HomeMy WebLinkAboutPolicy Change 2-21-2003Specialty National Insurance Company
A i m e.. COMPANY
ENDORSEMENTNO. 13
ATTACHED TO AND ENDORSEMENT EFFECTIVE
FORMING A PART OF (Standard Time) iNSURED AGENCY AND CODE
POLICY NUMBER MO. DAY YR. 12:01 NOON
A.M.
3XZ12057001 02 13 2003 X CiTY OF JEFFERSONViLLE 430034
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
In consideration for the premium charged it is hereby understood and agreed the following change (s) are made to the
PROPERTY section (s) of this policy:
ADD:
l0th Street Quandrangle Building #1
$1,000,000-Building Limit
l0th Street Quandrangle Building #2
$600,000-Building Limit
218 E. Market St
$75,000-Building Limit
ADDITIONAL PREMIUM DUE:
$463.00
ALL OTHER TERMS A~ OF TH~OLIC~NCHANGED
AUTHORIZED REPRESENTATIVE
DATE
Agent: clark-General
02/21/03
p.perry
ZC 25166 (8/99)