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► 11DIM <br />Amendment of Forms and Endorsements Schedule <br />Addition or Deletion of Endorsements <br />It is understood and agreed as follows: <br />I. ADDITION OF FORMS OR ENDORSEMENTS <br />The Forms and Endorsements Schedule is amended to add the following forms or endorsements effective as of the <br />date set forth in such form or endorsement <br />Endm't <br />Number <br />Form or Endorsement Name <br />Form Number <br />Form <br />Edition <br />26 <br />Amendment of Forms and Endorsements Schedule <br />CNA62673XX <br />09-12 <br />Addition or Deletion of Endorsements <br />27 <br />Changes - Notice of Cancellation or Material <br />CNA74702XX <br />01-15 <br />Restriction Endorsement <br />DELETION OF FORMS OR ENDORSEMENTS <br />The Forms and Endorsements Schedule is amended to delete the following forms or endorsements effective as of the <br />"deletion date" indicated below. <br />The net premium change, if any, for the above endorsements in Sections I. and II. is: <br />Total change is : <br />All other terms and conditions of the Policy remain unchanged. <br />$0.00 <br />.MI <br />This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the <br />effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently <br />with said Policy. <br />CNA62673XX 09-12 P <br />Page 1 of 1 Endorsem Ris1Mwagm%erdDMs1an <br />NATIONAL FIRE INSURANCE OF HARTFORD Effectiv REVIEWED is APPROVED BY: <br />Insured Name: OVERDRIVE HOLDINGS, INC. � ` Fa r e R. <br />Copyright CNA All Rights Reserved. Risk Management Analyst <br />