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EXTENSION OF THE INFORMATION PAGE - ITEM 3.D - ENDORSEMENTS <br />Policy Number: 72 WEC AB1Z5Q Endorsement Number: <br />Effective Date: 02/01/20 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: AEF Systems Consulting Inc <br />8502 E CHAPMAN AVE STE 376 <br />ORANGE CA 92869 <br />Item 3.D. of the Information Page is completed to include the following endorsements: <br />WC990005 SCHEDULE OF OPERATIONS <br />WC990302B WORKERS COMPENSATION BROAD FORM ENDORSEMENT <br />WC990358B AMENDMENT TO WORKERS COMPENSATION BROAD FORM ENDORSEMENT - <br />EMPLOYERS LIABILITY STOP GAP COVERAGE <br />WC990368 EXTENSION OF THE INFORMATION PAGE - ITEM 3.D. - ENDORSEMENTS <br />WC990375 CALIFORNIA INSTALLMENT FEE DISCLOSURE ENDORSEMENT <br />Form WC 99 03 68 Printed in U.S.A. <br />Process Date: 12/23/19 Polic <br />R6kMnu9mrentDMsWn <br />., REMEWM&APPRov®Br <br />�vu.c�.nt R' w.(Gcot <br />Risk Management Analyst <br />