# INSURANCE IN THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS

**Amending Policy Number:** _______________

It is agreed that the obligations expressed in the policy as obligations of The Travelers Indemnity Company or the insurer designated by an X on the Declarations page are, subject to the exclusions, conditions and terms of the policy, the obligations of The Travelers Indemnity Company of Illinois. This policy is a contract between the insured and The Travelers Indemnity Company of Illinois and no other.

THE TRAVELERS INDEMNITY COMPANY  
THE TRAVELERS INDEMNITY COMPANY OF ILLINOIS  
THE TRAVELERS INSURANCE COMPANY  
THE TRAVELERS INDEMNITY COMPANY OF CONNECTICUT  
THE TRAVELERS INDEMNITY COMPANY OF AMERICA  
THE CHARTER OAK FIRE INSURANCE COMPANY  
THE PHOENIX INSURANCE COMPANY

**Donald T. De Canto**  
General Counsel and Secretary  

**Charles J. Clarke**  
President

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IL T3 27 12 94