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flt,l, <br />H ISCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) <br />encourage courage, 104 South Michigan Avenue, Suite 600, Chicago, Illinois 60603 <br />(914)273-7400 <br />IN WITNESS WHEREOF, the Insurer indicated above has caused this Policy to be signed by its President and Secretary, but this Policy shall not be effective unless also <br />signed by the Insurer's duly authorized representative. <br />President <br />Secretary <br />Authorized Representative <br />Date: January 12, 2022 <br />DPL D001 CW (11/19) <br />Risk Mm agemmtDMalun <br />[REVIEWED &(APPR�O)v�m PRt. BY. <br />ram. vdu, <br />® Risk Managenxnt Analyst <br />