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DocuSign Envelope ID:A29AB125-209D-4CB9-854C-789BEC34FODD <br /> CHUBBm <br /> August 20, 2020 <br /> Quotation Worksheet <br /> To: <br /> Account Number: 435072 <br /> Account: Dispute Settlement Center <br /> 302 Weaver Street <br /> Carrboro, NC 27510 <br /> In care of: <br /> Producer Contact: Lisa R Downey <br /> Producer: MARSHALL&STERLING UPSTATE, INC. <br /> 300 RT. 23 B <br /> LEEDS, NY 12451-0909 <br /> Licensed Producer: Frank S. Maranto, Jr <br /> Chubb Contact: Kelly Merce <br /> 860 408-2594 <br /> Kelly.Merce Chubb.com <br /> Product: Forefront Portfolio for Not-For-Profit Organizations <br /> Writing Company: Federal Insurance Company <br /> Policy Form: 14-02-10190 (Ed. 11/2004) <br /> Expiring Policy: 8179-7950 <br /> Policy Period: From: October 30,2020 <br /> To: October 30, 2021 <br /> At 12:01 A.M. local time at the address in Item 1. <br /> Chubb Group Of Insurance Companies 82 Hopmeadow Street 860.408.2000 <br /> P.O. Box 2002 Fax 860.408.2002 <br /> Simsbury, CT 06070-7683 <br />