Aon Insurance Services is the brand name for the brokerage and program administration operations of Affinity Insurance Services, Inc.; (TX 13695); (AR 244489); in CA & MN, AIS Affinity Insurance Agency, Inc. (CA 0795465); in OK, AIS Affinity Insurance Services Inc.; in CA, Aon Affinity Insurance Services, Inc., (CA 0G94493), Aon Direct Insurance Administrators and Berkely Insurance Agency and in NY, AIS Affinity Insurance Agency.

Principal Office: Affinity Insurance Services, Inc. - 159 E. County Line Road, Hatboro, PA 19040,
Phone: 215-773-4600.

Foreign Account Tax Compliance Act (FATCA) Notice: Please go to www.aon.com/FATCA to obtain the appropriate W-9.