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Westchester Illinois Union Insurance Company <br />A Chubb Company A.M. Best Rating A++ <br />This Policy is issued by: <br />Illinois Union Insurance Company <br />525 West Monroe Street <br />Suite 400 <br />Chicago, Illinois 60661 <br />NAIC Number 27960 <br />Policy Number: <br />Renewal of: <br />SEVINF138697904 <br />New <br />Named Insured & Principal Address: <br />Robert Stanley <br />325 S St Louis Blvd <br />South Bend, IN 46617 <br />Special Event <br />Policy <br />Declarations <br />Business Description: Parade <br />In return for payment of the premium and subject to all of the terms of this policy, we agree with you to provide the insurance <br />as stated in the policy. <br />Policy Period: From 04-13-2018 to 04-17-2018 <br />12:01 a,m, local time at the Principal Address shown above. <br />Item A. Policy Premium: $685 <br />Collection and remittance of premium surcharges for surplus lines policies are the responsibility of the surplus lines broker <br />Terrorism Premium included in Annual Premium <br />Item B. Notice of Claim under this Policy must be given to: <br />Chubb North American Claims <br />P.O. Box 5122 <br />Scranton, PA 18505-3801 <br />Toll Free: (800) 433-0385 <br />Chubbclaimsfirstnotice@chubb.com <br />Item C. Endorsements, Notices and other Forms attached to and forming part of this policy at inception are described <br />LD-45630 (04/15) Page 1 of 3 <br />