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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />EXPERIENCE RATING MODIFICATION FACTOR ENDORSEMENT <br />Policy Number: ❑6 WEG B❑3❑P❑ Endorsement Number: <br />Effective Date: 11/04/2❑ Effecti❑e Eolir is t❑e same as stated on tie Information Page of tie policy. <br />Named Insured and Address: Beginners Edge Sports Training <br />❑432 E TIERRA B❑E❑A L❑ <br />SCOTTSDALE All 8E260 <br />T❑e premi-n for t❑e policy will ❑e ad❑Ated ❑y an eEperience rating modification factor. <br />t❑e policy was iss❑ed. T❑e factor, if any, sown on t❑e Information Page is an estimate. <br />s❑bw t❑e proper factor, if different from to factor sown, w❑en it is calc:1ated. <br />Co-ntersigned ❑y <br />T❑e factor was not aE]3ilade w❑en <br />We will iss❑e an endorsement to <br />AAEoried Representatie <br />Form WC 00 04 03 Printed in ❑.S.A. <br />Process Date: 11 /04/2 ❑ Policy Expiration Date: 11 /04/26 <br />