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co <br />a <br />�IJ NOERWRITERS. INC. <br />POLICY ENDORSEMENT <br />Name of Assured <br />Producer <br />Healthy Outcomes Inc. <br />600165 <br />7897 E 24TH AVE <br />James Lundin <br />Denver, CO 80238 <br />700 E 9th Ave <br />Suite 105 <br />Denver, CO 80203 <br />POLICY NUMBER: MTK1565488A ENDORSEMENT NUMBER: 015 <br />COMPANY: United States Liability Insurance Company <br />POLICY EFF. DATE: 03/13/2021 POLICY EXP. DATE: 03/1312022 <br />ENDORSEMENT EFF. DATE: 11/04/2021 <br />Endorsement 015 <br />Company Issued Endorsement . <br />ALL OTHER PROVISIONS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. <br />This Endorsement is issued by <br />TAPCO Underwriters, Inc. <br />Post Office Box 286 <br />Burlington, NC 27216 <br />800-334-5579 <br />Page 1 of 1 <br />H 11 W e l <br />1015 <br />w� <br />Authorized Representative <br />_ _ xlek nl�agm�n,tutwelon <br />(REVIE DSpAPPROVED BY. ® Risk Nlanage.e.t Malyst <br />