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SCOMDALE INSURANCE COMPANY® <br /> CHANGE ENDORSEMENT NO . oas <br /> Policy No . CPS 17 7 14 4 9 Effective Date 0 6 / 0 5 / 2 01 3 <br /> 12 : 01 A . M . Standard Time <br /> Named Insured OMNI PINNACLE , LLC Agent No . 17013 <br /> C 0 V E RAG E PART I N F 0 R M ATIO N - CoveragepartsaffectedbythischangeasindicatedbyX❑ below . <br /> ❑ Commercial Property <br /> Fx Commercial General Liability NO CHARGE <br /> Commercial Crime <br /> ❑ Commercial Inland Marine <br /> CHANGE DESCRIPTION <br /> IN CONSIDERATION OF THE PREMIUM CHARGED , IT IS HEREBY UNDERSTOOD AND AGREED THAT : <br /> A 30 DAY NOTICE OF CANCELLATION IS ADDED TO THE POLICY PER THE ATTACHED FORMS . <br /> PREMIUM CHANGE <br /> Additional $ Return $ <br /> �'' • / C� � <br /> 06 / 12 / 2013 LC <br /> AUTHORIZED REPRESENTATIVE DATE <br /> UTS-244L (6-92) INSURED <br />