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Payroll Alliance Center <br />3600 WISEMAN BIND.. <br />SAN ANTONIO, TX 78251 <br />1"NE <br />HARTFORD <br />Jung 16, 2011 <br />ooeoss <br />ARC MERCURY INC <br />1942 BLAIR AVE <br />SANTA ANA CA 92705 <br />RE: Policy Number 76 tkTG GF,1653 <br />Door Paychex Client: <br />On be+half of our partnership with,Paychvx, Nvo would like to thank you for choosing The Hartford to provide <br />your Workers' Compensation insurance, We are pleased to welcome you to The Hartford and look forward to <br />servicing your figure needs. <br />In an effort to ensure that your coneorn� tarc3 u+ddrescsed ran efficiently a� poaeihlr, we are providing the <br />fallowing toll-free numhera: <br />Service Assistaneu <br />To contact a licons ed insurance professional <br />garding current coverage inquiries, <br />changeslendoreemonlo to your policy, roquesb for <br />certificates of insurance or salesinquirie.8 regarding <br />quotes for additional lines ofinaurance, please <br />contact: <br />The Hartrord'6 CustomerService f Sales Dapartment <br />Phone; 1 (877) 287-1312 <br />Monday - friday, 8:00 AM - 6:00 PM PST <br />Claims Assistance <br />To report a chum or leas, please cull the TcleChurn <br />line directly: <br />The liartford's 24 -flour `PeloClsim line <br />Phone: 1(877)383-7022 <br />Please keep a ropy of this letter for future roference. <br />Thank you, <br />The Itnrtt'ard's Payroll Alliance Center <br />Exhibit C <br />Billing Inquiries <br />A- our partnership with Paychex offers two primary <br />billing methods, it 6 necessary to direct specific <br />billing inquiries to the appropriate resource, <br />dependent on your specirru billing mothod. <br />It' you're currently a Workers' Cominnsation <br />Payment Service client, whereby your workers' <br />compensation premium is deducted with each <br />payroll cycle*, billing inquiries should be directed to; <br />tPayehoxInsurance Age-acy, Inc <br />Phone: 1(800) 472.0072 <br />fax: 1 (585) 664-3145 <br />Monday- Friday, 8:00 AM n 6:00 PM EST' <br />If you're currently receiving trills directly from The <br />Ilurtford, billing inquiries should be directed to: <br />The Hertford's Billing Department <br />Phone: 1 (800) 382.6170 <br />Monday - friday, 8:00 AM » 6:00 PM EST <br />