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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY_ <br />POLICY CHANGES <br />Policy Change Number <br />POLICY NUMBER <br />POLICY CHANGES EFFECTIVE <br />COMPANY <br />GL953696 <br />12/13/12 <br />COLONY INSURANCE COMPANY <br />NAMED INSURED <br />AUTHORIZED REPRESENTATIVE <br />t3EAVENS SYSTEMS, INC <br />M.J. HALL &COMPANY (STOCKTON) <br />04265 <br />COVERAC3E PARTS AFFECTED <br />ALL COVERAGE PARTS <br />C HANC3 ES <br />IN CONSIDERATION OF AN ADDITIONAL PREMIUM OF $200, FLAT, FULLY EARNED, IT IS HEREBY <br />UNDERSTOOD AND ACdREED THAT THE FOLLOWING ADDITIONAL INSUREDS) IS ADDED PER FORM <br />U156PC -0310. (SEE ATTACHED] <br />ALL OTHER "TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. <br />12/15/2012 JC <br />Autfiorized Representative Signature <br />IL 12 01 11 13a Copyright, Insurance Services Office, Inc., 1983 Page 1 oT 1 <br />Copyright, ISO Commercial Risk Services, Inc., 1983 <br />