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' . 11 . <br />~"RAVELERS J~ <br />One Tower Square, Hartford, Connecticut 06183 <br />CHANGE ENDORSEMENT <br />INSURING COMPANY: <br />TRAVELERS CASUALTY INSURANCE COMPANY OF <br />Named Insured: <br />Policy Number: <br />Policy Effective Date: <br />Policy Expiration Date: <br />Issue Date: <br />Premium $ <br />AMERICA <br />SOFTMASTER, INC <br />I-680-6259N475-ACJ-09 <br />07-01-09 <br />07-01-10 <br />07-21-09 <br />NtL <br />Effective from 07-21-09 at the time of day the policy becomes effective. <br />THIS INSURANCE IS AMENDED AS FOLLOWS: <br />ADDITIONAL INSUREDS ARE ADDED TO THE POLICY AS PROVIDED UNDER THE <br />ATTACHED ENDORSEMENT(S): <br />CG T4 91 <br />THE FOLLOWING FORMS AND/OR ENDORSEMENTS IS/ARE INCLUDED WITH THIS CHANGE. <br />THESE FORMS ARE ADDED TO THE POLICY OR REPLACE FORMS ALREADY EXISTING <br />ON THE POLICY: <br />CG T4 91 11 88 <br />NAME AND ADDRESS OF AGENT OR BROKER <br />NETWORKED INSURANCE AGTS VJ306 <br />988 MCCOURTNEY RD STE B <br />GRASS VALLEY CA 95945 <br />IL TO 07 09 87 (Page 01 of 01) <br />Countersigned by <br />Authorized Representative <br />DATE: <br />OfFce:. DIAMOND BAR <br />