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CoverQuote e <br />Welch Insurance Seri <br />Mo -n November 14, 201.5 <br />FULLY EARNED SERVICE FEE <br />TOTAL PREMIUM INCLUDING FEES <br />Not Included in Quote <br />$0.00 <br />$9,524.00 <br />Please, review the quote carefully. Should there be any changes, pelase call us and we will amend to <br />your specifications. <br />1 Reauested effective date t NO BACKDATING <br />2 Your Retained Commission _ 10.00j $152.401 " OR 25% DOWN + Fees $�� �� <br />less Retained Commission <br />3 Remit TOTAL NET PREMIUM + Fee --',$1,371.601 <br />--------------- <br />4 Visit www,ifwins.com, click the Red Tab BIND YOUR QUOTE upload to the following: <br />a. This OUOTE COVER PAGE with Effective date <br />L <br />C. Completed TRUST CHECK made payable to JF Welch Insurance Service Inc. <br />We will finance premium with IPFS if not paid in full (No outside financing permitted) <br />You will receive a Delivery Receipt of your bind request to the Email address you provide <br />SPECIAL INSTRUCTIONS: <br />* " * THIS QUOTE IS GOOD FOR 30 DAYS -f - <br />Coverages and terms being offered may not be the same or as broad as your request, review and contact us with any questions. <br />We anxiously await your bind request. <br />Telephone: (800) 400-3276 '° Fax: (800) 733-2938 CA license #01784446 <br />We charge a $25,00 fee for all dishonored checks, checks returned for NSF, stop payment or account closed. Uncollected funds will be <br />referred to an outside collection agency and or proper governmental law enforcement agency, <br />We appreciate the opportunity t® serve you! <br />