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THE TRAVELERS INSURANCE COMPANIES <br /> -this endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this <br /> ^_ndorsement forms a part, <br /> If ;my additional premium is noted below, this endorsement is issued in consideration thereof. If any return premium is <br /> noted below, the receipt thereof is acknowledged upon acceptance of this endorsement. <br /> Amending T–BB P 162 1440– <br /> Effective from— at the time of day the policy becomes effective. Policy No ]—]$ <br /> (S(enth,Oay,Yrur)- - <br /> Issued to_ I __ <br /> Date of Issue: Additional Premium.$ Return Premium$__ <br /> (the information provided for above,except the policy number,is required to be stated only when this endorsement is issued for attachment to <br /> the policy subsequent to its effective date.) <br /> It is agreed that as of the effective rate hereof the policy ix amended in the following particulars: <br /> TO APPLY A' OEDUTABLE IN THE AMOUNT OF $1 ,000, PER LOSS AS RESPECTS <br /> INSURING AGREEMEfNT 3 - FAITHFUL PERFORMANCE BLANKET BOND COVERAGE. <br /> i - <br /> i•rw1.Ho. <br /> 8000(3) , <br /> } �l ! <br /> C-1711.70 nat.31-76 nu,rto�.use Countersigned By ` �7 <br /> f. <br /> • <br /> a- <br /> I S. <br /> I i <br /> ' F <br />