Laserfiche WebLink
<br />~ <br />TRAVELERSJ <br /> <br />One Tower Square, Hartford, Connecticut 06183 <br /> <br />CHANGE ENDORSEMENT <br /> <br />INSURING COMPANY: <br />TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA <br /> <br />Named Insured: SOFTMASTER, INC <br /> <br />Policy Number: <br />Policy Effective Date: <br />Policy Expiration Date: <br />Issue Date: <br />Premium $ <br /> <br />1-680-4429R083-ACJ-11 <br />07-01-11 <br />07-01-12 <br />08-22-11 <br />NIL <br /> <br />Effective from 07 - 2 6 -11 at the time of day the policy becomes effective. <br />THIS INSURANCE IS AMENDED AS FOllOWS: <br /> <br />** THE EFFECTIVE DATE IS AMENDED TO READ: 08/21/2011 ** <br /> <br />ADDITIONAL INSUREDS ARE ADDED TO THE POLICY AS PROVIDED UNDER THE <br />ATTACHED ENDORSEMENT(S) : <br /> <br />CG T4 91 <br /> <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 /> <br />CG T4 91 11 88 <br /> <br />NAME AND ADDRESS OF AGENT OR BROKER <br /> <br />Countersigned by <br /> <br />SUPERIOR ACCESS INS SVCS X0035 <br />PO BOX 204389 <br />AUSTIN TX 78720-4389 <br /> <br />Authorized Representative <br /> <br />DATE: <br /> <br />IL TO 07 09 87 (Page 01 of 01) <br /> <br />Office: ELMIRA NY SRV CTR <br />