Document mbbwyg6vkQNO9yJXX0jpbk7Gb

PLAINTIFF'S EXHIBIT :h*d to your cortlfltoU. METROPOLITAN LIFE INSURANCE COMPANT CERTIFIES THAT, subject to tbo terns sad conditions of Group Policy Ho* 5444-G. insuring Ztaploysss of GIF CORPORATION the certificate relating to Group Insurance Issued to escb Hourly Bnployev of Local 50, Bound Brook, New Jersey Insured under said Group Policy is hereby aaeaded as followst Z. BP adding to the Inployee's certificate, the attached Insurance for Death or Dlsnenbernest by Accidental Means Certificate Insert Fora G.3300-2. 2Z* BP aubstituting for the Schedule of Insurance in aaid cartlfleata the following! SCHE33UI2 OF INSURANCE golyanj Column B Applicable Sates Hovahbar 14, 1971 (See Note) Ineurence for Death Zifa Insurance or Siaaaabcraeat by Accident*! Kn Applicable Sates Noveaber 14, 1972 (See Note) Insurance for Death Life Insurance or Dlsaenbernant by Accident-*! Vm*nn $3000.00 $3000.00 $4000.00 $4000.00 Xf the bpleyee bee receired Total end Faraanent Dieahlllty Benefit payaante under the Cfroup Policy, "the aaount of Zifa Insurance shall be the aaount otherwise applicable to him reduced by the omsnt of Ufa Insurance with reepeot to which such Total and Faxaaaect Disability Benefits were paid.* Botes (a) The aaounte of Insurance specified in Coluac 1 shore shall becoae effective on the later of (1) the last regularly echeduled working * prior to the *nn**w* Date specified in failnan 1, provided the Znpleyee ie actively at work on such data, otharwiae on the date of his return to active work and (il) the effective date of tbo Employee's certificate. # (Ccotinued on reverse side) -2- (b) Tba lneraaaad nousta of Inauranet apaclflad in B abort ball baeona afftctira on tb latar of (i) tba Applicahla Dnt apaelflad la Colons B, proridad tb Zaplojraa la actiraly at work os such date, otbarviaa on tba data of his raturn to aetlr* work and (11) tfca affaetlra data of tba toployaa'a oortlfleata. HBIR0P0UTA1I ZJ7X IKSDRIKCS COMPAST, form 0.8480