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DocuSign Envelope ID:8B670D51-A7FD-4694-8E94-963553021305 <br /> S�Z CUNA MUTUAL GROUP <br /> CUMIS Insurance Society,Inc. <br /> Home Office: Administrative Office: <br /> 2000 Heritage Way 5910 Mineral Point Rd <br /> Waverly,IA 50677 Madison,WI 53705 <br /> KEEP THIS NOTICE WITH YOUR INSURANCE PAPERS <br /> QUESTIONS ABOUT YOUR INSURANCE? - If you have questions about this insurance, do not <br /> hesitate to contact CUMIS Insurance Society, Inc. or your authorized CUNA Mutual Representative <br /> to resolve your questions. <br /> CUMIS Insurance Society, Inc. <br /> Administrative Office <br /> 5910 Mineral Point Road <br /> Madison, WI 53705 <br /> 800-637-2676 <br /> CUND 75 02 08 <br />