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Declarations - Travelers Insurance

Declarations - Travelers Insurance

Declarations - Travelers Insurance

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ITEM 6PREMIUM FOR THE POLICY PERIOD:$ Policy Premium$ Annual Installment PremiumITEM 7 FORMS AND ENDORSEMENTS ATTACHED AT ISSUANCE:THE DECLARATIONS, THE APPLICATION, THE IDENTITY FRAUD EXPENSEREIMBURSEMENT TERMS AND CONDITIONS, AND ANY ENDORSEMENTS ATTACHEDTHERETO, CONSTITUTE THE ENTIRE AGREEMENT BETWEEN THE COMPANY, THEINSURANCE REPRESENTATIVE, AND THE INSURED PERSON._____________________________Countersigned By(where applicable)IN WITNESS WHEREOF, the Company has caused this policy to be signed by its authorized officers.Executive Vice PresidentCorporate SecretarySpecimenIDF-2001 Ed. 01-09 Printed in U.S.A. Page 2 of 2©2009 The <strong>Travelers</strong> Companies, Inc. All Rights Reserved

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