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THE PETERSON GROUP A-2008-305-002 REVIEWED BY: EUNICE HEREDIA (PG 6 OF 9) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <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 AA1945 DX <br />Named Insured and Mailing Address; THE PETERSON GROUP, INC, <br />18851 BARDEEN AVE # 225 <br />IRVINE CA 92612 <br />Policy Change Effective Date-. 01/29/15 <br />Policy Change Number: 001 <br />gent Name: SUPERIOR ACCESS INS SRVC INC/PHS <br />Code: 181840 <br />Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />POLICY CHANGES: <br />SENTINEL INSURANCE COMPANY, LIMITED <br />ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />STATEMENT.IF YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK <br />ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS. <br />THIS IS NOT A BILL. <br />NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE <br />BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED <br />ADDITIONAL INSUREDS) ARE ADDED <br />THE FOLLOWING ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN <br />THIS POLICY. <br />LOCATION 001 BUILDING 001 <br />SEE FORM IH 12 00 <br />PRO, RATA FACTOR: 1.000 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12 11 O4 05 T Page 002. (CONTINUED ON NEXT PAGF) <br />Process Date: 05/07/15 Policy Effective Date: 01/29/15 <br />Policy Expiration Date': 01/29/16 <br />