Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />ARIZONA COUNTERSIGNATURE EXCLUSION ENDORSEMENT <br />Policy Number:76WEGAZ6AMUEndorsement Number: <br />Effective Date:09/26/24Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address:Beginners Edge Sports Training <br />7432 E TIERRA BUENA LN <br />SCOTTSDALEAZ85260 <br />Thisendorsementappliesonlytotheinsurance"Thisendorsementshallnotbebindingunless <br />providedbythepolicybecauseArizonaisshownincountersignedbyadulyauthorizedagentofthe <br />Item 3.A. of the Information Page.company,providedthatifthisendorsementtakeseffect <br />asoftheeffectivedateofthepolicyand,atissueof <br />Thefollowingwording,asmaybecontainedinthis <br />saidpolicy,formsapartthereof,countersignedonthe <br />policy, does not apply in Arizona: <br />InformationPageofsaidpolicybyadulyauthorized <br />"Thispolicyisnotbindingunlesscountersigned <br />Agentofthecompanyshallconstitutevalid <br />by our authorized representative." <br />countersignature of this endorsement." <br />Form WC 99 03 71 APrinted in U.S.A. <br />Process Date:08/17/24Policy Expiration Date:09/26/25 <br /> <br />