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Policy Number: N0276GL00000100-F330112 <br />Effective Date of Change: 03/16/2026 <br />BUSINESSPRO POLICY CHANGES <br />NAMED INSURED AND ADDRESS: <br />POLICY PERIOD: <br />ARCHIE'S ICE CREAM <br />12:01 A.M. STANDARD TIME AT THE ADDRESS OF <br />745 N. HARITON STREET <br />THE NAMED INSURED SHOWN AT LEFT. <br />ORANGE, CA 92868 <br />FROM: 09/12/2025 TO: 09/12/2026 <br />THIS ENDORSEMENT CHANGES <br />BROKER NAME AND ADDRESS: <br />THE POLICY. <br />Veracity Insurance Solutions, LLC. <br />260 South 2500 West, Suite 303 <br />PLEASE READ IT CAREFULLY. <br />Pleasant Grove, Utah 84062 <br />INSURANCE IS AFFORDED BY THE COMPANY INDICATED BELOW: <br />(X) Accelerant National Insurance Company <br />In consideration of the additional premium of $10.00 plus a BHTA Fee of $10.00, for a total of <br />$20.00, it is hereby understood and agreed that the following form has been added to the policy <br />mentioned above: <br />❑ Additional Insured - Vendors CG2015 (Ed. 04 13) with primary and noncontributory wording <br />❑ Additional Insured - Designated Person or Organization CG 20 26 (Ed. 04/13) with primary and <br />noncontributory wording <br />❑ Additional Insured - Lessor of Leased Equipment CG 20 34 (Ed. 04 13) with primary and <br />noncontributory wording <br />❑ Primary and Noncontributory — Other Insurance Condition CG 20 01 (Ed. 04 13) <br />❑✓ Waiver of Transfer of Rights of Recovery Against Others to Us CG 24 04 (Ed. 05 09) <br />❑ Trailer Endorsement — Amendment to Exclusion -Aircraft, Auto or Watercraft CG 88 02 (Ed. 11 85) <br />❑ Increase Inland Marine Limits to $ (maximum payout for any one article) / $ (annual aggregate) <br />❑ Increase Aggregate Limits to $2M <br />❑ General Endorsement — Professional Coverage Extension CG 88 02 (Ed. 11 85) <br />❑ Loss Payable Provisions — CM 78 70 (Ed. 06 92) <br />All other terms and conditions remain the same. <br />