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DocuSign Envelope ID:660CF382-5584-476A-8F2B-840FFE7837CB <br /> I€ <br /> I <br /> !Pt <br /> 'Y a <L T <br /> tr4:614, <br /> Lloyd' s C <br /> This Insurance is effected with certain Underwriters at Lloyd's, <br /> London(not incorporated). <br /> This Certificate is issued in accordance with the limited <br /> authorization granted to the Correspondent by certain Underwriters at Lloyd's, <br /> London whose names and the proportions underwritten by them can be <br /> ascertained from the office of said Correspondent (such Underwriters being <br /> hereinafter called "Underwriters") and in consideration of the premium <br /> specified herein, Underwriters do hereby bind themselves each for his own <br /> part, and not one for another, their heirs, executors and <br /> administrators. !' <br /> The Assured is requested to read this certificate, and if not correct, <br /> return it immediately to the Correspondent for appropriate alteration. <br /> In the event of a claim under this certificate, please notify the following <br /> correspondent: <br /> Hays Affinity Solutions <br /> A Member of Hays Companies <br /> 1025 Thomas Jefferson Street, NW <br /> Suite 425W <br /> DC 20007 <br /> Page 1 of 7 <br /> I, <br />