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it <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ARIZONA COUNTERSIGNATURE EXCLUSION 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 applies only to the insurance "This endorsement shall not be binding unless <br /> provided by the policy because Arizona is shown in countersigned by a duly authorized agent of the <br /> Item 3.A. of the Information Page. company, provided that if this endorsement takes effect <br /> The following wording, as may be contained in this as of the effective date of the policy and, at issue of <br /> policy, does not apply in Arizona: said policy, forms a part thereof, countersigned on the <br /> "This policy is not binding unless countersigned Information Page of said policy by a duly authorized <br /> by our authorized representative. Agent of the company shall constitute valid <br /> countersignature of this endorsement." <br /> Form WC 99 03 71 A Printed in U.S.A. <br /> Process Date: 11/04/25 Policy Expiration Date: 11/04/26 <br />