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POSITRON -2004
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POSITRON -2004
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Last modified
3/23/2017 8:46:28 AM
Creation date
1/9/2006 5:04:16 PM
Metadata
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Template:
Contracts
Company Name
Positron
Contract #
A-2004-229
Agency
Police
Council Approval Date
10/18/2004
Insurance Exp Date
12/31/2200
Notes
PER LAURA SHEEDY IPC IS FOR POSITRON. SHE WILL REQUEST LETTER FOR FILE AFFIRMING THIS.
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<br />Customarq Series <br />Customarq Classic Insurance Program <br /> <br />Premium Bill <br /> <br />Po/icy Period <br /> <br />DECEMBER3l, 2007 TO DECEMBER31, 2008 <br /> <br />Effective Date <br /> <br />DECEMBER31, 2007 <br /> <br />Po/icy Number <br /> <br />3583-93-98.)TO <br /> <br />Insured <br /> <br />IPC SYSTEMS, INC. <br /> <br />Name of Company <br /> <br />GREAT NORTHERN INSURANCE COMPANY <br /> <br />Date Issued <br /> <br />FEBRUARY25,2008 <br /> <br /> <br />Portion of total premium attributable for terrorism and statutory standard fire where applicable <br />is $ 0.00 <br /> <br />PLEASE SEND PAYMENT TO AGENT OR BROKER. <br /> <br />ADDITIONAL INSURED CHANGES <br /> <br />Date PaymentDue <br />DECEMBER31,2007 <br /> <br />Additional <br />Premium <br /> <br />$ 0.00 <br /> <br />TOTAL <br /> <br />$ 0.00 <br /> <br />WHEN SENDING PA YMENT,PLEASEINDICATEPOLICYNUMBERON YOUR CHECK. <br /> <br />NOTE: PLEASE RETURN THIS BILL WITH PAYMENT AND INCLUDE ANY ADDITIONALCHANGES. <br /> <br />IF THIS ENDORSEMENTHAD BEEN IN EFFECT FOR A FULL YEAR <br />THE RETURN OR ADDITIONAL PREMIUM WOULD HAVE BEEN: $ 0 <br /> <br />Producer: <br />KRAUTER& COMPANYLLC <br />1211 AVE OF AMERICAS29F <br />NEW YORK, NY 10036-0000 <br /> <br />:,,, <br />1 . <br /> <br />'-, <br />\ <br />.i : -{ ( ~ <br /> <br />, <br />./ , <br />, ^ 1/ <br />;/-, 1:. .' <br />. )/\ t / .ell! <br />I .::- . <br /> <br />I! <br />I Ij <br /> <br />, . .....j..1 "7\ <br />I: ' <br /> <br />'- <br /> <br />. \ . <br /> <br />II <br />)1 <br /> <br />Reference Copy <br /> <br />last page <br />Page 1 <br /> <br />- <br />Form 80-02-902qEd. 4-94) <br /> <br />Premium Bill <br />
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