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000vSign Envelope ID: 3o8AuC3C'e4r7-4s3e-880E-5n83Cnurr18A <br /> POLICY CHANGE DOCUMENT <br /> POLICY NO.: PHPK1396797 <br /> U <br /> Philadelphia Indemnity Insurance CprnpanyU 1�58 BB&T Insurance Services, Inc. <br /> NAMED INSURED LIFE Skills Foundation <br /> MAILING ADDRESS 2670 Durham Chapel Hill Blvd <br /> Durham, NC 27707-I829 <br /> POLICY PERIOD: FROM 09/I5/2015 TO 09/15/2016 at <br /> 12:01 A.M. Standard Time at your mailing address shown above, <br /> CHANGE EFFECTIVE 11/11/2015 CHANGE# 1 <br /> - - -- <br /> DESCRIPTION <br /> In consideration of the premium reflected, the policy is amended as indicated below: <br /> Amended: <br /> General Liability/Professional Liability Limits to $1,080,000 Per <br /> 0ccurnence/$3,000,008 Aggregate <br /> in lieu of $1,000,000 Per Dccurrnnce/$2,000,000 Aggregate <br /> per attached <br /> Path ID 9340540 <br /> Total Annual Total Prorate <br /> Additional/Return Premium $ -3.00 Additional/Return Premium $ 2.00 <br /> RETURN RETURN <br /> COUNTERSIGNED BY <br /> (Date) (Authorized Representative) <br /> 11/19/2015 <br /> Issue Date Insurance Policy Page 1 of 1 <br />