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THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />CALIFORNIA SHORT-RATE CANCELATION 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 />Itisagreedthat,anythinginthepolicytothecontrarynotwithstanding,suchinsuranceasisaffordedbythispolicyby <br />reason of the designation of California in Item 3 of the Information Page is subject to the following provisions: <br />IfyoucancelthepolicyandadisclosurewasprovidedinaccordancewithSection481(c)oftheCaliforniaInsurance <br />Code,finalpremiumwillbebasedonthetimethispolicywasinforceandincreasedbytheshort-ratecancelationtable <br />below: <br />ExtendedPercentofExtendedPercentofExtendedPercentof <br />NumberofFullPolicyNumberofFullPolicyNumberofFullPolicy <br />DaysPremiumDaysPremiumDaysPremium <br />1..........5%95-98..........37%219-223..........69% <br />2..........6%99-102..........38%224-228..........70% <br />3-4..........7%103-105..........39%229-232..........71% <br />5-6..........8%106-109..........40%233-237..........72% <br />7-8..........9%110-113..........41%238-241..........73% <br />9-10..........10%114-116..........42%242-246(8 mos.)74% <br />11-12..........11%117-120..........43%247-250..........75% <br />13-14..........12%121-124(4 mos.)44%251-255..........76% <br />15-16..........13%125-127..........45%256-260..........77% <br />17-18..........14%128-131..........46%261-264..........78% <br />19-20..........15%132-135..........47%265-269..........79% <br />21-22..........16%136-138..........48%270-273(9 mos.)80% <br />23-25..........17%139-142..........49%274-278..........81% <br />26-29..........18%143-146..........50%279-282..........82% <br />30-32(1 mo.)19%147-149..........51%283-287..........83% <br />33-36..........20%150-153(5 mos.)52%288-291..........84% <br />37-40..........21%154-156..........53%292-296..........85% <br />41-43..........22%157-160..........54%297-301..........86% <br />44-47..........23%161-164..........55%302-305(10 mos.)87% <br />48-51..........24%165-167..........56%306-310..........88% <br />52-54..........25%168-171..........57%311-314..........89% <br />55-58..........26%172-175..........58%315-319..........90% <br />59-62(2 mos.)27%176-178..........59%320-323..........91% <br />63-65..........28%179-182(6 mos.)60%324-328..........92% <br />66-69..........29%183-187..........61%329-332..........93% <br />70-73..........30%188-191..........62%333-337(11 mos.)94% <br />74-76..........31%192-196..........63%338-342..........95% <br />77-80..........32%197-200..........64%343-346..........96% <br />81-83..........33%201-205..........65%347-351..........97% <br />84-87..........34%206-209..........66%352-355..........98% <br />88-91(3 mos.)35%210-214(7 mos.)67%356-360..........99% <br />92-94..........36%215-218..........68%361-365(12 mos.)100% <br />Form WC 04 04 22Printed in U.S.A. <br />Process Date:08/17/24Policy Expiration Date:09/26/25 <br /> <br />