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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: F:6 WEG B❑3❑P❑ Endorsement Number: <br />Effective Date: 11/04/20 Effecti-:0 iE0:1r is tFle same as stated on t❑e Information Page of t�le policy. <br />Named Insured and Address: Beginners Edge Sports Training <br />❑432 E TIERRA B❑E❑A L❑ <br />SCOTTSDALE A❑ 8160 <br />Yo❑ mC:8t report any cEiange in ownersEJp to ❑s in writing witEJn 90 days of t❑e date of t❑e c❑ange. CF]ange in ownersEJp <br />inclEdes sales, p0rcEiases, oti-lar transfers, mergers, consolidations, dissolEtions, formations of a new entity and ot❑er <br />cF]anges prodded for in t0a applicaFle eEperience rating plan. EEperience rating is mandatory for all eligiFle insEireds. T❑e <br />eEperience rating modification factor, if any, applicaFle to tEJs policy, may cF]ange if tDare is a c❑ange in yo❑r ownersEJp or <br />in t❑at of one or more of t0e entities eligide to ❑e comCined wit❑yo❑for eEperience rating plirposes. <br />Faille to report any cLiange in ownersEJp, regardless of w0et!�r tLie cEiange is reported witEJn 90 days of s❑c❑ cEiange, <br />may resdt in reEJsion of t❑e eEperience rating modification factor C8ed to determine yob premiE n. <br />T❑is reporting re❑EJrement applies regardless of wL]etjer an eEperience rating modification is cEirrently applicaEle to tEJs <br />policy. <br />Form WC 00 0414 A Printed in O.S.A. <br />Process Date: 11/04/2i❑ Policy Expiration Date: 11/04/26 <br />