|
E-ndorlselmic nr
<br />. . . . ........ .
<br />P"'OftcY f"'o r1c) d
<br />L 111 ri-) 0. 19 It 0 J Lj ri e 2 5, 2 l�D 1 lID
<br />C ff ft, ve clawl
<br />n e 2 5 9
<br />2 "'C) )
<br />Pallcy, Niamtef
<br />C) D"I", 1"0
<br />2 cl "ZI ID
<br />ICF
<br />Name ct ceirpp,jilly
<br />I �C-i rV If
<br />Pp
<br />DRtO hS-Sliad
<br />"June 21.511 20f'D(,,),9
<br />I hi,,i 1",3adwrsemem Opplics tlj�) fi"'rTjjs;
<br />I
<br />1,,JAl3JLrfl"Y
<br />t1ridiff W'110 lis, Ark Insured, lble,
<br />Who ISAn Initwred , PrDA$1111) is addod',
<br />Scho'dideld F"lv. e"INSOF"ll Ot
<br />'MAJ 11(6-olMldifilocs cif
<br />r ` II I ting p'Lirwarill", tul 'di" WTit [C'll o',) mract �or Irit blerwcm you 4ul , (t
<br />ari iwwrttt� blut lhcy arc, 'amirieds (,ml) w4ll re.q'ject to liablI[fty, ari,3511,�.P out Ocyrllur
<br />epera l'k)rjs,- 11111, YOUl [wietn"'Ismsa, if yu,l we obligaled, pimsIumc 6,,) s,,ucj,j
<br />vylth sttc:h innivinic,ir as "s,plfbidled by thj�s
<br />polficy.
<br />such pascm Ior org,;knjzz!lirjV iS,211 riespep t [,n
<br />"d'sSullipf"iurl cif' lia,bil"Itv by (1, 1ef"n in, a lrccim,mact alurexticutI, Phis lirr'Lllatkn-i, IV. l,'cnint
<br />Ifie IUshility fvir darlageg Cot L)IF dml)&""'q4cj' to %vhjcIh 071118" noSurgink,"r. applic'51, that
<br />wiciulid, balve I n rr)t, :tbSCrj,(;,c (,yf'&uc,b
<br />az:l cv ri r
<br />CIA lu, .ICI UIII°Uo°III
<br />Sic bedule
<br />ANY PERSON OR, AS [<E01mia.'n Hy
<br />ENSURRO Cut"NTRACT
<br />Ill saan o�KKOr (Angempmat "Orr
<br />— — ----- . . . ... c"Up'l tfllfua d
<br />CV21-2361"'O' R'Ov 8, . ... . ... ...
<br />
|