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STANDARD CHANGE ENDORSEMENT NO 1 <br />Endorsement effective <br />08/09/2019 <br />standard <br />Policy No. <br />PAV0201745 <br />Named Insured <br />SECURITY SOLUTIONS INTERNATIONAL, INC. <br />Countersigned by <br />J <br />❑ In consideration of the premium charged, it is understood and agreed that <br />® In consideration of an additional premium of 150.001— it is understood and agreed that <br />❑ In consideration of a return premium of , it is understood and agreed that <br />1. Premium Basis <br />2. Rate <br />3. Premium <br />4. Amount <br />5. Limits of Liability <br />6. Inception Date <br />7. Expiration Date <br />S1004 (1012013) <br />8. Name of Insured <br />9. Location of Property <br />10. Classification Added <br />11. Classification Deleted <br />12. Classification <br />13. Mortgagee/Loss <br />14. Payee or Contract of Sale <br />14. Mailing Address of the Insured <br />15, Description of Property <br />16. Coverage <br />17. Additional Insured Endorsement <br />18. Endorsement <br />X 19. Other <br />is corrected to read as listed on Page 2 <br />is amended or changed to read as listed below <br />the following form is made a part of the Policy <br />the following form is deleted from the Policy <br />Page 1 of 2 <br />