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FS 00 H902 00 0919 <br /> FIG 00 H129 00 1016 <br /> 8. Producer Name PAYCHEX INSURANCE AGENCY INCIPHS <br /> Address 225 KENNETH DR STE 110 <br /> ROCHESTER, NY 14623 <br /> 04/0512024 <br /> Countersignature Date <br /> Authorized Representative <br /> FS 00 G002 00 1016 FailSafe GIGA®Release 4.0 Page 2 of 2 <br /> ©2016,The Hartford <br />