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40 <br /> H I SCOX HISCOX INSURANCE COMPANY INC. (A Stock Company) <br /> encourage courage® 104 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 Insurer's duly authorized representative. <br /> I <br /> President <br /> Secretary <br /> Authorized Representative <br /> CGL D001 10 18 Includes copyrighted material of Insurance Services Office, Inc.,with Page 2 <br /> its permission.©ISO Properties, Inc., 2000 <br />