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DocuSign Envelope ID: 3FD37DED-3EFC-49BB-BD08-D6EFCA4FEB76 <br /> NOTE: If Insured is located outside yourresident stafe we must receive a Copy of vour non-resident <br /> license gELpr to binding, <br /> If coverage is elected,please note: <br /> Tammy Walton National Producer Number 5542887 <br /> The insurance company with which this coverage has been placed Is not licensed by the <br /> State of North Carolina and is not subject to its supervision. In the event of the <br /> insolven gqy of the Insurance conligany, losses under this Poky will not be paid 12y an <br /> State insurance guaranty or solvengy fund. <br /> Premium- $4,500.00 <br /> Agency Fee $500.00 <br /> State Tax $225.00 <br /> Total: $5,225.00 <br /> AGAIN, KEEP IN MINI]THAT THE COVERAGES OFFERED IN THIS QUOTATION MAY DIFFER FROM THAT <br /> REQUESTED IN THE APPLICATION. FAILURE TO PROVIDE THE REQUESTED COVERAGE SHALL IMPOSE <br /> NO LIABILITY ON CRC INSURANCE SERVICES,INC.OR ITS COMPANIES. <br /> CRC is compensated in a variety of ways, including commissions and fees paid by insurance companies and fees paid by <br /> clients. Some insurance companies pay brokers supplemental commissions (sometimes referred to as "contingent <br /> commissions" or"incentive commissions"),which is compensation that is based on a broker's performance with that carrier. <br /> These supplemental commissions may be based on volume, profitability, retention, growth or other measures_ Even if a <br /> contingent commission agreement exists with a carrier,we recognize that our responsibility is to promote the best interests of <br /> the policyholder in the selection of an insurance company. For more information an CRC's compensation,please contact your <br /> CRC broker. <br /> Financing Insurance Premiums <br /> Premium financing budgets insurance payments and improves liquidity for other business objectives:working capital,business <br /> growth,building expansion. <br /> If your clients choose to pay their insurance in monthly installments,it's fast and easy with AFCO&Prime Rate Insurance <br /> Premium Finance Companies,which are affiliates of CRG.AFCO provides premium financing solutions for large and mid-size <br /> corporate accounts;Prime Rate offers solutions for smaller commercial and personal lines_ <br /> Find out how premium financing works and how it can expand your relationship with your clients by e- <br /> mailing remiumfinance afco.com;or call toll-free 866-669-0937 and press 89-Additional information Is available at <br /> www_afco.com and www.primeratel)fo.com. <br /> Thank you for giving us the opportunity to work on your business. <br />