**Puritan Insurance Company**
570 Lexington Avenue
New York, New York 10022

**CHANGE OF NAME ENDORSEMENT**

Wherever in the said policy or bond the name The Manhattan Fire and Marine Insurance Company is used, the name Puritan Insurance Company is hereby substituted.

In Witness Whereof, the Puritan Insurance Company has, by its President, executed this Change of Name Supplement as of the 1st day of October, 1976.

* Attest: William O. Thorton
  Secretary
* By: Ronald E. Doe
  President

* Formerly The Manhattan Fire and Marine Insurance Company
OR-850 (10/76)