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DocuSign Envelope ID:689CF72F-617F-4F08-Al2D-93F9518E9BBB <br /> PHILADELPHIA <br /> -� INSURANCE COMPANIES <br /> A Member of the Tokio Marine Group <br /> One Bala Plaza,Suite too,Bala Cynwyd,Pennsylvania 19004 <br /> 610.617,7900 • Fax 610.617.7940 • PHLY,com <br /> June 19, 2017 <br /> Insured's Name: Connie Winstead <br /> Insured's Address: 3000 Montgomery St <br /> Durham, NC 27705 <br /> Re: Auditing Information Request Form <br /> Below is the auditing information which you requested from Philadelphia Insurance Companies: <br /> Policy Number: PHPK561270-007 <br /> Nature of Insurance: FT : Fitness Trainers <br /> Policy Term: 04/30/2017- 04/30/2018 <br /> Annual Premium: $116.00 <br /> For any other information you need to assist in conducting this audit, please contact your agent <br /> listed below: <br /> Agency Name: Unassigned (SB) k± <br /> Agency Address: 27101 Puerta Real <br /> Mission Viejo, CA 92691 <br /> Agency Phone Number: <br /> Sincerely, <br /> Customer Service <br /> Philadelphia Insurance Companies <br />