ENDORSEMENT TO MFP 24678
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Named Insured
U.B. HOME MO T
Policy Symbol Policy Number
MFP 24678
Issued By (Name of Insurance Company)
INA
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Endorsement Number
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Effective Date of Endorsement
October 19 1981
I nsert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.
and loss payees:
It is understood and agreed the following are added as additional insureds
First National Bank of Chicago
Corporate Trust Department
One First National Plaza
Chicago, Illinois 60670
First Wisconsin Trust Co.
777 East Wisconsin Avenue
Milwaukee, Wisconsin 53202
CC-IE15 Ptd, In U.s.A.
ORIGINAL
ALEXN<D~R & P,LEX!\~D:::R
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Authorized Agent
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IN~
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Named Insured
Endorsament Number
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Policy Symbol
MFP 24678
Issued By (Name of Insurance Company)
INA
I nsert the pol icy number. The remainder of the information is to be completed only when th is endorsement is issued subsequent to the preparation of the policy.
Effective Date of Endorsement
It is understood and agreed the following is shown to receive 30 (thirty)
days notice of cancellation:
Bankers Trust Company
280 Park Avenue
Southeastern Division
Fifth Floor East
New York, New York 10017
AttN: Anthony Mazzarella
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CC.IE15 Ptd, In U.s.A.
ORIGINAL
'1111\.
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Named Insured
Endorsement Number
Effective Date of Endorsement
INA
I nsertthe pOlicy number. The remainder of the information is to be completed only when th is endorsement is issued subsequent to the preparation of the policy.
It is understood and agreed the following entities are shown to receive 10 (ten)
days notice of cancellation:
City of Clearwater
Department of Community Development
P. O. Box 4748
Clearwater, Florida 33518
State of Nevada
Department of Commerce
Housing Division
201 South Fall St., Room 300
Carson City, Nevada 89710
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CC-IE15 Ptd. In US.A,
ORIGINAL