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TRAVELERSJM <br />One Tower Square, Hartford, Connecticut 06183 <br />INSURING COMPANY: <br />TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br />Named Insured: <br />Policy Number: <br />Policy Effective Date: <br />Policy Expiration Date: <br />Issue Date: <br />Premium $ <br />CHANGE ENDORSEMENT <br />SAGECREST PLANNING AND <br />ENVIRONMENTAL, <br />680-5J742889-20-47 <br />06/01/2020 <br />06/01/2021 <br />07/27/2020 <br />NIL <br />Effective from 07/27/20 at the time of day the policy becomes effective. <br />THIS INSURANCE IS AMENDED AS FOLLOWS: <br />The following forms and/or endorsements is/are included with this change. <br />These forms are added to the policy or replace forms already existing <br />on the policy: <br />IL T4 00 12 09 <br />IL TO 07 09 87 <br />NAME AND ADDRESS OF AGENT OR BROKER Countersigned by <br />HALL & COMPANY <br />19660 10TH AVE NE <br />Authorized Representative <br />POULSBO NA 98370 <br />DATE: 07/27/2020 <br />Rime Management DlMsian <br />IL TO 07 09 87 (Page 1 of 1 ) Offic REMEv eo &AaPeovm Br: <br />i2. V it <br />� Risk Management Analyst <br />