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Effective date of this Endorsement: 12/1/2008 <br />This Endorsement is attached to and forms a part of Policy Number: V15PR308PNPA <br />Beazley Insurance Company, Inc. Referred to in this endorsement as either the "Insurer" or the <br />"Underwriters" <br />ADD/DELETE ENDORSEMENT WITHOUT ADDITIONAL RETURN PREMIUM <br />This endorsement modifies insurance provided under the following: <br />AFB ABBE MEDIA TECH® POLICY <br />It is hereby understood and agreed that the following endorsement(s) is added to the Policy: <br />Notice of Cancellation to Certificate Holder <br />BICAE00411105 <br />Authori d Representative <br />~.a zo Fad <br />~~'~ ~.. oR~K <br />~`Sa~ City Ptto~~`ey <br />Asses <br />Y <br />E00303 <br />022008 ed. <br />Page 1 of 1 <br />CHRT NO.: 9126219 Hetty Tran 12/1/2008 12:07:56 PM Page 3 <br />