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_.� gym- �" <br />.� <br />Life, Accident, Health and Long Term <br />Care Products through any Insurance <br />Indexed Annuities /Fixed Annuities <br />Disability Income Insurance: <br />NOTICE OF CLAIMS: Claims Notices: <br />500 Each Claim <br />$ 2,500 Each Claim <br />$ 2,500 Each Claim <br />RIA Agent Intake Notice Administrator <br />CNA Global Specialty <br />40 Wall Street, 8th Floor <br />New York, NY '10005 <br />Named /nsured's Endorsements attached at Certificate /nception: <br />GSL19959XXC (12 -10) GSL11563XXC (11 -08) GSL21562XX (09 -10) <br />GSL23422XXC X72 -70� <br />OATE.' 07/20/20'12 <br />BY.' <br />�' � / � ' <br />Authorized Representative <br />The Company affording coverage hereby certifies that the Named Insured named herein is insured under the <br />Policy referenced above_ The limits of liability, premium and effective date of coverage applicable to such <br />Named Insured are as specified above. This certificate of insurance is not the contract of insurance. It is <br />merely evidence of insurance provided under the Master Policy. All claims are paid according to the term of <br />the Master Policy. A copy of such policy and any endorsements thereto is available at www. eoforless .com_ <br />Keep this document in a safe place. It is evidence of your insurance coverage. <br />GSL2008XX 12 -2010 <br />