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i <br />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 />n Policy Number: 57 SEA BE3452 SC ORIGINAL <br />M <br />N <br />b <br />Named Insured and Mailing Address; READ WRITE EDUCATIONS SOLUTIONS <br />c ' <br />M <br />1720 E GARRY AVE <br />N <br />SANTA ANA CA 92705 <br />Policy Change Effective Date; 05/07/13 Effective hour is the same as stated in the <br />N Declarations Page of the Policy. <br />N <br />Policy Change Number: 002 <br />a <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 FUTURF. 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 />PERSON /ORGANIZATION; SEE FORM IH 12 00 <br />FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: <br />PRO RATA FACTOR: 0.677 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 1211 04 05 T _ Page 001 (CONTINUED ON NEXT PAGE) <br />Process Date: 05/07/13 Policy Effective Date: 01/09/13 <br />Policy Expiration Date: 01/09/14 <br />INSURED COPY APPROVED AS To Fon� <br />E, STORCK Assistant City Attorney l <br />