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Policy Number <br />BAP 6551242-05 <br />THIS ENDORSEMENT CHANGES THE POLICY. <br />PLEASE READ IT CAREFULLY. <br />COMMON POLICY CHANGE ENDORSEMENT <br />Endorsement No. 002 <br />ZURICH AMERICAN INSURANCE COMPANY <br />Named Insured GCC ENERGY LLC Effective Date: 09-01-14 <br />12:01 A.M., Standard Time <br />Agent Name AON RISK SERVICES SOUTHWEST, INC. Agent No. 14340-000 <br />This endorsement will not be used to decrease coverages, increase rates or deductibles or alter any terms or <br />conditions of coverage unless at the sole request of the insured. <br />COVERAGE PART INFORMATION —Coverage parts affected by this change as indicated by ] below. <br />F] Commercial Property <br />Commercial General Liability <br />FICommercial Crime <br />Commercial Inland Marine <br />FIBUSINESS AUTOMOBILE NO CHARGE <br />11 <br />The following item(s): <br />Insured's Name Insured's Mailing Address <br />Policy Number Company <br />Effective/ Expiration Date Insured's Legal Status/Business of Insured <br />Payment Plan Premium Determination <br />Additional Interested Parties 17� Coverage Forms and Endorsements <br />Limits/ Exposures FI Deductibles <br />Covered Property/ Location Description 1-1 Classification/Class Codes <br />0 Rates E] Underlying Exposure/ Insurance <br />is (are) changed to read (See Additional Page(s)) <br />THE FOLLOWING FORM(S) HAS BEEN ADDED: <br />U—CA-811—A CW 05-10 NOTIF TO OTHERS OF CANC NONRNW RED <br />The above amendments result in a change in the premium as follows: <br />This premium does not include taxes and surcharges. <br />X] No Changes ❑ To be Adjusted at Audit I Additional NO CHARGE ReturnNO CHARGE <br />Tax and Surcharge Changes <br />Additional Return <br />Countersigned By: <br />AUTHORIZED AGENT <br />U -GU -614A CW (10/02) <br />