- - DOA 10/18/2013 3 2 Jeepers Inc • - MI 9/23/2013 Who is the primary mritact person for the RM? (Note: This pawn needs to have signatory Aghts and/or information right for the accoLnis.): Darren K. lndyke Preferred method of contact (indicate phone no., fax no., e-mail address, etc):

be paid to any person involved in any way in the theft of covered property. 34516812-08NY .:opyeVhl. 1998-2008Firaman's Fund Insurance Company. All Aghts resin-.ed. Page 4 01 11 EFTA00621854 E. Ransom Coverage If property covered under this policy is stolen we will pay up to 50% of the covered los