# FOREIGN LOCAL POLICIES

| CANADA POLICY: | $6,604 |
| --- | --- |
| Locally Billed | $1,166 |
| SUBTOTAL US BILLED: | $0 |
| SUBTOTAL LOCALLY BILLED: | $7,770 |
| TOTAL AMOUNT BILLED: | $820,166 |

**Premium NOT INCLUDED in the above policy premium. ADDITIONAL fees & charges shown below. This premium includes 10% broker commission.**

**Locally Billed ADDITIONAL Local fees & charges for policy issuance.**

**TOTAL of Premium, Fees & Charges.**

**Amounts do not include separate Insured Payable Taxes**

**These amounts do not include the separate Insured Payable Taxes.**

**Including designated local fees & charges**

**Including designated local fees & charges**

**Including designated local fees & charges**

**These amounts do not include the separate Insured Payable Taxes.**

**These amounts do not include the separate Insured Payable Taxes.**

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