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,N°-o 0/3 -0 3-1 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />GENERAL CHANGES ENDORSEMENT <br />Endorsement forming part of and attaching to this Policy. <br />Effective 03/01/13, this Policy amended as follows: <br />? Amend policy number The policy number as appears on the Declarations Page is deleted <br />and replace as follows: <br />? Deductible: Item 4 of the Declarations is amended to read: <br />? Retroactive Date: Item 6 of the Declarations is amended to read: <br />? Period of Insurance: Item 2 of the Declarations is amended to read: <br />? Forms: The following forms are added to the policy: <br />The following forms are deleted from the policy: <br />? Name & Address Item 1 of the Declarations is amended to read: <br />? Locations: The following locations are added to the policy: <br />The following locations are deleted from the policy: <br />AS TO FORM <br />I qcz, - <br />Attorney <br />LPLEN01 [10/10] Page 1 of 2 Protective Insurance Company