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,�V F.1.LL��• <br /> it1.fK pit ,,44..'In 17 S <br /> THE TRAVELERS INSURANCE COMPANIES r <br /> JJJ <br /> his endorsement is issued by that member of The Travelers Insurance Companies which issued the policy of which this <br /> ::adorsement forms a part. � <br /> If any additional premium is noted below,this endorsement is issued in consideration thereof. If any return premium i <br /> noted below, the receipt thereof is acknowledged upon acceptance of this endorsement. <br /> Effective from_ at the time of day the Amending _ 3 <br /> (Vont!,Don,nor), <br /> Y policy becomes effective. Policy No. T—B B P 1 62 7440— 8 j. <br /> Issued to_ <br /> Date of f[aue: ; Additional Premium S Return Premium S <br /> ('lhe informatiofl provided for above,except the policy number, is required to be stated only when this endorsement is issued for attachment t• rr: <br /> the policy subsequent to its effective date) <br /> It is agtced that es of the effective date hereof the policy is amended in the following particulars; <br /> 9. <br /> TO APPLY A DEOLICTABLE IN THE AMOUNT OF $1 ,000, PER LOSS AS RESPECTS t# <br /> .r, <br /> INSURING AGREEMENT ,3 - FAITHFUL PERFORMANCE BLANKET BOND COVERAGE. <br /> ;i- <br /> 1: <br /> )r <br /> 1; <br /> r <br /> w <br /> sewer,No, i <br /> 8000(3 <br /> /1'�r� <br /> GI:etD REV l I•ra ..I,r[a••a sue. Cuun[ersigned€3y.__ �- <br /> I <br /> f • <br /> l • <br /> • <br /> �I , <br />