Insurance, Credit, Trade Reference, Authorized Persons Sefco Export Management Company, Inc. - www.sefco-export.com Commercial Accounts   Insurance Information   If Customer declines to pay Sefco for transport insurance premium, we require information on your   existing insurers.   Name of Insurance   Underwriter:     Policy No.:       Type of Coverage:             Policy Effective   Date:           Policy Expiry   Date:           Deductible, if any:           Credit References (Attach Separate Schedule If Necessary)   Primary Bank:             Name:     Account #:     Phone:     Address:     Contact   Name:     Other Bank:           Name:     Account #:     Phone:     Address:     Contact   Name:     Trade References   Name:     Account #:     Phone:     Address:     Contact   Name:     Name:     Account #:     Phone:     Address:     Contact   Name:     Name:     Account #:     Phone:     Address:     Contact   Name:     Persons Authorized to Instruct Sefco and Incur Charges on Customer's Account   Name:       Title:       Phone:       Name:       Title:       Phone:       Name:       Title:       Phone:

Sefco Export Management Company, Inc. | 1 Ascan Avenue, PH-74 | Forest Hills NYC | NY | 11375