# Johnson & Higgins Insurance Policy

## General Information
- **Company:** Johnson & Higgins
- **Address:** 200 Park Avenue, New York, NY 10167
- **Phone:** (212) 741-7550
- **Fax:** (212) 741-7550
- **Email:** [Not provided]

## Policy Details
- **Client No.:** 1381924
- **Invoice No.:** 352355-000000
- **Date:** 07/04/96
- **Amount:** $76,453.00
- **Policy Number:** CGL3278678
- **Department:** CAS
- **Contact Person:** Michael R.
- **Policy Description:** Installment 1 of 11 due 6/22/96
- **Installment Schedule:**
  - 1. 6/22/96: $76,453.00
  - 2. 8/21/96: $76,453.00
  - 3. 10/21/96: $76,453.00
  - 4. 12/21/96: $76,453.00
  - 5. 2/21/97: $76,453.00
  - 6. 4/21/97: $76,453.00
  - 7. 6/21/97: $76,453.00
  - 8. 8/21/97: $76,453.00
  - 9. 10/21/97: $76,453.00
  - 10. 12/21/97: $76,453.00
  - 11. 4/21/98: $76,453.00

## Additional Notes
- **Total Amount:** $76,453.00
- **Commission Rate:** 12%
- **Commission Paid:** $9,174.38
- **Commission Paid Date:** 4/22/97
- **Commission Paid to:** Ralph (ID#0779)
- **Commission Paid by:** Johnson & Higgins

## Payment Details
- **Payable Date:** 20/04/97
- **Payable Amount:** $76,453.00

## Form Number: 420A