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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> POLICY CHANGES <br /> Policy Change <br /> Number 2 <br /> POLICY NUMBER POLICY CHANGES COMPANY <br /> EFFECTIVE <br /> FTG6562-01 07/03/2017 Markel Insurance Company <br /> NAMED INSURED AUTHORIZED REPRESENTATIVE <br /> Vicki Venolia Bruce Kay <br /> 2313 113th Dr SE #A <br /> Lake Stevens, WA 98258 <br /> COVERAGE PARTS AFFECTED <br /> Commercial General Liability Coverage Form <br /> CHANGES <br /> It is understood and agreed that the policy is amended as follows: <br /> The following forms are added: <br /> CG 20 26 (04-13) Additional Insured - Designated Person or Organization <br /> All other terms and conditions remain unchanged. <br /> a. <br /> Authorized Representative nature <br /> Copyright, Insurance Services Office, Inc., 1983 <br /> Copyright, ISO Commercial Risk Services, Inc., 1983 <br /> IL 12 01 11 85 Page 1 of 1 ❑ <br /> Original <br />