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. <br />PRODUCER'S FACT SHEET <br />NAMED INSURED: NELLO'S ITALY, LLC <br />POL #: 14 SBM ZF3455 DV <br />PRODUCER'S NAME: PRODUCER'S CODE: 731978 <br />THOMAS RUTHERFOORD INC/PHS <br />POL EFF DATE: 02/18/12 POL EXP DATE: 02/18/13 <br />DIRECT ACCOUNT BILL NLTMBER - 13252955 <br />TRANSACTION TYPE: ENDORSEMENT <br />ENDORSEMENT PREMIUM: $0.00 <br />COMPANY/AGENT SALES <br />TRANS EFF DATE: 02/24/12 <br />CHANGE NO.: 001 <br />ENDORSEMENT PREMIUM BREAKDOWN <br />PREMIUM COMMISSION PERCENTAGE <br />TOTAL $0.00 <br />FORM TITLE <br />SS 12 11 04 05 POLICY CHANGE <br />SS 00 38 04 04 SPECTRUM SUPPLEMENTAL SCHEDULE OF AUDITABLE COVERAGES <br />IH 12 00 11 85 ADDITIONAL INSURED - PERSON-ORGANIZATION <br />PRODUCER'S FACT SHEET PAGE 1 <br />02/27/12 14 SBM ZF3455 DV (02/18/13) <br />