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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> CATASTROPHE (OTHER THAN CERTIFIED ACTS OF TERRORISM) <br /> PREMIUM ENDORSEMENT <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 /> This endorsement is notification that we are charging For purposes of this endorsement, Catastrophe (Other <br /> premium to cover the losses that may occur in the Than Certified Acts of Terrorism) is defined as: A single <br /> event of a Catastrophe (Other Than Certified Acts of event or peril resulting in a group of claims with <br /> Terrorism) as that term is defined below. Your policy aggregate workers compensation losses in excess of <br /> provides coverage for workers compensation losses $50 million. This $50 million threshold applies per <br /> caused by a Catastrophe (Other Than Certified Acts occurrence, across all states for which claims arise from <br /> of Terrorism). Coverage for such losses is subject to a single event or peril. <br /> all terms, definitions, exclusions, and conditions in <br /> your policy, and any applicable federal and/or state <br /> laws, rules, or regulations. This premium charge does The premium charge for the coverage your policy <br /> not provide funding for Certified Acts of Terrorism Provides for workers compensation losses caused by a <br /> contemplated under the Terrorism Risk insurance Catastrophe (Other Than Certified Acts of Terrorism) is <br /> Program Reauthorization Act Disclosure Endorsement shown in Item 4 of the Information Page or in the <br /> attached to this policy. Schedule below, <br /> Schedule <br /> State Bate Premium <br /> See Attached Schedule <br /> Form WC 00 04 21 F Printed in U.S.A. <br /> Process Date: 11/04/25 Policy Expiration Date: 11/04/26 <br />