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i °:a 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 /> C insurance company of The Hartford Insurance Group shown below. <br /> INSURER: SEW . .. T. - T. .. <br /> 7',Z� ll .ti 1 01- r '1.413 " r.1 <br /> COMPANY CODE: <br /> TH-H I <br /> Policy Number: H A R T FO R D <br /> SPECTRUM POLICY DECLARATIONS <br /> Named Insured and Mailing Address: <br /> (No., Street, Town, State, Zip Code) <br /> Policy Period: From t. %2 I To 2 AP <br /> 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New Hampshire. <br /> Name ofAgent/Broker: - '- <br /> Code: 8133 <br /> Previous Policy Number: 52 ;'r; <br /> Named Insured is: COR'oFT-TIoN <br /> Audit Period: N -AUDITAE:LE <br /> Type of Property Coverage: S:% ,: Zr is <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: $ ,C <br /> ( yaoR <br /> POLICY PPEI`Ml4 INCLUDES NACCO'INT <br /> Countersigned by u 7 ,%1 =<I2": <br /> Authorized Representative Date <br /> Form SS 00 02 12 06 Page :',1 -F 11EXT p G- <br /> Process Date: 1 I c'/ Policy Expiration Date: ;F' <br />