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r4. I a )s <br />10. Endorsement serial nui <br />• Endorsement No. 1 <br />Endorsement No. 2 <br />Endorsement No. 3 <br />Endorsement No. 4 <br />Countersigned <br />nbers: <br />- S45(12/97) <br />- SAC -66 <br />- SC -77 <br />- S -78 <br />• Licensed Resident Agent <br />Date <br />EMPLOYERS REINSURANCE CORPORATION <br />HOME OFFICE - 5200 Metcalf, P.O. Box 2991 <br />Overland Park, Kansas 66201 <br />(913) 676 -5200 or 1-800-255-6931 <br />Authoriz d Representative <br />ERC -2120 I <br />