| SURETY DETAIL INFORMATION | |
| Surety ID: | 2021-0165 | | Status: | ACTIVE | | Operator Number: | 10649 | Bond Amount: | $20,000.00 | | Instrument: | SURETY BOND | | Instrument Number: | PB02338600028 | | Coverage: | INDIVIDUAL | | Bond Type: | PLUGGING | | Limitation: | 1 | | Deposit Number: | | | PDPA Number: | EWS 4B | | Received Date: | 10/29/2021 | | Approved Date: | 12/13/2021 | | Maturity Expire Date: | N/A | | FA Provider Number: | 200419 | | FA Provider Name: | PHILADELPHIA INDEMNITY INSURANCE COMPANY | | Deposit Date: | N/A | | Release Request Date: | N/A | | Release Date: | N/A |
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