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DocuSign Envelope ID:2A1FF9C3-5E84-4494-AE50-59EAC650084E <br /> Insurance Office of America <br /> ASSIGNED POLICY NUMBER 01-602-95-06 <br /> THIS IS TO CERTIFY that we have procured insurance subject to all terms and conditions herein stated, from the <br /> Insurer(s) listed below: <br /> CERTIFICATE PERIOD: From 12:01 A.M. 6/30/2017 To 7/30/2017 <br /> POLICY PERIOD: From 12:01 A.M. 6/30/2017 To 6/30/2018 <br /> Policy wording is subject in all respects to the terms, conditions and limitations of the policy in current use by the <br /> Insurer(s) listed, unless otherwise specified: <br /> INSURER(S): Illinois National Insurance Company <br /> NAME OF INSURED: Bridgepay Network Solutions, LLC <br /> LOCATION/ADDRESS: 600 Northlake Blvd Suite 210 <br /> Altamonte Springs, FL 32701 <br /> PREMIUM: $29,406.00 <br /> SUBJECT TO RECEIPT, REVIEW AND ACCEPTANCE OF THE FOLLOWING: <br /> • Premium is due within 20 days from inception date or policy may be cancelled by the insurer. <br /> THIS BINDER CANNOT BE CANCELED FLAT. In the event of cancellation of this policy the Insurer(s)shall be <br /> entitled to an earned premium for the time in force(a)a short rate of the annual premium if canceled by the Insured, <br /> or(b)at pro rata of the annual premium if canceled by the Insurer(s). If the Binder of Insurance is subject to a <br /> MINIMUM RETAINED PREMIUM and is canceled by the Insured, the greater of the minimum retained premium or <br /> the short rate premium shall apply. <br /> This insurance is subject to all of the terms and conditions of the Policy to be issued. The Binder of Insurance shall <br /> automatically be terminated and voided by the delivery of the Policy to the Insured or their representative. <br /> Please be aware that if there is: <br /> a) any material change in the information provided; or <br /> b) any claim made by or against any insured or any notice of potential claim, <br /> occurrence, circumstance or wrongful act given under the expiring policy (if <br /> applicable); or <br /> c) any material change in the hazard or risk contemplated, <br /> Socius Insurance Services, Inc. must be advised immediately and quote, indication or <br /> binder provided may be rescinded or amended. <br /> Dated on June 30, 2017 <br />