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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NORTH CAROLINA AMENDED COVERAGE ENDORSEMENT Policy Number: 59 WEC AC9055 Endorsement Number: Effective Date: 07/03/20 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: BAY SPROUTS LLC 655 S MAIN ST STE 200-317 ORANGE CA 92868 This endorsement applies only to the insurance provided by the policy because North Carolina is shown in Item 3.A. of the Information Page. The Cancellation Condition of the policy is replaced by this Condition: D. Cancellation and Nonrenewal 1. You may cancel this policy. If you cancel this policy, you must mail or deliver advance written notice to us stating when the cancellation is to take effect. 2. We may cancel this policy. (a) If this policy has been in effect for fewer than 60 days and is not a renewal policy, we may cancel this policy for any reason by giving you at least 30 days prior written notice of cancellation and the reasons for cancellation by registered or certified mail, return receipt requested. (b) If this policy has been in effect for at least 60 days or is a renewal policy, we may not cancel this policy without your prior written consent, except for any one of the following reasons: (1) Nonpayment of premium in accordance with the policy terms. (2) An act or omission by you or your representative that constitutes material misrepresentation or nondisclosure of a material fact in Form WC 32 03 01 D Printed in U.S.A. Process Date: 05/25/20 obtaining the policy, continuing the policy, or presenting a claim under the policy. (3) Increased hazard or material change in the risk assumed that could not have been reasonably contemplated by you and us at the time of assumption of the risk. (4) Substantial breach of contractual duties, conditions, or warranties that materially affects the insurability of the risk. (5) A fraudulent act against us by you or your representative that materially affects the insurability of the risk. (6) Willful failure by you or your representative to institute reasonable loss control measures that materially affect the insurability of the risk after written notice by us. (7) Loss of faculative reinsurance or loss of or substantial changes in applicable reinsurance as provided in G.S. 58-41-30. (8) Your conviction of a crime arising out of acts that materially affect the insurability of the risk (9) A determination by the Commissioner that the continuation of this policy would place us in violation of the laws of North Carolina. (10)You fail to meet the requirements contained in our corporate charter, articles of incorporation, or bylaws, when we are a company organized for the sole purpose of providing members of an organization with insurance coverage in North Carolina. ew cF RAMwagementDMsian Jy/\'x REVIEWED & APPROVED BY.- V"° Policy E _� R.Wjanagementftalpt