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17 <br />r , 1 _._ f sr rt�Yru�y 1� ct� ict czr�js=t s v —1 —1 <br />POLICY NUMBER BRPGO00000557810q cs7/5�a —% INTERLINE <br />IL 12 01 11 85 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE REACT IT CAREFULLY. <br />POLICY CHANGES <br />Policy Change <br />Number 2 <br />POLICY NUMBER <br />OLICY CHANGES EFFECTIVE <br />COMPANY <br />6BRPGO000005578100 <br />T014116/15 <br />Nationwide Mutual Insurance Company <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />Kevin Christian Noonchester <br />K&K Insurance Group, Inc. <br />DBA: Noteworthy Puppets Inc. <br />COVERAGE PARTS AFFECTED <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />CHANGES <br />SRPG8018 and SRPG8016 are added to the policy, <br />Insured: Kevin Christian Noonchester DBA Noteworthy Puppets Inc. <br />CP#: 1108 <br />Effective: 05/22/2015-04/16/2016 <br />_I <br />Authorized Representative Signature __ <br />tL.12 01 11 89 Copyright, Insurance Services Office, Inc,, 1933 Page 1 of 1 <br />Copyright, ISD Commercial ¢Sisk SePNcse, V;ar„ 1983 <br />