Laserfiche WebLink
AV-c 15-018' <br />POLICY NUMBER: 6BRPG0000005515500 <br />INTERLINE <br />IL 12 01 11 85 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Numher 1 <br />POLICY NUMBER <br />POLICY CHANGES EFFECTIVE <br />COMPANY <br />6BRPG0000005515500 <br />05/31/15 <br />Nationwide Mutual Insurance Company <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />Carmen M. Whitmer <br />K&K Insurance Group, Inc. <br />COVERAGE PARTS AFFECTED <br />ALL COVERAGE PARTS <br />CHANGES <br />The following form, SRPG8016, is added to the policy in regards to The City of Santa Ana, Officers, Employees, Agents <br />& Representatives <br />CP# 5469 <br />Authorized Representative Signature <br />Reviewed by <br />-L& � t L/ t-v <br />Carmen Acosta <br />PRCSA/Recreation <br />I of <br />It. 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 1 <br />Copyright, ISC Commercial Risk Services, Inc., 1983 <br />