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POLICY FACE SHEET <br />77 <br />60 INSURED: <br />IA HARTFORD CASUALTY INSURANCE COMPANY <br />SBA <br />POLICY NO. 72 SBA IA6077 DX <br />rn <br />o DECLARATIONS <br />M <br />ITEMS <br />1. NAMED INSURED AND <br />MAILING ADDRESS: <br />2. POLICY PERIOD: <br />CHANGE NO.: 001 <br />CHANGE EFF DATE: 06/24/09 <br />RECORDS RETENTION - PERMANENT <br />CINDY KREBS CONSULTING, INC. <br />26 CALAIS <br />NEWPORT COAST, ORANGE <br />CA. 92657 <br />06/05/09 06/05/10 1 <br />INCEPTION EXPIRATION YEAR <br />AGENT'S CODE: 253751 <br />AGENT'S NAME: NHC INSURANCE SERVICES, INC/PHS <br />PREVIOUS POLICY NO. 72 SBA IA6077 <br />3. THE NAMED INSURED IS: SUB -CHAPTER S CORP. <br />POLICY STATUS: ACTIVE <br />LOB LEVEL OF SUPPORT: SP -S <br />MARKET SEGMENTATION: 830 <br />SELECT CUSTOMER <br />AGENT SALES AGREEMENT (COMMISSION STATUS ) <br />DIRECT ACCOUNT BILL NUMBER - 12280620 <br />DEDUCTIBLE <br />ADDITIONAL INSUREDS) <br />CODING ENTRY NOT REQUIRED <br />voo lo <br />4 K <br />otval <br />P s 9 apt C1ty <br />TRANS TYPE: ENDT CNTL#: 004 <br />POLICY FACE SHEET TERMINAL ID: UOBBWK6A PAGE 2 <br />06/24/09 72 SBA IA6077 DX (06/05/10) <br />