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Policy Number <br />GLO 6551241-05 <br />THIS ENDORSEMENT CHANGES THE POLICY. <br />PLEASE READ IT CAREFULLY. <br />COMMON POLICY CHANGE ENDORSEMENT <br />Endorsement No. 0 01 <br />AMERICAN ZURICH 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 [K] below. <br />❑ Commercial Property <br />❑ Commercial General Liability NO CHARGE <br />❑ Commercial Crime <br />❑ Commercial Inland Marine <br />The following item(s): <br />Insured's Name a 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 ❑ Coverage Forms and Endorsements <br />Limits/ Exposures F-1 Deductibles <br />Covered Property/ Location Description F-1 Classification/ Class Codes <br />0 Rates a Underlying Exposure/ Insurance <br />is (are) changed to read {See Additional Page(s) ) <br />THE FOLLOWING FORM(S) HAS BEEN ADDED: <br />U—GL-1447—A CW 05-10 NOTIF TO OTHERS OF CANC NONR OR REDUCT <br />The above amendments result in a change in the premium as follows: <br />This prerniurn does not include taxes and su <br />M No Changes <br />FE] To be Adjusted at Audit <br />I Additional NO CHARGE <br />ReturnNO CHARGE <br />Tax and Surcharge Changes <br />Additional Return <br />Countersigned By: <br />AUTHORIZED AGENT <br />U -GU -614-A CW (10/02) <br />