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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: 83 SBAAD4682 SA <br />Named Insured and Mailing Address; E SOURCE COMPANIES, LLC <br />SEE FORM SS1235 <br />1745 38TH ST <br />BOULDER CO 80301 <br />Policy Change Effective Date: 09/01/21 Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />Policy Change Number: 002 <br />Agent Name: RBN & ASSOCIATES INC <br />Code: 550781 <br />POLICY CHANGES: <br />TWIN CITY FIRE INSURANCE COMPANY <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 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 IH 12 00 <br />FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: <br />PRO RATA FACTOR: 0.784 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12 11 04 05 T <br />Process Date: 0 9 / 0 2 / 2 1 <br />Page 001 (CONTINUED ON NEXT PAGE) <br />Policy Effective <br />Policy Expiratioi <br />Risk MmRgementDMsian <br />.�' REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />