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The above amendments result in a change in the premium as follows: <br /> ❑ NO CHANGES ❑ TO BE ADJUSTED ADDITIONAL PREMIUM RETURN PREMIUM <br /> AT AUDIT <br /> Total Premium: $1, 178. 00 <br /> REMOVAL PERMIT <br /> If this Policy includes the Commercial Property Coverage Part, the following applies with respect to such <br /> Coverage Part(s): <br /> If Covered Property is removed to a new location that is described on this Policy Change, you may extend this <br /> insurance to include that Covered Property at each location during the removal. Coverage at each location will <br /> apply in the proportion that the value at each location bears to the value of all Covered Property being removed. <br /> This permit applies up to 10 days after the effective date of this Policy Change; after that, this insurance does <br /> not apply at the previous location. <br /> Countersignature Of Authorized Representative <br /> Name: <br /> Title: <br /> Signature: <br /> Date: <br /> Page 2 to 2 © Insurance Services Office, Inc., 2022 IL 12 09 08 23 <br />