**Great American Assurance Company**

**Administrative Offices**
301 E 4th Street
Cincinnati OH 45202-4201
513 369 5000 ph

**IL 72 68**
**(Ed. 09 09)**

**In Witness Clause**

In Witness Whereof, we have caused this Policy to be executed and attested, and, if required by state law, this Policy shall not be valid unless countersigned by our authorized representative.

**President**
**Eve Cutler Rosen**
**Secretary**

**IL7268DL (09/09)**
**IL 72 68 (Ed. 09/09) XS**
**Copyright Great American Insurance Co., 2009**