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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: 57 SBM BL2522 DX <br />Named Insured and Mailing Address; HALL AQUATIC LS DESIGN CONSLTNT LLC <br />DBA HALL AQUATIC DESIGN LLC <br />347 GRANT ST SE <br />ATLANTA GA 30312 <br />Policy Change Effective Date: 11/12/18 Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br />Policy Change Number: 003 <br />Agent Name: BIZINSURE LLC/PHS <br />Code: 102005 <br />POLICY CHANGES: <br />TWIN CITY FIRE INSURANCE COMPANY <br />ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />STATEMENT.IF 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 />PRO RATA FACTOR: 0.992 <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br />Form SS 12110405T Page 001 (CONTINUED ON NEXT PAGE) <br />Process Date: 11/12/18 Policy Effective Date: 11/09/18 <br />Policy Expiration Date: 11/09/19 <br />