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PRODUCER ' S FACT SHEET <br />NAMED INSURED: SIRIUS K9 ACADEMY F S2R2US K9 <br />TRAINING <br />POL #: 81 SBA IR4222 DD <br />PRODUCER ' S NAME : PRODUCER ' S CODE : 1 S 1 5 2 O AGENT SALES <br />MOURER-FOSTER 2NC/PHS <br />POL EFF DATE: 02/16/12 POL EXP DATE: 02/16/13 TRANS EFF DATE: 05/07/12 <br />DIRECT ACCOUNT BILL NUMBER - 12853281 <br />TRANSACTION TYPE : ENDORSEMENT CHANGE NO . O O 1 <br />ENDORSEMENT PREMIUM: $0.00 <br />NON -PREMIUM BEARING <br />FORM TITLE <br />SS 12 11 04 OS POLICY CHANGE <br />SS 04 22 07 OS F2NE ARTS <br />IH 12 00 11 85 ADDITIONAL INSURED - PERSON-ORGANIZATION <br />PRODUCER ' S FACT SHEET PAGE 1 <br />05/07/12 81 SBA IR4222 DD (02/16/13)