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t <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />PQLICY CHANGE <br />0 <br />0 <br />~r <br />H <br />N <br />r <br />0 <br />a <br />0 <br />N <br />This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated <br />below, <br />Policy Number: 72 SBA TV8641 sc COPY <br />rn <br />m <br />ui <br />Named Insured and Mailing Address; ENTHUSIAST INc <br />901 SO MAGNOLIA AVE <br />MONROVIA CA 91016 <br />Policy Change Effective Date: 07/01/09 <br />Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />Policy Change Number: 002 <br />Agent Name: PREFERRED SPECIALTY INS SVGS LLC <br />-Code: 254958 <br />POLICY CHANGES: <br />HARTFORD CASUALTY INSURANCE COMPANY <br />ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />STATEMENT. <br />THIS IS NOT A BILL. <br /> <br />NO PREMILJM DUE AS OF POLICY CHANGE EFFECTIVE DATE <br />RATES AND PREMIUMS ARE CHANGED. <br />BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED <br />ADDITIONAL INSURED IS DELETED <br />LOCATION 001 BUILDING 001 <br />MANAGER/LESSOR: SEE FORM IH 12 00 <br />PRO RATA FACTOR: 0.553 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12 11 04 05 T <br />Process Date: 0/22/09 <br />LISP '~ ~,~ <br />P55~~~a~ <br />~ ~ <br />Page 001 (CONTINUED ON NEXT PAGE) <br />Policy Effective Date: o~/0l/09 <br />Policy Expiration Date: 01/19/10 <br />~0~ <br />~'~~ <br />'~.~~ ~ '~ORGa re`1 <br />UW COPY <br />