Barry D.

        Rosenberg, Inc.

  55 Old Turnpike Road
          Suite 508
          Nanuet, NY 10954





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  New York Residents Only
Fair Credit Reporting Act Notice:
We are required to inform you that as part of our underwriting procedure, a consumer report may be requested. Additionally, subsequent consumer reports may be requested on renewal or as an update on your insurance application. Upon your written request, you will be informed whether or not a consumer report was requested, and if so, the name and address of the consumer reporting agency to whom the request was made.