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This SPECIAL MULTI-FLEX POLICE is provided by the stock insurance company(s) of The Hatford Insurance Group,

shown bellow.

COMMON POLICY OF INSURANCE


POLICY NUMBER: 21 UFB ZX2314
RENEWAL OF: 21 UFB ZX2314

Named Insured and Mailing Address: TATAYNA LVIV


(Name,Street,Town,State,Zip Code) POLAND, BIELSKO BIALA
PARTYZANTOW 98, 43-309

Policy Period: From 01/08/2023 To 01/10/2023

If the next day occurs after the expiry date, the insurance will be cancelled.

This insurance, covers losses on trading account number 73746 with the brokerage company BTQ Ink. The
insured is protected against force majeure in the financial market, creation of a margin call situation and
misallocation of capital in his trading account number 73746. This insurance allows to fully restore the
amount on the trading account to the amount that was on the trading account before the insurance policy
started. The insurance is valid only once during its validity period

Total amount of insurance: $ 5, 400, 00

Coverage Part and Insurance Company Summary Insurance Premium


FINANCIAL CHOICE HARTFORD INVESTING INSURANCE COMPANY $ 1, 000, 00
HARTFORD, CT 06155

Form Numbers of Coverage Parts, Forms and Endorsements that are a part of this policy and that are
not listed in the Coverage Parts.
PC00010109

Agent/Broker Name: Agency Code:


ARTHUR J. GALLAGHER & CO. 225021
200 SOUTH ORANGE AVENUE, SUITE 1350
ORLANDO, FL 32801

Countersigned by 01/08/2023

(Where required by law) Authorized representative Date

01/08/2023

Form HM 00 10 01 07

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