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tar!RWRITERS. 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: 019 <br />COMPANY: United States Liability Insurance Company <br />POLICY EFF. DATE: 03/13/2021 POLICY EXP. DATE: 03/13/2022 <br />ENDORSEMENT EFF. DATE: 12/09/2021 <br />Endorsement 019 <br />Company Issued Endorsement . <br />ALL OTHER PROVISIONS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED <br />This Endorsement is issued by RMYI D-Y <br />TAPCO Underwriters, Inc. <br />Post Office Box 286 <br />Burlington, NC 8001334-5579 2 2 6 II II I II I I I I I I II Authorized Representative <br />Page 1 of 1 <br />1019 <br />itiale Management I)hvlon <br />BY. <br />®iIF�I' <br />//R�EVIEWED&{APPR��O��V//E�D <br />rAF�F Z V.s44 = <br />1W <br />Risk Management Malyst <br />