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THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />PART FIVE - PREMIUM AMENDATORY 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 />This endorsement amends Part Five - Premium of the policy as follows: <br />Part Five - Premium, Section A. (Our Manuals) is replaced by the following provision: <br />A.Our Manuals <br />Allpremiumforthispolicywillbedeterminedbyourmanualsofrules,ratesandlosscosts(asapplicable),rating <br />plans,forms,endorsements,andclassifications,andsuchmanualsareexpresslyincorporatedbyreferenceinto,and <br />applyto,thispolicyandanyrenewals(ourmanuals).Asusedinthispolicyandanyrenewals,ourmanualsmeans <br />manuals that have been: <br />1.Developedinanyformatandfiledbythestate-designatedworkerscompensationratingoradvisoryorganization <br />on our behalf with the appropriate state insurance regulatory authority; or <br />2.Developedinanyformatandfiledbytherespectivestateratingbureauonourbehalfwiththeappropriatestate <br />insurance regulatory authority; or <br />3.Developed in any format and filed by us with the appropriate state insurance regulatory authority; and <br />4.Foreachoranyofthethreescenariosabove,themanualsalsomustbeapprovedforusebytheappropriate <br />state insurance regulatory authority, or as otherwise authorized by law as applicable. <br />Wemaychangeourmanualsandapplythechangestothispolicyandanyrenewalsifsuchmanualchangesare <br />approvedforusebytheappropriatestateinsuranceregulatoryauthority,oranotherwiseauthorizedbylawas <br />applicable. <br />Part Five - Premium, Section D. (Premium Payments) is replaced by the following provision: <br />D.Premium Payments <br />Youwillpayallpremiumwhendue.Youwillpaythepremiumevenifpartorallofaworkerscompensationlawisnot <br />valid. The due date for audit and retrospective premiums is the due date specified in the billing for the policy. <br />Form WC 00 04 19 APrinted in U.S.A. <br />Process Date:08/17/2024Policy Expiration Date:09/26/2025 <br /> <br />