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m - ~ <br />m <br />0 <br />o POLICY CHANGE ENDORSEMENT ~~~~~ <br />This endoTSement summarizes the changes to <br />U your policy. All other terms of your policy not <br />affected by these changes remain the same. <br />8 How Your Policy Is Changed <br />0 <br />0 <br />0 <br />0 <br />0 <br />m <br />N <br />N <br />N <br />0 <br />V <br />m <br />O <br />r <br />F- <br />N <br />O <br />O <br />C7 <br />lD <br />GENERAL LIABILITY; <br />The following form is added: <br />G0435 04-00 Non-Contributory Other Insurance Endorsement- For Described <br />Additional Protected Persons <br />Premium Change Which Is Due Now <br />Additional premium None Returned Premium None <br />If issued after the date your policy <br />begins, these spaces must be completed <br />and our representative must sign below. <br />Authorized representative <br />Policy issued to <br />ABBEY GROUP CONSULTANTS <br />Endorsement takes effect <br />os/22/o7 <br />Processing Date: 06/06/07 <br />Policy Number <br />TT09402129 <br />12:12 002 <br />40704 Ed.5-84 Printed in U.S.A. Endorsement <br />©St.Paul Fire and Marine Insurance Co.1984 All Rights Reserved Page 1 <br />