N APPLICATION DATE eamtnemern 3/12/2019 PRODUCER PHONE (NC No COY FAX UM. NM 855457-0101 Automatic Data Processing Insurance Agency, Inc. 1 ADP Blvd. Roseland, NJ, 07068 COMPANY AmTrust Insurance Company of Kansas, Inc. APPLICANT NAME • INCLUDE ALL suesioureas DBAW TO BE INCUJEIEDM COVERAGE. A