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PF-15282b (06/08)© 2007 The Trust Page 1 of 1 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Named Insured <br />Katrina Kuzyszyn-Jones <br />Endorsement Number <br />Policy Symbol <br />CRL <br />Policy Number <br />78G27815467 <br />Policy Period <br />05/02/2023 to 05/02/2024 <br />Effective Date <br />05/02/2023 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />Amendatory Endorsement – North Carolina <br />It is agreed that: <br />1. Section VIII. CONDITIONS, N. Automatic Extended Reporting Period, is amended by adding the following: <br />The Automatic Extended Reporting Period shall not increase or reinstate the Limits of Liability, which shall be the <br />maximum liability of the Company for the Policy Period and the Automatic Extended Reporting Period, combined. <br />2. Section VIII. CONDITIONS, O. Extended Reporting Period Option, is amended by adding the following at the end of <br />1., c.Extended Reporting Period Option Premium: <br />There is an additional charge of 10% of the additional premium set forth above for such Extended Reporting Period <br />Option for the reinstatement of the Limits of Liability. <br />3. Section VIII. CONDITIONS, O. Extended Reporting Period Option, 4. is deleted in its entirety and replaced with the <br />following: <br />Except with respect to any Extended Reporting Period Option provided in accordance with VIII. CONDITIONS, O. <br />Extended Reporting Period Option, 2. Retiree Provision, or 3. Death or Disability of Insured, the Extended <br />Reporting Period Option, if elected, shall reinstate Item 3 Limits of Liability stated in the Declarations of the policy for <br />Claims first made during the Extended Reporting Period Option. Such Limit of Liability shall be the maximum <br />liability of the Company for all Claims first made during the Extended Reporting Period Option. <br />If any Claim is covered, in whole or in part, under both the Automatic Extended Reporting Period and the Extended <br />Reporting Period Option, then only the Limit of Liability available for Extended Reporting Period Option shall apply. <br />The Limit of Liability available for the Extended Reporting Period Option provided in accordance with VIII. <br />CONDITIONS, O. Extended Reporting Period Option, 2. Retiree Provision, or 3. Death or Disability of Insured,shall <br />be part of, and not in addition to, the Limit of Liability for the Policy Period. Such Extended Reporting Period <br />Option, if elected, shall not increase or reinstate the Limit of Liability. Such Limit of Liability shall be the maximum <br />Limit of Liability of the Company for the Policy Period, the Automatic Extended Reporting Period, and the <br />Extended Reporting Period Option provided in accordance with VIII. CONDITIONS, O. Extended Reporting <br />Period Option, 2. Retiree Provision, or 3. Death or Disability of Insured combined. <br />All other terms and conditions of this policy remain unchanged. <br />________________________ <br />Authorized Agent <br />DocuSign Envelope ID: ACEF8EF9-2EFA-4F7D-B215-CAC4F234E1F6