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85 This Spectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any <br /> 45 other Forms and Endorsements issued to be a part of the Policy.This insurance is provided by the stock <br /> AC insurance company of The Hartford Insurance Group shown below. <br /> SBA <br /> INSURER: SENTINEL INSURANCE COMPANY, LIMITED <br /> ONE HARTFORD PLAZA, HARTFORD, CT 06155 <br /> COMPANY CODE: A <br /> TTHE <br /> Policy Number: 52 SBA AC4585 SC tIARTFORD <br /> SPECTRUM POLICY DECLARATIONS <br /> Named Insured and Mailing Address: SNOHOMISH COUNTY LEGAL SERVICES <br /> (No., Street,Town,State,Zip Code) <br /> 2722 COLBY AVE STE 308 <br /> EVERETT WA 98201 <br /> Policy Period: From 03/01/21 To 03/01/22 1 YEAR <br /> 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. <br /> Name of Agent/Broker: LEAVI TT GROUP NORTHWEST <br /> Code: 813305 <br /> Previous Policy Number: 52 SBA AC4585 <br /> Named Insured is: CORPORATION <br /> Audit Period: NON-AUDI TABLE <br /> Type of Property Coverage: SPECIAL <br /> Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy,we <br /> agree with you to provide insurance as stated in this policy. <br /> TOTAL ANNUAL PREMIUM IS: $1,C07 MP <br /> IN RECOGNITION OF THE MULTIPLE COVERAGES INSURED WITH THE HARTFORD, YOUR <br /> POLICY PREMIUM INCLUDES AN ACCOUNT CREDIT. <br /> Ca.eakadez..., <br /> Countersigned by 01/18/21 <br /> Authorized Representative Date <br /> Form SS 00 02 12 06 Page 001 (CONTINUED ON NEXT PAGE) <br /> Process Date: 01/1B/21 Policy Expiration Date: 03/01/22 <br />