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THE 14 <br />HARTFORD <br />SPECTRUM POLICY DECLARATIONS (Continued) <br />POLICY NUMBER: 76 SBM BC3ROR <br />SUPPLEMENTAL DECLARATIONS: <br />A service fee of $7.00 is charged for each installment when your premium is paid in installments. The service fee <br />is $5.00 per withdrawal when you select an electronic fund transfer payment plan. The service fee will be added <br />to the premium amount shown on your premium billing statement. <br />Form SC 0168 10 18 Page 1 of 1 <br />Process Date: 04/05/2024 © 2018, The Hartford Policy Expiration Date: 07/05/2025 <br />(May include copyrighted material of Insurance Services Office, Inc., with its permission) <br />