RE: <<Cli_First>> <<Cli_Last>> Company: <<Pol_Company:PC>> Policy Number: <<Pol_PolNum>>

Dear Underwriter:

Please bind coverage per attached request effective <<Input:Effective Date:>>.

Included:

Binder Request

D-1

SL-2

TRIA

Sincerely,

<<User Name>>
<<Agncy_Name>>
<<Agncy_Address>>, <<Agncy_City>>, <<Agncy_State>>  <<Agncy_Zip>>
Phone:<<Agncy_Phone>>  |  Fax: <<Agncy_Fax>>