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Policy Number: <br />Policy Form: <br />Policy Period: <br />Retroactive Date: <br />Continuity Date: <br />Optional Extension Period: <br />Optional Extension Premium <br />Waiting Period: <br />Premium: <br />F00730 <br />022019 ed. <br />Date Issued: 18-Dec-2019 12:06:50 PM <br />W29133F190101 <br />Beazley MediaTech (F00731 022019 ed.) <br />From:26-Dec-2019 To:26-Dec-2020 <br />Both at 12:01 AM Local Time at the Named Insured Address <br />26-Dec-2012 <br />26-Dec-2014 <br />12 Months <br />100% of the Annual Policy Premium <br />8 Hours <br />REVIEWED & APPROVED <br />BY ISkMANAqEMENT DIVISION <br />JAN 17 2020 <br />S.AMANTHA M. LAMBERT <br />Page 2 of 4 <br />