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GREAGLNERICAN. <br />i"SURMCE GROUP <br />Policy Number: PLE786898-CEP90867 <br />Effective Date of Change: 08/24/2022 <br />BUSINESSPRO POLICY CHANGES <br />NAMED INSURED AND ADDRESS: <br />POLICY PERIOD: <br />Alyssa Romo <br />12:01 A.M. STANDARD TIME AT THE ADDRESS OF <br />746 South Normandie Avenue <br />THE NAMED INSURED SHOWN AT LEFT. <br />401 <br />Los Angeles, CA 90005 <br />FROM: 08/28/2022 TO: 08/30/2022 <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 an GRIP Fee of $20.00, for a total of <br />$40.00, it is hereby understood and agreed that the following forms have been added to the policy <br />mentioned above: <br />❑ Additional Insured — Vendors CG2015 (Ed. 04 13) with primary and noncontributory wording <br />2 Additional Insured — Designated Person or Organization CG 20 26 (Ed. 04/13) with primary and <br />noncontributory wording <br />O Primary and Noncontributory— Other Insurance Condition CG 20 01 (Ed. 04 13) <br />0 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 />Ri�Mvsgenvd Divlia <br />ry RE\V'h' MPRov®Bv <br />1 <br />Tvu y JrtiaG: <br />® Risk Management Mays <br />