Laserfiche WebLink
This Declaration Page is attached to and forms part of Certificate provisions(Form SLC-3 USAN 2868) <br /> Previous No. Authority Ref. No. Certificate No. <br /> NEW GP350/18 B1136GP3502018 GP350GL1596 <br /> Kevin Lehman <br /> 1641 Hunters Ridge Lane <br /> Centerville, MN 55038 <br /> 2. Effective from 9/8/2018 to 9/9/2018 <br /> . Insurance is effective with certain UNDERWRITERS AT LLOYD'S, LONDON. <br /> Percentage: 100% <br /> . Coverage Premium <br /> GL $300 <br /> ® Service of Suit may be made upon: Mendes and Mount, LLP <br /> 750 Seventh Ave, New York, NY 10019 <br /> 7. In the event of a claim, please notify the following: Great Plains Brokerage <br /> 300 N Cherapa Place, Ste 302 <br /> Sioux Falls, SD 57103 <br /> Dated 8/21/2018 by a.-�::-•- /`" -j <br /> Correspondent <br />