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FIRST MERCURY INSURANCE COMPANY <br /> (A STOCK COMPANY) <br /> GENERAL CHANGE ENDORSEMENT <br /> Policy#: FMEV112674 Effective Date of Policy: 11/5/2019 <br /> Endorsement#: 09 Effective Date of Endorsement: 10/13/2020 <br /> Named Insured: Boyle Investments LLC (Building Owner) & The Irishmen LLC <br /> DBA: Irishmen Restaurant & Pub (The) <br /> Additional Premium $ 0 Return Premium $ 0 <br /> The following change(s) is/are made in this policy: <br /> The following Additional Insured is added: City of Everett. <br /> The following form is added to the Schedule of Forms and Endorsements: Additional <br /> Insured-State or Governmental Agency or Subdivisions or Political Subdivisions-Permits or <br /> Authorizations. CG 20 12 04 13 <br /> Dated: 10/13/2020 EverGuard Insurance Services, Inc. <br /> Authorized Agent <br /> Agent No. <br /> FMEG100002(10/15) <br />