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DocuSign Envelope ID:AFDEA346-5B2C-4141-8100-A2E551BE280D <br /> SIGNATURES <br /> Named Insured Endorsement Number <br /> CAROLINA VETERINARY BEHAVIOR CLINIC CC K11 H0314 <br /> Policy Symbol Policy Number Policy Period Effective Date of Endorsement <br /> SER D94716913 02-04-2019 TO 02-04-2020 02-04-2019 <br /> Issued By(Name of Insurance Company) <br /> ACE FIRE UNDERWRITERS INSURANCE COMPANY <br /> Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br /> THE ONLY SIGNATURES APPLICABLE TO THIS POLICY ARE THOSE REPRESENTING THE COMPANY <br /> NAMED ON THE FIRST PAGE OF THE DECLARATIONS. <br /> By signing and delivering the policy to you, we state that it is a valid contract. <br /> INDEMNITY INSURANCE COMPANY OF NORTH AMERICA (A stock company) <br /> BANKERS STANDARD FIRE AND MARINE COMPANY (A stock company) <br /> BANKERS STANDARD INSURANCE COMPANY (A stock company) <br /> ACE AMERICAN INSURANCE COMPANY (A stock company) <br /> ACE PROPERTY AND CASUALTY INSURANCE COMPANY (A stock company) <br /> INSURANCE COMPANY OF NORTH AMERICA (A stock company) <br /> PACIFIC EMPLOYERS INSURANCE COMPANY (A stock company) <br /> ACE FIRE UNDERWRITERS INSURANCE COMPANY (A stock company) <br /> WESTCHESTER FIRE INSURANCE COMPANY (A stock company) <br /> 436 Walnut Street, P.O. Box 1000, Philadelphia, Pennsylvania 19106-3703 <br /> Awl�� Pk", u� <br /> REBECCA L.COLLINS,Secretary <br /> 9X0ZHN J.�LUPICA, President <br /> Authorized Representative <br /> CC-1 K11 h(03/14) <br />