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H ISCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) <br />encourage Courage104 South Michigan Avenue, Suite 600, Chicago, Illinois 60603 <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 Insurers duly authorized representative. <br />President <br />Secretary <br />Authorized Representative <br />Risk MuugrmmtDtwlon <br />.4'• LL" REVIEWED&APPROVEDBY: <br />4 <br />CGL D001 10 18 Includes copyrighted material of Insurance Services Office, Inc., wi <br />its permission. © ISO Properties, Inc., 2000 Risk Managernent Analyst <br />