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Gte> nrq yr <br />INSURANCE GROUP <br />Policy Number: PLE676887-CDJA76000 <br />Effective Date of Change: 08/22/2022 <br />BUSINESSPRO POLICY CHANGES <br />NAMED INSURED AND ADDRESS: <br />POLICY PERIOD: <br />Robert Gutierrez <br />12:01 A.M. STANDARD TIME AT THE ADDRESS OF <br />DBA: Lighter Shade of Brown <br />THE NAMED INSURED SHOWN AT LEFT. <br />1227 Aspenwood Ave <br />Corona, CA 92881 <br />FROM: 02/02/2022 TO: 02/02/2023 <br />THIS ENDORSEMENT CHANGES <br />BROKER NAME AND ADDRESS: <br />THE POLICY. <br />Insurance Canopy <br />PO Box 34833 <br />PLEASE READ IT CAREFULLY. <br />North Chesterfield, VA 23234 <br />INSURANCE IS AFFORDED BY THE COMPANY INDICATED BELOW: <br />(EACH A CAPITAL STOCK CORPORATION) <br />( ) GREAT AMERICAN INSURANCE COMPANY ( ) GREAT AMERICAN ASSURANCE CO. <br />( ) GREAT AMERICAN ALLIANCE INS. CO. ( ) GREAT AMERICAN INSURANCE CO. OF NY <br />(X) GREAT AMERICAN E & S INSURANCE COMPANY <br />In consideration of the additional premium of $20.00 plus a BHTA Fee of $20.00, for a total of <br />$40.00, it is hereby understood and agreed that the following form has been added to the policy <br />mentioned above: <br />❑ Additional Insured —Vendors CG2015 (Ed. 04 13) with primary and noncontributory wording <br />O Additional Insured — Designated Person or Organization CG 20 26 (Ed. 04/13) with primary and <br />noncontributory wording <br />0 Primary and Noncontributory— Other Insurance Condition CG 20 01 (Ed. 04 13) <br />PI Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 (Ed. 05 09) <br />❑ Trailer Endorsement — Amendment to Exclusion -Aircraft, Auto or Watercraft CG 88 02 (Ed. 11 85) <br />❑ Increase Inland Marine Limits to $ (maximum payout for any one article) / $ (annual aggregate) <br />❑ Increase Aggregate Limits to $2M <br />❑ General Endorsement — Professional Coverage Extension CG 88 02 (Ed. 11 85) <br />❑ Loss Payable Provisions — CM 78 70 (Ed. 06 92) <br />All other terms and conditions remain the same. <br />RiJeMvvgaw,dDb,:m. <br />RenEw &APPR Br. <br />® Rnk Management Malyst <br />