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� �� � <br />e�r,rtir�� -'-�� � -.t--.+fi� <br />Minnesota Workers' Compensation Assigned Risk Plan <br />Standard Workers' Compensation and Employers' Liability PoliCy <br />Contract Administrator <br />Berkley Risk Administrators Company, LLC <br />P.O. Box 59143 Minneapolis, Minnesota 55459-0143 <br />Phone (612) 766-3000 NCC� Carrier Code 21466 <br />MINNESOTA ENTITY AND ADDRESS SCHEDULE <br />1. The insured: <br />Global �inanciaf Outsource Services !nc <br />dba: Universal Check Cashing <br />2216 West County Road D Suite C <br />St Paul, MN 55112 <br />��« <br />Entity Information: <br />Insured Name: Global Financial Outsource Services inc <br />Federal IL3 Number: F- 45E3464425 <br />UIC Number: �XEMPi <br />dba: Universal Check Cashing <br />2216 West County Road D Suite C <br />St Paul, MN 55112 <br />Aaencv Name and Address <br />Associated Ensurance Agents Inc <br />2800 Freeway Blvd <br />Brooklyn Center, MN 55430-1751 <br />Policy Number: WC-22-04-172585-00 <br />Association File Number: 3157590 <br />Tax ID#: F 450464425 <br />UfC #: EXEMPT <br />Policy Period: From: 4/21/2006 <br />To: 4/18/2007 <br />Endorsement Eff. Date: <br />Date of Mailing: 4l2QI2D06 <br />nindividual jP�rtnei'ship <br />X� Corpora�inr� i � Other <br />:',��-"� .��•r <br />1 �76 S1�E�a <br />