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THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />90-DAY REPORTING REQUIREMENT - <br />NOTIFICATION OF CHANGE IN OWNERSHIP <br />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 />Youmustreportanychangeinownershiptousinwritingwithin90daysofthedateofthechange.Changeinownership <br />includessales,purchases,othertransfers,mergers,consolidations,dissolutions,formationsofanewentityandother <br />changesprovidedforintheapplicableexperienceratingplan.Experienceratingismandatoryforalleligibleinsureds.The <br />experienceratingmodificationfactor,ifany,applicabletothispolicy,maychangeifthereisachangeinyourownershipor <br />in that of one or more of the entities eligible to be combined with you for experience rating purposes. <br />Failuretoreportanychangeinownership,regardlessofwhetherthechangeisreportedwithin90daysofsuchchange, <br />may result in revision of the experience rating modification factor used to determine your premium. <br />Thisreportingrequirementappliesregardlessofwhetheranexperienceratingmodificationiscurrentlyapplicabletothis <br />policy. <br />Form WC 00 04 14 APrinted in U.S.A. <br />Process Date:08/17/24Policy Expiration Date:09/26/25 <br /> <br />