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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> POLICY CHANGES <br /> Policy Change <br /> Number 05 <br /> POLICY NUMBER POLICY CHANGES COMPANY <br /> EFFECTIVE <br /> NXTHH7CWYK-00-GL 03/20/2026 State National Insurance Company, Inc. <br /> NAMED INSURED AUTHORIZED REPRESENTATIVE <br /> Roberta Del Hoyo <br /> 4015 W 22nd Pf <br /> Los Angeles,CA 90018 <br /> Ann Ryan <br /> COVERAGE PARTS AFFECTED <br /> Commercial General Liability Coverage Part <br /> CHANGES <br /> SEE ATTACHED SCHEDULE <br /> Return Total $0.00 <br /> Authorized Representative Signature <br /> IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 2 � <br /> Copyright, ISO Commercial Risk Services, Inc., 1983 <br />