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EXTENSION OF THE INFORMATION PACE - ITEM 3.13 - ENDORSEMENTS <br /> Policy Number: 76 WEG BX3ZPJ Endorsement Number: <br /> Effective Date: 11/04/25 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: Beginners Edge Sports Training <br /> 7432 E TIERRA BUENA LN <br /> SCOTTSDALE AZ 85260 <br /> Item 3.D, of the Information Page is completed to include the following endorsements <br /> G-4119-0 POLICYHOLDER NOTICE-PAYROLL BILLING <br /> PN049901 J POLICYHOLDER NOTICE -YOUR RIGHT TO RATING AND DIVIDEND INFORMATION <br /> WC000000C WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br /> WC000001A.1 INFORMATION PAGE <br /> WC000001A,2 INFORMATION PAGE <br /> WC000313 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> WC000403 EXPERIENCE RATING MODIFICATION FACTOR ENDORSEMENT <br /> WC000406 Premium Discount Endorsement <br /> WC000414A 90-DAY REPORTING REQUIREMENT-NOTIFICATION OF CHANGE IN OWNERSHIP <br /> ENDORSEMENT <br /> WC000419A PART FIVE- PREMIUM AMENDATORY ENDORSEMENT <br /> WC000421 F CATASTROPHE (OTHER THAN CERTIFIED ACTS OF TERRORISM) PREMIUM <br /> ENDORSEMENT <br /> WC000422C TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT DISCLOSURE <br /> ENDORSEMENT <br /> WC000424 AUDIT NONCOMPLIANCE CHARGE ENDORSEMENT <br /> WCO20401 C ARIZONA ALCOHOL AND DRUG-FREE WORKPLACE PREMIUM CREDIT <br /> ENDORSEMENT <br /> WCO20601C Arizona Cancellation and Nonrenewal Endorsement <br /> WCO20603A ARIZONA AMENDATORY ENDORSEMENT <br /> WC040301 BB POLICY AMENDATORY ENDORSEMENT-CALIFORNIA <br /> Form WC 99 03 68 Printed in U:S.A. <br /> Process Date: 11/04/25 Policy Expiration Date. 11/04/26 <br />