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<br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY CHANGE <br />This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated <br />below: <br />Policy Number: a1 SBA IR4222 DD <br />Named Insured and Mailing Address; SIRIUS K9 ACADEMY & SIRIUS K9 <br />TRAINING <br />1216 CARRIAGE LN <br />CORONA CA 92880 <br />Policy Change Effective Date: os/o?/12 Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />Policy Change Number: 001 <br />Agent Name'_ MOURER-FOSTER INC/PHS <br />Code: 151520 <br />POLICY CHANGES: <br />SENTINEL INSURANCE COMPANY, LIMITED <br />ANY CHANGES I N YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />STATEMENT . I F YOU ARE ENROLLED IN REPETITIVE EFT DRAWS FROM YOUR BANK <br />ACCOUNT , CHANGES IN PREMIUM WILL CHANGE FUTURE DRAW AMOUNTS . <br />THIS IS NOT A BILL. <br />NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE <br />BUSINESS L IAB 2 L 2 TY OPTIONAL COVERAGES ARE REVISED <br />ADDITIONAL INSURED (S) ARE ADDED <br />THE FOLLOWING ARE ADD I T 2 ONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN <br />THIS POLICY. <br />LOCATION 001 BUILDING 001 <br />PERSON/ORGANIZATION: SEE FORM IH 12 00 <br />PRO RATA FACTOR: 1.000 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN . <br />Form SS 12'1'1 0405 T Page 001 (CONTINUED ON NEXT PAGE) <br />Process Date: os/o?/12 Policy Effective Date• 02/16/12 <br />Policy Expiration Date: 02 / 16 / 13