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ENDORSEMENT NO. 1 <br /> Named Insured: Kenneth Brian Hunt <br /> Policy Effective Date: 08/09/2019 <br /> Policy Expiration Date: 08/09/2020 <br /> This endorsement effective: 12:01 A.M. 01/15/2020 forms a part of <br /> Policy No: ENV562000363-01 GuideOne National Insurance Company <br /> Amendatory Endorsement <br /> In consideration of the premium shown below, it is hereby understood and agreed this endorsement is <br /> attached to and forms part of the above policy and is effective as shown above. This endorsement <br /> amends only the changes which are indicated by check in the box immediately preceding such change: <br /> 1. ❑Policy is 6. ❑Endorsement No is null and void <br /> 2. ❑Item(s)listed below are the policy schedule. 7. ['Description of Item(s)Is amended as shown below. <br /> 3. 0 Name of Insured is amended as shown below. 8. 0 Umit of Liabiity is as shown below. <br /> 4. ❑Insured mai ing address Is amended as shown below. 9. ❑Policy Reinstated <br /> 5. ❑Policy term is amended to: 10. ✓❑Other,as shown below <br /> Effective 1/15/2020,Form CG 2012 added as follows <br /> Breakdown: <br /> $ 0.00 Premium <br /> S 0.00 Terrorism Premium <br /> $ 0.00 Grand Total <br /> Issue Date: 01/16/2020 Authorized Representative <br />