Laserfiche WebLink
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: 46 SBM UQ8313 DX <br />Named Insured and Mailing Address; PROUDCITY <br />DBA PROUDCITY <br />2219 DAMUTH ST <br />OAKLAND CA 94602 <br />Policy Change Effective Date: 10/20/21 Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />Policy Change Number: 002 <br />Agent Name: BIN INSURANCE HOLDINGS LLC/PHS <br />Code: 505301 <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 FUTURE DRAW AMOUNTS. <br />THIS IS NOT A BILL. <br />NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE <br />LOCATION 002 BUILDING 001 IS REVISED <br />PRO RATA FACTOR: 0.707 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12 11 04 05 T Page coi (CONTINUED On <br />Process Date: 10/20/21 Policy Effective <br />Policy Expiratio <br />�.�.� <br />�� ) <br />RldtMaru�ientD4d�o�t <br />RWEWE0&APPROVEDBY: <br />%+Cc a tr401 <br />i�-W <br />RISR management$upcwlwr <br />