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To: Pages 4 of 4 2013-09-10 22:13:04 (GMT) 18882679960 From:Tim dela ney <br /> Please note that this binder is for temporary insurance for a twelve-day period. This binder exists on its own terms and <br /> expires on its own terms. When a binder expires on its own terms,no coverage exists thereafter. Requirements for <br /> notice of cancellation to insureds do not apply to expired binder. <br /> Any policy issued subsequent to this binder will be per the terms,coverages, limits and forms outlined in this binder. <br /> Differences in terms,coverages, limits and forms received on any application will NOT revise,change or update the <br /> policy at time of issuance. Any changes to this binder and any subsequent policy must be requested in writing by a <br /> separate request and any changes must be made by endorsement. <br /> Surplus Lines Licensee:William Pinson,License#OF54108 <br /> Bwrlington Insurance Company,238 International Road, Burlington, NC 27215 <br /> GL Premium: $350.00 <br /> Premium: $350.00 <br /> Total Premium: $350.00 <br /> Policy Fee: $50.00 <br /> Tax: $12.80 <br /> Total: $412.80 <br /> Binder ID: ISMWT-Q <br />