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'INASW <br />Insurance Company, RRG <br />7/30/2019 <br />Kristi L Hunziker <br />3204 Summitview Ave <br />Yakima WA 98902 <br />NASWIUlti l'taddrnillirtnfDJ <br />1200 E. 61en Avmue <br />Peoriil Hel(}bts, L61616-™8 <br />RE: Professional Liability Insurance <br />Policy Term: 07-16-2019 to ~08-2020 <br />Customer ID:3TDIS92CJX <br />QUOTEACCEPTANCEFORM <br />This quote is for the endorsement request; <br />Endorsement Type Premium <br />PmfesstonaJ Liabi · Jnsarance: $16.10 <br />Add Additional Insured . <br />.. r <br />lnsued Signature: ~-. L- <br />Total Premium: $16.10 ----~------ <br />Dale: <br />I I <br />T!tle: llcsvl <br />Insured: Kristi L Hunziker Customer ID: 3TDIS92CJX <br />Endorsement Date: 07-1&-2019 <br />THIS IS YOUR INVOICE AND THE ONLY NOTICE YOU WILL RECEIVE <br />PLEASE PAY THE TOTAL AMOUNT DUE FOR THE TOTAL PREMIUM INDICATED ABOVE