Citizens Insurance Company of Illinois <br />(A Stock Company) <br />333 West Pierce Road, Suite 300 <br />Itasca, IL 60143-3114 <br />Citizens Insurance Company of the Midwest <br />(A Stock Company) <br />9229 Delegates Row, Suite 100 <br />Indianapolis, IN 46240-3824 <br />Citizens Insurance Company of Ohio <br />(A Stock Company) <br />4400 Easton Commons Way, Suite 125 <br />Columbus, OH 43219-6223 <br />401-1377 06 20 <br />The Hanover American Insurance Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />The Hanover Insurance Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />The Hanover Casualty Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />Massachusetts Bay Insurance Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />The Hanover New Jersey Insurance Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />Verlan Fire Insurance Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />Nova Casualty Company <br />(A Stock Company) <br />440 Lincoln Street <br />Worcester, MA 01653-0002 <br />Ride Muaigmad DlMsian <br />E <br />REVIEWED & APPROVED BY. <br />e Aeevaa <br />'�--'Risk Management Specialist <br />