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DocuSign Envelope ID:A29AB125-209D-4CB9-854C-789BEC34FODD <br /> ENDORSEMENT/RIDER <br /> <COVSECT> <br /> Effective date of <br /> this endorsement/rider: <TRXEFFDATE> <CARRNAME> <br /> Endorsement/Rider No. <EN> <br /> To be attached to and <br /> form a part of Policy No. <POLICYNO> <br /> Issued to: <ACCTNAME> <br /> NORTH CAROLINA AMENDATORY ENDORSEMENT <br /> REGARDING THE APPLICATION <br /> In consideration of the premium charged, it is agreed that the section of the Application that deems the <br /> Application attached to and part of the policy is inapplicable unless the Application is physically attached <br /> to the policy. <br /> The Policy will be deemed to have been amended to the extent necessary to effect the purposes of this <br /> Amendatory Endorsement. <br /> The regulatory requirements set forth in this Amendatory Endorsement shall supersede and take precedence over any provisions <br /> of the Policy or any endorsement to the Policy,whenever added,that are inconsistent with or contrary to the provisions of this <br /> Amendatory Endorsement,unless such Policy or endorsement provisions comply with the applicable insurance laws of the state <br /> of North Carolina. <br /> The title and any headings in this endorsement/rider are solely for convenience and form no part of the <br /> terms and conditions of coverage. <br /> All other terms, conditions and limitations of this Policy shall remain unchanged. <br /> <ENDSIG> <br /> Authorized Representative <br /> 14-02-14230 (05/2008) Page 1 <br />