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POLICY NUMBER: 6BRPG0000005576800 <br />INTERLINE <br />IL12011185 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Number 1 <br />POLICY NUMBER <br />POLICY CHANGES EFFECTIVE <br />COMPANY <br />6BRPG0000005576800 <br />01/14/15 <br />Nationwide Mutual Insurance Company <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />Felice Ilkcagla <br />K&K Insurance Group, Inc. <br />COVERAGE PARTS AFFECTED <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />CHANGES <br />Forms SRPG8018, SRPG8016 and CG2404 are added to the policy effective 1/21/15, <br />"'j <br />Authorized Representative Signature <br />Reviewed by: <br />c;47 <br />Silvia CUB vas <br />PRCSA/Adrnin. <br />IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 1 <br />Copyright, ISO Commercial Risk Services, Inc., 1983 <br />