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City Boston / / Facility Domicile Address / of Columbia Insurance Guaranty Association Membership One Bowdoin Square / / IndustryTerm undersigned member insurer / / Person Paul M. Gulko / / Position president / authorized officer / Manager District of Columbia Insurance Guaranty Association Membership One Bowdoin Square / / ProvinceOrState Massachusetts / Columbia Insurance Guaranty Association ACCEPTANCE OF THE PLAN OF OPERATION The / /
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