| SURETY DETAIL INFORMATION | |
| Surety ID: | 2017-0175 | | Status: | ACTIVE | | Operator Number: | 26580 | Bond Amount: | $60,000.00 | | Instrument: | SURETY BOND | | Instrument Number: | 016074951 | | Coverage: | INDIVIDUAL | | Bond Type: | LOCATION | | Limitation: | 1 | | Deposit Number: | | | PDPA Number: | INTERIM REC | | Received Date: | 12/5/2017 | | Approved Date: | 12/5/2017 | | Maturity Expire Date: | N/A | | FA Provider Number: | 50808 | | FA Provider Name: | LIBERTY MUTUAL INSURANCE COMPANY | | Deposit Date: | N/A | | Release Request Date: | N/A | | Release Date: | N/A |
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