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THE PETERSON GROUP A-2008-305-002 REVIEVVFE) BY. EUNICE HEREDIA (PG 7 OF 9) <br />Policy Number: 72 SBA AA1945 <br />Policy Change Number: 001 <br />FORM NUMBERS OF ENDORSEMENTS DELETED AT ENDORSEMENT ISSUE:: <br />SS 50 19 03 12 SS 83 76 03 12 <br />FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE: <br />IH12001185 ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR <br />FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: <br />ISS 50 19 01 is SS 83 76 01 is <br />Form SS 12 11 04 05 T Page 002 <br />Process Date: 05/07/15 Policy Effective Date: 01/29/15 <br />Policy Expiration Date: 01/29/16 <br />