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Great American E&S Insurance Company <br /> AES 1012 0714 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> POLICY CHANGES <br /> Endorsement Number: 3 <br /> Effective Date of this Endorsement: 10/03/2024 <br /> It is hereby understood and agreed that the: <br /> ( ) 1. Premium { X } 7. Coverage <br /> { ) 2. Named Insured { } 8. Effective Date <br /> { ) 3. Principal Address ( ) 9. Expiration Date <br /> ( ) 4. Mailing Address of Insured ( ) 10.Self-Insured Retention <br /> ( ) 5. Producer Name ( j 11. <br /> ( ) 6. Producer Address <br /> for Policy No.: TER5325879 is amended as follows: <br /> 1) Form AES 1010 (Ed. 07/14)MULTIPURPOSE MANUSCRIPT AMENDATORY ENDORSEMENT is hereby deleted in <br /> its entirety and replaced with the attached Form AES 1010(Ed. 07/14)MULTIPURPOSE MANUSCRIPT AMENDATORY <br /> ENDORSEMENT. <br /> 2) Form AES 1010(Ed. 07/14.)ADDITIONAL INSURED ENDORSEMENT is hereby deleted in its entirety and replaced <br /> with the attached Form AES 1010 (Ed. 07/14)ADDITIONAL INSURED ENDORSEMENT. <br /> ALL OTHER POLICY TERMS AND CONDITIONS REMAIN UNCHANGED. <br /> AES 1012 0714 (Page 1 of 1) <br />