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ENDORSEMENT <br />This endorsement forms a part of the policy to which it is attached. Please read it carefully. <br />GENERAL AMENDATORY ENDORSEMENT <br />Named Insured: Town of West Hartford and West Hartford Board of Education <br />Policy Number <br />Endorsement Effective Date <br />Endorsement Number <br />PEM 0000006-02 <br />March 23, 2015 <br />15 <br />POLICY FORM OR COVERAGE PART(S) AFFECTED <br />PUBLIC ENTITY RETAINED LIMITS POLICY <br />SCHOLASTIC ENTITY RETAINED LIMITS POLICY <br />ITEM(S) AFFECTED: <br />® Endorsement #14 —Additional Insured — Designated Person or Organization <br />1-1 <br />THE ITEM(S) CHECKED ABOVE ARE CHANGED AS FOLLOWS: <br />Endorsement #14 — Additional Insured — Designated Person or Organization is deleted in its entirety <br />and replaced with endorsement #16 - Additional Insured — Designated Person or Organization. <br />PREMIUM CHARGED: $0.00 <br />All other terms and conditions of the policy remain unchanged. <br />day. <br />ue�as <br />,d��a G pdn"�• <br />= GSpJ <br />Page 1 of 1 <br />Authorized Representative <br />a W.R. BERKLEY COMPANY <br />CEN 1022 05/12 <br />