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If Non Admitted the following applies: <br /> California Tax Filings are the responsibility of: O Your Agency (x ) CRC <br /> SURPLUS LINES LICENSEE: CRC Corporate License 0778135 <br /> Home State: CA <br /> The Home State was determined based on the information provided in your submission and the completed <br /> Declaration of Home State form. Please ensure the correct Home State is listed. Incorrect information could <br /> result in additional or return taxes, fees, surcharges, penalties, interest, and assessments at a later date, and <br /> in addition to what is shown. Additionally, please note that this is the current tax calculation based on the <br /> Home State but there could be changes that result in additional or return tax - due at a later date - based on <br /> future enactments of surplus lines laws by any of the various states. <br /> Upon requesting quotes and/or placement for the coverage listed herein, the producing retail broker hereby <br /> confirms that he/she has performed any and all diligent searches, as may be required by statute, for coverage <br /> through licensed carriers or other means of placement, and as necessary maintain proof of declination. Where <br /> allowed by governing statutes, "diligent effort" may not require an actual physical search and declination on <br /> each risk, but may be based on the retail producing broker's own experience, opinion and overall knowledge <br /> of acceptability in the admitted marketplace. <br /> CRC does not issue any certificates of insurance. It is the responsibility of the issuing party Sullivan Curtis <br /> Monroe Insurance Services, LLC - Irvine, to issue COls according to the insurance policy in reference. CRC <br /> does not check or review any COI they receive. All copies of COls received will be destroyed at time of <br /> receipt. <br /> Financing Insurance Premiums <br /> Premium financing budgets insurance payments and improves liquidity for other business objectives: working capital, <br /> business growth, building expansion. <br /> If your clients choose to pay their insurance in monthly installments, it's fast and easy with AFCO Premium Finance. <br /> AFCO provides premium financing solutions for large, mid-size and small corporate accounts; <br /> Find out how premium financing works and how it can expand your relationship with your clients by <br /> e-mailing AFCODirect c1 afco.com; or call toll-free 877-317-6437. <br /> Should you have any questions, please feel free to contact our office. <br /> Sincerely, <br /> John Fosdick <br /> 949-477-6665 <br /> Jfosdick@crcgroup.com <br /> 15122425 <br /> CONFIDENTIAL <br />