Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy change <br />?.......?? .,t <br />POLICY NUMBER POLICY CHANGES COMPANY <br />AXGL031 00381-1 1 EFFECTIVE AXIS Insurance Company <br /> 04!22/11 <br />NAMED gVSURED AUTHORIZED REPRESENTATIVE <br />The National Archery Association of the US American Specialty Insurance S Risk <br /> Servkxa, Inc. dba A-S.I.R.S.I_ Insurance <br /> Agency, American Specialty Insurance ? <br /> Risk Services Agency, and A S Insurance & <br /> Risk Services en <br />COVERAGE PARTS AFFECTED <br />Commercial General Liabiil <br />CHANGES <br />As of the etlftective date han?of, k is hereby understood and agreed that the attached Forth CG 2026(07/04) <br />ADDITIONAL ENSURED -DESIGNATED PERSON OR ORGANIZATION is added to the policy, but only with <br />respect to Parks and Recreation Program et Santiago Park Archery Range from April 22, 2011 through January <br />14, ao12. <br />No additional premium due. <br />All other terms end conditions remain unchanged. <br />Issued b KS rii 28 2011 <br />Authorized epresenta a Sig renatu <br />IL 12 01 11 >a6 Copyright, insurance Services OfRce, Inc., 1983 Pegs 1 of 1 ? <br />Copyright, ISO Commercial Risk Services, k?c., 1983