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� f.y <br />This endorsement charges the policy effective on the Inception Cate of the palmy unless another date is Indicated <br />below: <br />Policy Number: 04 SBW IWO502 DV <br />Named Insured and Mailing Address; .AwDEPsoxPENNA ,PARTNER$, INC. <br />3737 BIRCH ST STE 250 <br />NEWPORT BEACH CA. 92660 <br />Policy Cha" -we Effective note- 06/26/18 <br />Policy Change Number. 007 <br />AgentName- DEALEY RENTON &G ASSOC INS BRXS/PHS <br />Code: 532265 <br />POLICY CHANGES - <br />SENTINEL INSURANCE COMPANY, LIMITED <br />ANY CHANCES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />ST.ATEMENT.IF YOU ARE ENROLLED IN REPETI'TI'VE EFT DRAWS FROM YOUR BANK <br />.ACCOUNT, CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW ,AMO S . <br />THIS IS NOT A .HILL. <br />NO PREMIUM DUE .AS OF POLICY CHANGE EFFECTIVE DATE <br />BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED <br />ADDITIONAL INSURED(S) ARE ADDED <br />THE FOLLOWING .ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN <br />THIS POLICY, <br />LOCATION 001 BUILDING 001 <br />SEE ,FORM TH 12 00 <br />FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE; <br />PRO RATA FACTOR: 0.197 <br />THIS ENDORSEMENT ]DOES NOT CH NGE THE POLICY EXCEPT ,AS SHOWN. <br />Fora 38 12 1104 05 T Pao 001 (CONTINUED ON NEXT PAGN) <br />Process Date. 06/28/18 Policy EffWIvS Date; 08/01/17 <br />Policy Expiration Date. 08/01/18 <br />