RESCISSION NOTICE (2)Named Insured & Mailing Address:
ESF, INC. ESF DREAM CAMP
750 HAVERFORD ROAD
BRYN MAWR PA 19010
NATIONAL CASUALTY COMPANY
C/O K& K INSURANCE GROUP, INC.
1712 MAGNAVOX WAY
FORT WAYNE IN 46804
RESCISSION NOTICE
Producer: 4031285
�� ��� ����,
' ., «�. s �. �
D��� � ►
.�i� ��
�D� ,>.n
���,t �r:
��a��l�y,°.�" ���_ -�,�.,
F� �- ..., y 4�` ('F..nnµ
' s. l�s�.'Li�{.
THE ADDIS GROUP, LLC
2500 RENAISSANCE BLVD
KING OF PRUSSIA PA 19406
Policy No.: 6LKK00001566400 / 6LXK00001566700
' Type of Policy: COMMERCIAL PACKAGE / COMMERCIAL EXCESS
The CANCELLATION notice issued to be effective 12/09/2011 is hereby rescinded.
Additional Insured
4031293 SMF/11
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVENUE
CLEARWATER FL 33756
FORM# CS01 PA22006
ODEN 3.0.11.12a Copy for Additional Insured
Date Mailed:
' 7th day of December, 2011 �
PACS14RSCP ;
12072011,i � !
Page � .,f 1