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POLICY INSURER LIST BY JURISDICTION <br />INSURERNAICJURISDICTION <br />Hartford Casualty Insurance Company29424CA <br />ONE HARTFORD PLAZA <br />HARTFORD CT 06155 <br />Hartford Insurance Company of the Southeast38261AZ <br />ONE HARTFORD PLAZA <br />HARTFORD CT 06155 <br />Hartford Insurance Company of Illinois38288TX <br />ONE HARTFORD PLAZA <br />HARTFORD CT 06155 <br />THECOVERAGEPROVIDEDINEACHJURISDICTIONISWITHRESPECTTOTHELOCATIONSOFTHENAMED <br />INSUREDINTHATJURISDICTIONINACCORDANCEWITHTHEWORKERS’COMPENSATIONLAWOFTHAT <br />JURISDICTION.ASUSEDINTHISPOLICY,“COMPANY”,“WE”,“US”AND“OURS”MEANTHEMEMBERINSURANCE <br />COMPANIES OF THE HARTFORD INSURANCE GROUP COLLECTIVELY PROVIDING THIS INSURANCE. <br />Nothingherein,containedshallbeheldtovary,waive,alterorextendanyoftheterms,conditions,agreementsor <br />information of the policy, other than as herein stated. <br />Form WC 66 04 40Printed in U.S.A. <br />Process Date:08/17/24Policy Expiration Date:09/26/25 <br /> <br />