This certificate has been issued by:,  War Risks, Inc    [Address]  ,
  …    Signature of insurer  ,As agent only for War Risks, Inc .,
This certificate has been issued by:,  PANDI P&I    [Address]  ,
  …    Signature of insurer  ,As agent only for PANDI P&I ,

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At …,On …,
(Place),(Date),