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Ln <br />00 <br />0 <br />0 <br />0 <br />N <br />r-i <br />N <br />O <br />rn <br />�O <br />r <br />�r <br />0 <br />0 <br />0 <br />-t <br />N <br />it <br />i <br />i <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE! READ IT CAREFULLY. <br />POLICY CHANGE <br />This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated <br />below: <br />Policy Number: 44 SBA CW7363 SB COPY <br />Named Insured and Mailing Address; SCHULTZ & WILLIAMS r INC. <br />325 CHESTNUT STREET, SUIT 700 <br />PHILADMPHTA PA I9 06 <br />Policy Change Effective Date: 12 / 0 a / 11 <br />Policy Change Number: 00i <br />Agent Name: CADWALADER & ASSOCIATES INC <br />Code: 320006 <br />Effective hour is the some as stated in the <br />Declarations Page of the Policy. <br />i <br />POLICY CHANGES: <br />HARTFORD CASUALTY INSURANCE COMPANY <br />ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FRAM YOUR BANlt <br />ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS. <br />THIS IS NOT A BILL. <br />NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE <br />RATES AND PREMIUMS ARE CHANGED_ <br />LOCATION 001 BUILDING 001 IS REVISED <br />PRO RATA FACTOR: 0.092 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12 11 04 05 T Page 001 (CONTINUED ON NEXT PACE) <br />Process Date: 12 / 0 8 / 11 Pol icy/ Effective Date: 01 / 0 7 / 11 <br />Policy Expiration date: 0 3 / 0 7 /12 <br />UW COPY <br />I - CI <br />08Z6b960T9 <br />XUA 13CN3SU-1 dH LS:irl 1102 Gi <br />