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<br />FAX r~ <br /> <br />AUG-2&-2008 10:43 <br /> <br />Fr"om: <br /> <br />To: 1714571420S <br /> <br />P~'ie:2"'4 <br /> <br />1 0 This Spectrum Policy conslsl. Glltle Declarations, Covcrllllo fGrms, Comrnon Policy Cor,dilions and any <br />(jfj other Forms and Endorsements issued lO~)t! a part of the Pollc~. This insurance i$ provided by the stOt'.k <br />JlC insurance company of nNt Hamord Insurance Group shown helnw <br /> <br />S~^ <br /> <br />INSURER: HARTFORD CASUAL':'V INSUIlAl<C'" CUMPANY <br />llAR,','ORD PLAZA, llAAT~ORD, C'I <>6' " <br />COMPANV CODE: ) <br /> <br />THEl <br /> <br />HARTFORD <br /> <br />Policy Number: 7? SBA 1\09610 '" <br /> <br />SPECTRUM POLICY DECLARATIONS <br /> <br />COpy <br /> <br />... <br />" <br />'" <br />'" <br />'" <br /> <br />011\01105"'1<: VETERINARY !.,.II0RJ\TORIllS <br />TNC' <br />14 OlE SOU1'H S'f <br />LONG DEACH CA ~oeos <br /> <br />Policy Porlod: FrOlll 03/~G/nR To 08/26/0' 1 Y>:JIR <br />'.2.01 ..m.. Standard limo at your rnaillng address Shown allOlle, Excaptlon: 12 nGon in New Hampshire, <br />NameofAg.ntlBroker: <'lRAY-S1'Otl'" ~ COMPANVIPHS <br />Code: 2;3&51 <br /> <br />Named Insured and Ma1Nng Address: <br />[No., Street, lawn. Slale, Zip Codel <br /> <br />~ <br />o <br />... <br /> <br />',' <br />" <br />r <br />.. <br />'" <br />11 <br />N <br />r <br />'" <br />n <br />" <br />,- <br /> <br />PrevioUs Po~icy Number: 12: S811. A,G961n <br />Named Insuntd is: COilj,)ORA'i'ION <br /> <br />.- <br />. <br /> <br />iiiIiii. <br />""'" <br />== <br />iIiiiiii <br />e: <br /> <br />Audit Period: NON-AUDITAB1,F, <br /> <br />Type of PrGperty Coverogo: S.'ECIAL <br /> <br />Inlur.nce provided: In relurn for Iho pAyment 01 ttle premlu,n "nd $ubject 10 all of Ihe lerm. 01 this policy. we <br />Ogrcc wIth you to provide insurance as ~lMled in this policy <br /> <br />:::=. <br />:z= <br />-. <br /> <br />$2,3'J <br /> <br />TOTAL ANNUAL PREMIUM IS: <br /> <br />..... <br />.... <br />i;;!! <br />~ <br />". <br />.... <br />IIIll!l <br />- <br />- <br />- <br />- <br />- <br />=- <br />- <br />.- <br />::::! <br />:;;;;; <br />..- <br />= <br />... <br />- <br />=- <br />~ <br />- <br />- <br />- <br />i!il!Il <br />- <br />- <br />... <br />.... <br />!!!3 <br /> <br />1"\.(1.0(\"...:: ~, ~ <br /> <br />Countersigned by <br /> <br />or./l'loa <br />Oate <br /> <br />Aulhorized RCprillSElntiiuve <br /> <br />farm SS 011 021206 <br />proc.., Data: 06/n/oo <br /> <br />Page 001 (CON'J'lNU~U ON NllXT PAGF.) <br />Policy E~piralion Dale: 0012GI09 <br /> <br />LOW COPY <br /> <br />IIlV26/HB <br /> <br />1B:43 <br /> <br />1'9: 2 <br />