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TECHNOLOGY INSURANCE COMPANY, INC. <br />f 59 Maiden Lane, 43rd Floor 1 <br />L New York, NY 10038 J <br />WORKERS' COMPENSATION <br />and <br />EMPLOYERS' LIABILITY INSURANCE POLICY <br />In Witness Whereof, we have caused this policy to be executed and attested. <br />Stephen Ungar, Secretary Christopher H. Foy, President <br />To obtain information, please contact your agent or Technology Insurance Company, Inc. <br />at 877-528-7878. You may also write Technology Insurance Company, Inc. Consumer <br />Relations at: <br />800 Superior Avenue East, 21st Floor <br />Cleveland, OH 44114 <br />WC990000B <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective 2/4/2025 Policy No. TES4516027 Endorsement No. 1 <br />Insured A Pa Pe, Inc. Premium $ 6279 <br />Insurance Company Technology Insurance Company, Inc. <br />ATTY/AGR.2025.207/A Pa Pe, Inc. (2616 Broadway) (Page 40 of 55) <br />