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Endorsement # 4
Subcontractor Reporting Endorsement
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Add’l Prem. Return Prem.
SGD 5915483 10 8/1/2016 8/1/2017 8/1/2016 --- ---
Named Insured: Barr & Barr, Inc.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
®
Subguard Policy
It is agreed that:
Pursuant to Section IV.N.:
You shall report the following information for all Subcontractors:
Subcontractor name
Federal Employer Identification Number of the Subcontractor
Contract execution date
Contract value
Contract completion date
Contract status
Subcontractor trade
Subcontractor parent company
All other terms, conditions, provisions and exclusions of this policy remain the same.
U-SGD-230-A CW (04/16)
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