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POLICY CHANGE DOCUMENT <br /> POLICY NO.: PHPK1614269 <br /> Philadelphia Indemnity Insurance Company 2297 PLC INSURANCE, LLC <br /> NAMED INSURED Snohomish County Music Project <br /> MAILING ADDRESS PO Box 1006 <br /> Everett, WA 98206-1006 <br /> POLICY PERIOD: FROM 02/18/2017 TO 02/18/2018 at <br /> 12:01 A.M. Standard Time at your mailing address shown above. <br /> CHANGE EFFECTIVE 03/16/2017 CHANGE# 1 REVISION # 1 <br /> DESCRIPTION <br /> In consideration of the premium reflected, the policy is amended as indicated below: <br /> Added: <br /> Additional Insured: <br /> City of Everett, Its officers, employees and agents <br /> Per attached <br /> Path ID 10589421 <br /> Total Annual Total Prorate <br /> Additional/Return Premium$ 0.00 Additional/Return Premium$ 0.00 <br /> NO CHANGE NO CHANGE <br /> COUNTERSIGNED BY <br /> (Date) (Authorized Representative) <br /> 03/28/2017 <br /> Issue Date Insurance Policy Page 1 of 1 <br />