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POLICY NUMBER: 6BRPG0000007213900 <br />INTERLINE <br />IL 12 01 1185 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Number 2 <br />POLICY NUMBER <br />POLICY CHANGES EFFECTIVE <br />COMPANY <br />6BRPG0000007213900 <br />0 1001120 <br />Nationwide Mutual Insurance Company <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />Joseph Pizano <br />K&K Insurance Group, Inc. <br />COVERAGE PARTS AFFECTED <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />CHANGES <br />The following form SRPG8018 has been added to the policy. <br />CP#5 <br />1t `-4 %�a <br />Authorized Representative Signature <br />& APPROVED <br />,CEMENT DIVISION <br />132020 <br />IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 NAMAWHA M. LAl Rbf 1 <br />Copyright, ISO Commercial Risk Services, Inc., 1983 <br />