Please go to Aon.com/FATCA to obtain the appropriate W-9.

The AIChE Insurance Program is administered by Affinity Insurance Services, Inc. Affinity Insurance Services, Inc.; (TX 13695); (AR Ins. Lic.#100106022); 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.

CA Insurance License # 0795465