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CHANGE OVERPRINT /CHANGE SLIP <br />lNSURED'S NAME: SOFTMASTER, INC . <br />New/Renewal: N <br />Solicitor Code: <br />SAI: 13 8 802141 <br />MSI: I <br />Rating Mode: G <br />Special Code: <br />Program Code: U07 <br />Paymode: L <br />Audit Frequency: N <br />Responsibility: I <br />POLICY NUMBER: 1-680-6259N475-ACJ-09 <br />ISSUE DATE: 07-21-09 <br />RATER: WO <br />CHANGE EFFECTIVE DATE: 07-21-09 <br />EFFECTIVE DATE: 07-01-09 <br />EXPIRATION DATE: 07-01-10 <br />Watch File: 0 <br />Survey Code: 2 <br />Reinsurance: N <br />DOWNSTREAM <br />Pro Rata Factor: 0.945 <br />PREMIUM SUMMARY <br />~ ~_ _ ~~ <br />ACCT. EFF. PREMIUM <br />S.B. MO. DATE .2000 <br />TOTAL <br />OFFICE: DIAMOND BAR 189 <br />PRODUCER NAME: NETWORFCED INSURANCE AGTS <br />Page 1 of 1 <br />