Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGE <br />This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated <br />below: <br />Policy Number: 51 SBA AD7666 DX <br />Named Insured and Mailing Address; PIGS TAIL USA LLC AND PRO -CON INDUS <br />TRIES INC. <br />. 1601 E SANTT ANDREW PL <br />SANTA ANA CA 9 2 7 0 5 <br />Policy Change Effective Date: 04/17/12 Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />Policy Change Number: 001 <br />Agent Name•_ caN INSURANCE SERVICES /PHS <br />Code: 135212 <br />POLICY CHANGES: <br />SENTINEL INSURANCE COMPANY, LSMITED <br />ANY CHANGE S I N YOUR PREMIUM W2 LL BE REFLECTED IN YOUR NEXT B I LL ING <br />STATEMENT _ 2 F YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK <br />ACCOUNT , CHANGE S IN PREMIUM W ILL CHANGE FUTURE DRAW AMOUNTS . <br />THIS IS NOT A BILL. <br />NO PREMIUM DUE AS OF POL 2 CY CHANGE E F FE CT IVE DATE <br />BUS 2NES S L SAB I L I TY O PT I ONAL COVERAGE S ARE REVISED <br />ADDITIONAL INSUREDS) ARE ADDED <br />THE FOLLOWING ARE ADD 1 T 1 ONAL INSURED FOR BUS I NE S S L IAB I L 2 TY COVERAGE IN <br />THIS POLICY. <br />LOCATION 001 BUILDING 001 <br />PERSON /ORGANIZATION: SEE FORM IH 12 00 <br />FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT I S SUE <br />PRO RATA FACTOR: 1.000 <br />THI S ENDORSEMENT DOES NOT CHANGE THE POL 2 CY EXCEPT AS SHOWN _ <br />Form SS 12 11 04 05 T Page 001 (CONTINUED ON NEXT PAGE) <br />Process Date: o4/1a/12 Policy Effective Date: o1/1a/12 <br />Policy Expiration Date: o1/iB/13 <br />Exhibit C <br />