**Great American Assurance Company**

**Administrative Offices**
301 E 4th Street
Cincinnati OH 45202-4201
913 359 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