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POLICY NUMBER: BN697479 <br />Named Insured: 1 WATER, 1NC. <br />NAUTILUS 1NSURANCI=COMPANY <br />Endorsement Effective Date: 10/27/2007 <br />GEftitERAL CHANGE ENDORSEMENT <br />ENDORSEMENT# 1 <br />Agency # 04tJ8 - <br />In consideration of the additional premium charged, it is hereby understood and agreed that the policy is amended to <br />include the following attached endorsement: , <br />S114 Additional Insured -Primary <br />Tax & Fee Schedule <br />3.175% <br />PREMIUM: ^ None ®AP ^ RP $ 150.00 <br />Total Taxes & Fees $ +i.76 <br />All other Terms and Conditions of the Policy remain unchanged. <br />TOTAL PREMIUM DUE$ 154.76 <br />10/27/'2007 tCLBlklb <br />S901 (O1HJ7) raetagR a °t¢e yenta K <br />