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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: 52 SBAAB8135 DX <br /> Named Insured and Mailing Address; PHAM CORPORATION <br /> DBA BASIL VIETNAMESE CUISINE <br /> 909 SE EVERETT MALL WAY <br /> EVERETT WA 98208 <br /> Policy Change Effective Date: 11/20/20 Effective hour is the same as stated in the <br /> Declarations Page of the Policy. <br /> Policy Change Number: 002 <br /> Agent Name: LEAVITT GROUP NORTHWEST/PHS <br /> Code: 815065 <br /> POLICY CHANGES: <br /> SENTINEL INSURANCE COMPANY, LIMITED <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 /> BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED <br /> ADDITIONAL INSURED(S) ARE ADDED <br /> THE FOLLOWING ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN <br /> THIS POLICY. <br /> LOCATION 001 BUILDING 001 <br /> PERSON/ORGANIZATION: SEE FORM IH 12 00 <br /> FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: <br /> PRO RATA FACTOR: 1. 000 <br /> THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br /> Form SS121104 05 T Page 001 (CONTINUED ON NEXT PAGE) <br /> Process Date: 11/20/20 Policy Effective Date: 09/10/20 <br /> Policy Expiration Date: 0 9/10/21 <br />