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Economics / Financial institutions / Institutional investors / Insurance


COMPLETE AND RETURN TO: Paul M. Gulko, Manager District of Columbia Insurance Guaranty Association Membership One Bowdoin Square, 2nd Floor
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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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