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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: 76 SBU UQ8313 76 <br />Named Insured and Mailing Address; PROUDCITY <br />DBA PROUDCITY <br />2219 DAMUTH ST <br />OAKLAND CA 94602 <br />Policy Change Effective Date: 07/05/22 Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />Policy Change Number: 003 <br />Agent Name: PAYCHEX INSURANCE AGENCY INC/PHS <br />Code: 210690 <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 />FORM NUMBERS OF ENDORSEMENTS REVISED AT ENDORSEMENT ISSUE: <br />IH12001185 WAIVER OF SUBROGATION <br />PRO RATA FACTOR: 1.000 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12 110405 T Page ooi <br />Process Date: 06/30/22 Policy Effective Date: 07/05/22 <br />Policy Expiration Date: 07/05/23 <br />