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DocuSign Envelope ID: CCB5CCD8-1AB9-4C00-B1 F6-A07CF92FB7AD <br /> TIONS) is hereby deleted and replaced (2) The names and addresses of <br /> by the following: any injured persons and wit- <br /> a. You must see to it that we are noti- <br /> nesses;and <br /> fied as soon as practicable of an (3) The nature and location of any <br /> "occurrence" or an offense which injury or damage arising out of <br /> may result in a claim. To the extent the"occurrence"or offense. <br /> possible,notice should include: This requirement applies only when <br /> (1) How, when and where the "oc- the 'occurrence"or offense is known <br /> currence" or offense took place; to an "authorized representative". <br /> I <br /> Includes copyrighted material of Insurance <br /> GA 233 02 07 Services Office, Inc.,with its permission. Page 15 of 15 <br />