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THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />EXPERIENCE RATING MODIFICATION FACTOR 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 />Thepremiumforthepolicywillbeadjustedbyanexperienceratingmodificationfactor.Thefactorwasnotavailablewhen <br />thepolicywasissued.Thefactor,ifany,shownontheInformationPageisanestimate.Wewillissueanendorsementto <br />show the proper factor, if different from the factor shown, when it is calculated. <br />Countersigned by <br />Authorized Representative <br />Form WC 00 04 03Printed in U.S.A. <br />Process Date:08/17/24Policy Expiration Date:09/26/25 <br /> <br />