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DocuSign Envelope ID:36527814-FF6E-473D-8780-375FBB508600 <br /> Liberty <br /> Surplus Insurance <br /> Real Estate Appraisers Professional <br /> alit�` Cororaion,„ <br /> Liability <br /> LIBERTY SURPLUS INSURANCE CORPORATION <br /> (A New Hampshire Stock Insurance Company,hereinafter the"Company") <br /> Named Insured: SMITH,DAVID ALLEN Policy Number: LSI012905-002 <br /> Effective Date: 01/27/2015 <br /> Customer ID: 167112 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL COVERED PERSONS ENDORSEMENT <br /> It is agreed that Section IV of the Policy, Definition(I) is amended to include: <br /> "Insured" means: <br /> The persons identified below,but only while acting on behalf of the Named Insured: <br /> Coverage Principal/Owner, <br /> Name Effective Date Appraiser or Trainee <br /> David Allen Smith 01/27/2015 Principal/Owner <br /> Page 1 of 1 <br /> LIA012 (08/11) <br />