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Page 2 <br />Named InsuredBACKHAUS DANCE <br />Customer ID <br />Policy NumberWC80946 <br />Transaction TypeNew BusinessEffective9/7/2021 <br /> <br />UFSN!TUBUF!UPUBMT <br />EstimatedTaxes AndState <br />StateExposurePremiumAssessmentsTotal <br />CA86,0055,637.00224.005,861.00 <br />Estimated Totals86,0055,637.00224.005,861.00 <br /> <br />