This endorsement modifies such insurance as is afforded by the provisions of relating to the following designated insurance:

- ☐ COMPREHENSIVE GENERAL LIABILITY INSURANCE
- ☐ COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE
- ☐ UMBRELLA EXCESS THIRD PARTY LIABILITY

Johnson & Higgins 030-034344
A. P. $178

NEW YORK BRANCH
030 N208
MW1270
12/14/70

In consideration of an additional premium of $178, it is agreed that Item #2, Expiration Date is amended to read:

November 5th, 1970

This endorsement forms a part of and is for attachment to the following described policy issued by the CNA/INSURANCE company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy.

Must Be Completed
ENDT. NO. | POLICY NO.
14 | 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