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POLICY CHANGE (Continued) <br />Policy Number: 51 SBA AD7666 <br />Policy Change Number: 001 <br />SH12001185 ADDST20NAL INSURED - PERSON-ORGAN=ZAT20N <br />Form SS 12 11 04 05 T Page o 02 <br />Process Date: 04 / 1 a / 12 Policy Effective Dateā€¢ 01 / 1 a / 12 <br />Policy Expiration Date: 01/18/13 <br />Exhibit C