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CNA CNA PARAMOUNT <br />Policy Holder Notice - Countrywide <br />QUALITY ASSURANCE FORM <br />Help Us To Serve You Better <br />Every effort has been made to produce a quality product for you. Please review this transaction, and if it is incorrect list the <br />correction needed in the space provided below and fax this Quality Assurance Form to us at <br />B77-363-8669 or email to ciet@cna.com <br />Questions pertaining to any transaction should be referred to CNA Customer Interaction <br />Center at 877-574-0540, Option 3 <br />Please send routine requests via standard ACORD forms through the same method you are using today. The <br />preferred method is by fax: to 877-363-8669 <br />Insured/Account Name: OVERDRIVE HOLDINGS, INC. <br />Policy Number: C 6080688803 <br />Agent Name: AON RISK SVCS CENTRAL, INC. <br />Producer Code: 079828 <br />Transaction Type: Endorsement <br />Transaction Effective Date: 08/07/2020 <br />Line of Business: PMT <br />Branch:PHILADELPHIA BRANCH <br />Your Transaction was processed by Commercial Insurance Center - Lake Mary, FL <br />CID: BY CAC6167 <br />Transaction Incorrect - See Below. <br />Correction needed: <br />CNA68757XX 09-12 <br />Copyright CNA All Rights Reserved. <br />Transaction Processed Correctly <br />Risk Mvagwwd DpREVIEWED& Arvaav®rt <br />" Fu,"we P, m4ml <br />Rak Management Analyst <br />