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<br />Fax fr'* <br /> <br />AUG-26-2008 10:43 <br /> <br />Fr'om: <br /> <br />To: 17145714~ <br /> <br />Pa~e:2/4 <br /> <br />70 This Spectrum Policy conslsl~ Ofth9 Dedarations, C01/1:rago forms, Conlrnon Policy Conditions and any <br />oClFi other Forms and Endorsements issued to be a part of the Policy. This insurance is; provided by lhe sto~k <br />At;; insurance company of Thn Hartford lnsut3r'lCC Group shown helnw <br /> <br />::>tl^ <br /> <br />IIIISURER: HARTFORD CASUALTY INSUfWlCE COMPANY <br />\lARn'ORD PLAZA, IIAAT~ORD, C" "~115 <br />COMPANY CODE: 3 <br /> <br />THEl <br /> <br />HARTFORD <br /> <br />Policy Number: 72 sal'> 1\09670 lJ' <br /> <br />SPECTRUM POLICY DECLARATIONS <br /> <br />con <br /> <br />rl <br />" <br />'" <br />,., <br />,., <br /> <br />Named Insured and MaUing AddreSs.: <br />[No., Street, TOWl1, State. Zip Code) <br /> <br />OTl\GNOS'l'lt: VETERINARY l.1l.RC~1\TORIBS <br />TNC <br />14 OlE SOUTH s.r <br />LONG DEACH <br /> <br />CA ~OfJOS <br /> <br />cr, <br />~ <br />rl <br />'.' <br />n <br />. <br />'" <br />'" <br />~ <br />N <br />. <br />" <br />n <br />Q <br />.. <br /> <br />Policy Porlod: From 00/2(,/00 To 00/26/0~ 1 YEM <br />12.01 ~.m.. Standard time at your rnaillf1!J address shown above. Exc.ption: 12 noon in New Hampshire. <br />lIIameofAgentlBroker: ".AY-STOOlE & COMPANY/PHS <br />Code: 2;3&51 <br /> <br />Provious Policy Number: 72 $Bll. l\G9tl1C'l <br /> <br />Named Insured is: CO~PORA'i'ION <br /> <br />.- <br />. <br /> <br />~ <br /> <br />Audit Period: NON-AUDITABT.F, <br /> <br />= <br />... <br />... <br /> <br />Type of Property Cov.rag.: SIo'ECIAL <br /> <br />Inlurance Provided: In relurn fOf thA ~Ayment or the premium and subject to 01101 the term:c of this policYt we <br />Qgrcc wIth you to proVide insurance as ~l:r>lled in this policy <br /> <br />== <br />-= <br />..... <br />== <br />ii!!5 <br />~ <br />'- <br />-= <br />== <br />iii <br />- <br />- <br />..... <br />~ <br />.- <br />:::: <br />0;;; <br />""'" <br />= <br />-- <br />... <br />~ <br />-= <br />- <br />- <br />i!ilIIl <br />;;;;;; <br />~ <br />""'" <br /> <br />TOTAL ANNUAL PREMIUM IS: <br /> <br />$2,372 <br /> <br />1i\.(l..{~: ~. ~ <br /> <br />Countersigned by <br /> <br />0(,/11 loa <br />Oate <br /> <br />Aulhorized Rcpr~s~nti;llive <br /> <br />!!:! <br /> <br />form 55 00 021206 <br />proce.. Data: 06/11/00 <br /> <br />poge 001 (CON'J'1NU~D ON NEXT PAGF.) <br />Policy E.piration Dale: OO/2G/09 <br /> <br />L'W COPY <br /> <br />88-'26/88 <br /> <br />18:43 <br /> <br />Pg: 2 <br />