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Policy No: EQB0000610

Statement Date: 02/22/2024

American Family Brokerage


6000 American Parkway
Madison WI 53783-0000

INSURED NAME AND ADDRESS

Raja Bakery
25 Main St
Ellington CT 06029

REMINDER NOTICE

Policy Number Policy Period Amount Due Due Date


EQB0000610 12/01/2023 - 12/01/2024 $14,000.00 02/17/2024

According to our records we have not received payment in full for the above captioned policy or any applicable premium changes
made to the policy. Please remit your payment as soon as possible to avoid policy cancellation.

If we receive payment of premium within 10 days from the date of this letter, the referenced policy will remain in force without
any interruption. However if we do not receive payment of premium, we will cancel referenced policy and send Insured and Agent
a formal notice of cancellation.

You are an important customer to us and we hope we can continue to serve your needs. If you have any questions regarding this
notice, please call Accounting Services 1-800-472-1866 ext 63931.

Payment can be remitted to:


The Hartford Steam Boiler
P.O. Box 70658
Chicago, IL 60673-0658

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