Orange County NC Website
<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 /> <br /> <br />August 20, 2020 <br /> <br />Quotation Worksheet <br /> <br />To: <br />Account Number: 435072 <br />Account: Dispute Settlement Center <br /> 302 Weaver Street <br /> Carrboro, NC 27510 <br /> <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 /> <br /> <br />Chubb Contact: Kelly Mercey <br /> (860) 408-2594 <br /> Kelly.Mercey@Chubb.com <br /> <br /> <br />Product: Forefront Portfolio for Not-For-Profit Organizations <br /> <br />Writing Company: Federal Insurance Company <br /> <br />Policy Form: 14-02-10190 (Ed. 11/2004) <br /> <br />Expiring Policy: 8179-7950 <br /> <br /> <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 /> <br /> <br />DocuSign Envelope ID: 010D91E2-5C66-4610-B0AF-F96D7E61B6C5