TITLE
AMENDMENT #1 - APPLICATION FOR GROUP COVERAGE FOR POLICY #50703 - SET UP BANK ACCOUNT FOR CITY CLAIMS WEEKLY WITH 1 DAY DELAY, DELETE AGGREGATE, EFFECTIVE 12/1/2007 (NOTE: PER HUMAN RESOURCES, GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY SIGNATURE NOT NECESSARY) (ASSISTANT CITY MANAGER SIGNED 3/6/2008)