|
04/12/2007 16:26 408-296-8857 KENNEDY INSURANCE PAGE 02/02
<br />I'c~l_faYNlIIl~BER: ~7 9fi1~1 LM49s2 b
<br />THIS ~NDdRSEMEN'T ChlAlVG~S 7HE ~Gtl1CY, PL~ASI* READ 1'T GAREF'11~.LY
<br />N:~IIr'i'C()ni71T~ I,N111;.r1) - I?RR50N-ORGANIZATION
<br />h~; {( 'f.'~-[I? rl'rY OP RT'hW00rJ C,tTY
<br />,,, fT;; C~c)r.1NC'r?~, OFF'I'CrPB, F3nARDS, COMMiFSSTONS,
<br />``~' I'Ml~.LOYPF;;, ANJ? 11GF~rT±
<br />Ina "1 Mrnhr,lr~Trr,~ Rofin
<br />m RI?T1W(t(?1"J (TTY, CA A!~gf.3
<br />~,~
<br />rv
<br />~n
<br />~~,
<br />~~,
<br />,.,
<br />~,
<br />,,
<br />,~~
<br />,,
<br />_~
<br />°1
<br />,~
<br />~.~..
<br />.o,r_.
<br />~,
<br />-,...,,
<br />~-
<br />~w
<br />~~
<br />t~ r nrnNrr; n ~: rrr.TO.R
<br />~'.°t'PY c~r~' snN MnTf:n
<br />ao u~.rs•r ;tn~rr-r .~~~r.nlrTr
<br />l~ri~WCtc~l~ (..r'1'Y, mr-lr R.>;;>awoon c.r,Tr. .REn~tr,>rT.,bPMEN~' .AGENCY
<br />'1'lii~,l.1t c~rr,c'cnr--~^ Ofi.FTC.FR.S RMPLOYfiF'S I~IVD VOL,U,t,T''~EE,RS
<br />n'.i"r'nr: ('. 1'C V' MAN~1C.;t'R,
<br />ii'II'7 P4 f1111r,r.',r'T:Pr.,l) PnAn
<br />rt?nwoor~ c'~r't'X ~~ ~no~
<br />!; ~ ~I of ,,,~ I ~~y:
<br />f=nrn+ II.1 72 DO 14 A;S T 3~C.~, Nd. n o-i, I'rfnted in U.S.A. Pago on:r-
<br />Expirat'fanDatp: o3/ot/o8
<br />iJW rpl?y
<br />
|