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c/o CT Corporation System <br />3867 Plaza Tower Drive <br />Baton Rouge, LA 70816-4378 <br />www.theinsco.com <br />Administrative Office <br />70 Seaview Avenue #6, Stamford, CT 06902 <br />T.H.E. Insurance Company's Partner Agency <br />SCHWEICKERT & COMPANY <br />17300 RED HILL AVENUE #210 <br />IRVINE CA 92614 <br />Phone:714-689-1770 <br />Fax:714-436-6498 <br />T.H.E. Insurance Company <br />POLICY PROVISIONS <br />In consideration of the payment of the premium, in reliance upon the statements made a part hereof and subject <br />to all the terms of this policy, the Company agrees with the Named Insured as follows: <br />THIS POLICY JACKET WITH THE POLICY DECLARATIONS PAGE AND ENDORSEMENTS, <br />IF ANY, ISSUED TO FORM APART THEREOF, COMPLETES THE POLICY. <br />a�a �DL �Zg J- <br />Toni Ann Perkins,Secretary Donna Nadeau, President <br />IN WITNESS WHEREOF, the Company has caused this policy to be signed by its President and Secretary <br />and countersig ned on the DECLARATIONS and on each Coverage Part by a duly authorized <br />representative of this company. <br />JACKET 04 13 <br />oRaN RiskManWmerdDMsian <br />REVIEWED & APPROVED SY.- <br />o z <br />f R. Vj&wd <br />Risk Management Analyst <br />