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24 This Spectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any <br />34 other Forms and Endorsements issued to be a part of the Policy. This insurance is provided by the stock <br />TH insurance company of The Hartford Insurance Group shown below. <br />SBM <br />INSURER: SENTINEL INSURANCE COMPANY, LIMITED <br />ONE HARTFORD PLAZA, HARTFORD, CT 06155 <br />COMPANY CODE: A <br />THE <br />Policy Number: 36 SBM TH3424 DV HARTFORD <br />SPECTRUM POLICY DECLARATIONS <br />Named Insured and Mailing Address: PALACIOS LAW OFFICE <br />(No., Street, Town, State, Zip Code) <br />PO BOX 7282 <br />RIVERSIDE CA 92513 <br />Policy Period: From 06/28/24 To 06/28/25 1 YEAR <br />12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. <br />Name of Agent/Broker: MEDPRO INSURANCE SERVICES LLC/PHS <br />Code: 214543 <br />Previous Policy Number: 65 SBM TH3424 <br />Named Insured is: INDIVIDUAL <br />Audit Period: NON-AUDITABLE <br />Type of Property Coverage: NONE <br />Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we <br />agree with you to provide insurance as stated in this policy. <br />TOTAL ANNUAL PREMIUM IS: <br />Countersigned by <br />Form SS 00 02 12 06 <br />Process Date: 03/29/24 <br />$500 MP <br />Authorized Representative <br />Page 001 (CONTINUED <br />Policy Expi <br />03/29/24 <br />Date <br />oR,N F RiskMwugmuxtDMsian <br />REVIEWED & APPROVED BY. <br />o, z <br />A AaN44 <br />Risk Management Specialist <br />