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<br />~ <br />" <br />o <br />~ POLICY CHA E EN/JOR$EMfNT <br />'" <br /> <br />This endorse ent summart~es the Chang..s to <br />your POlicy. All other term" of your policy not <br />.ffect"d by eSe changes remain the same. <br /> <br />v <br />v <br /> <br />8 <br /> <br />>- How YDII' Pel Is Ch8llged <br />~ <br /> <br />.. <br />~ <br />N <br />o <br /> <br />'" <br />* <br /> <br />POP <br /> <br />'" <br />"' <br />" <br />~ <br /> <br />FOt" Locatl <br />attached P <br />d I .dditi <br /> <br />.. <br />co <br />... <br />(l; <br />i <br />~ <br />... <br />... <br />o <br />o <br /><I <br />.. <br />* <br /> <br />Por Locati <br />aU ached l' <br />all aeldi ti <br /> <br />Number 001, additional intereetCs) have been adeled. Refer to the <br />ofes5ion~1 Office Packag.. Location Cover.,e S~maary for nam.s of <br />81 intere.to. <br /> <br /> <br />Nu~ber 002, ~dditional intereatCs) have been added. Refer to the <br />ol....ional OfEice Package Location Coverage Summary for name. of <br />81 interests. <br /> <br />Th. pr.mi~ .hoWn below i. th" total net premium of all additions. change., <br />and deleti ns for this endoreement to your pOlicy. <br /> <br />ii <br />- <br />. <br />I <br />. <br />I <br />II <br /> <br />Premlllm C <br />Additional <br /> <br />e Which I, Due NDW <br />emium <br /> <br />$0.00 <br /> <br />Returned Premium $0.00 <br /> <br />It Issueu at r the Uete your policy <br />begin., thes Spllceu must be completed <br />and our repr sent"live must sign below. <br /> <br />Policy i:osued tt> <br />EAST EDIltIGER MEDICAL CENTER & <br />EAST EDINGE/I. MANAGEMENT COMPANY, LLC <br /> <br /> <br />AlIt <br /> <br /> <br />endorsement takes etrect <br />07/28/00 <br />Processing Date: 08/01100 <br /> <br />4 Printed in U.S.A. Endorsement <br />and MarIne Insurance Co. 1984 All Rights Reserved <br /> <br />Policy Number <br />-- -- FK06604489 <br />11.21 002 <br /> <br />PIIge <br /> <br />lhoStRlul <br /> <br />1 <br />