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Ill i:IRI4kiIBiel :4.1- 4 M14kikI[s]:/_1ki It] 4•'19:I:11e7lill[WMJIIIIIIIA-l"ANA-1111kIDEA N411111111MA <br />CALIFORNIA INSTALLMENT FEE DISCLOSURE ENDORSEMENT <br />Policy Number: ❑6 WEG B❑3❑P❑ Endorsement Number: <br />Effective Date: 11/04/211 Effecti❑e Eolir is t0e same as stated on t❑e Information Page of t❑e policy. <br />Named Insured and Address: Beginners Edge Sports Training <br />❑432 E TIERRA B❑E❑A L❑ <br />SCOTTSDALE All 8E260 <br />T❑is endorsement applies only to t❑e ins-rance pro:jded <br />❑eca❑se California is sewn in Item 3.A. of tie <br />Information Page. <br />A ser:jce fee of ❑ 00 is c❑arged for eac❑ installment <br />w❑en yob premi-n is paid in installments. T❑e ser:jce <br />fee is 11a00 per wit drawal w❑On yo❑ select an <br />electronic f❑nd transfer payment plan. T❑e serdce fee <br />will Ja added to t❑e premi-n amodt s❑bwn on yo-r <br />premiEn EiIling statement. <br />Form WC 99 03 75 Printed in ❑.S.A. <br />Process Date: 11 /04/2 ❑ <br />Policy Expiration Date: 11/04/26 <br />