Orange County NC Website
Browse       Search
DocuSign Envelope ID:2A1FF9C3-5E84-4494-AE50-59EAC650084E <br /> Illinois National Insurance Company <br /> 600 Northpark Town Center <br /> 1200 Abernathy Road, N.E. .' w dtiti <br /> Atlanta, GA 30328-2594 b <br /> (770) 671-2000 u,u Iil <br /> BINDER OF INSURANCE CONFIRMATION LETTER <br /> June 30, 2017 <br /> ERIC SHAPIRO <br /> SOCIUS INSURANCE SERVICES, INC. <br /> 1408 NORTH WESTSHORE BLVD. SUITE 611 <br /> TAMPA, FL 33607- <br /> RE: BRIDGEPAY NETWORKS SOLUTIONS <br /> SPECIALTY RISK PROTECTOR <br /> Name of Insurance Carrier: ILLINOIS NATIONAL INSURANCE COMPANY <br /> Address of Insurance Carrier: 175 WATER STREET, NEW YORK, NY, 10038 <br /> Tab#: 1615588, Submission #: 348295774 <br /> Policy#: 01-602-95-06 <br /> Replacement of Policy # 01-584-45-79 <br /> Policy Period Effective Date From: 06/30/2017 To 06/30/2018 <br /> Dear Eric: <br /> On behalf of Illinois National Insurance Company (hereinafter "Insurer"), I am pleased to <br /> confirm the binding of coverage in accordance with our agreement as set forth below and <br /> subject to the conditions set forth herein. Please review said Binder for accuracy and <br /> contact the Insurer 'rior to the effective date of policy coverage of any inaccuracy(ies) <br /> found within the issued Binder. If the Insurer does not hear from you prior to the effective <br /> date of policy coverage it will be understood that the Binder has been accepted as an <br /> accurate description of the agreed upon terms of coverage. <br /> ***IMPORTANT POLICY ISSUANCE VERIFICATION*** <br /> A policy will be issued with the name and address of the Insured exactly as referenced in <br /> the "Policy Information" Section of this Binder. If this information is inaccurate, please <br /> advise us immediately. <br />