2024-7-31-_COI-_CGAWPro_-Comprehensive_Risk__Services.pdf

ACORD® CERTIFICATE OF LIABILITY INSURANCE I

DATE (MM/DD/YYYY}

~ 07/26/2023

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the tenns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

PRODUCER CONTACT Donna Matz NAME:

PIMS Insurance Services, LLC. rtgNJ~ E-'· (602) 222-2109 I FAX (A/C Nol: (602) 200-2460

5201 N 7th Avenue E-MAIL dmatz@pimsinsurance.com ADDRESS:

INSURER(Sl AFFORDING COVERAGE NAIC#

Phoenix AZ. 85013-1924 INSURER A : Starr Surplus Lines Insurance Company/AmWINS 13604 INSURED INSURER B: Starr Indemnity & Liability Company/AmWINS 13853

Comprehensive Risk Services, LLC INSURER C:

4609 South 33rd Place INSURER D:

INSURER E:

Phoenix AZ. 85040 INSURER F :

COVERAGES CERTIFICATE NUMBER· REVISION NUMBER·

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

INSR TYPE OF INSURANCE ADDL SUBR POLICYEFF POLICY EXP LIMITS LTR ,.,~,, un,n POLICY NUMBER IMM/DD/YYYYI IMMIDD/YYYYI

X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000

_J CLAIMS-MADE [Z] OCCUR

DAMAGE TO REN I c:u

$ 100,000 PREMISES /Ea occurrence\

X $10k Bl/PD Ded Per Occurrence MED EXP (Anv one person) $ 5,000

A y y 1000066661231 07/31/2023 07/31/2024 PERSONAL & ADV INJURY $ 1,000,000 - GEN"L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ R POLICY IZ] j~T □ LOG PRODUCTS - COMP/OP AGG $ 2,000,000

OTHER: GUCLP/PLSharedAgg $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 /Ea accident!

X ANY AUTO BODIL y INJURY (Per person) $

OWNED ~ SCHEDULED B AUTOS ONLY AUTOS y y 1000199051231 07/31/2023 07/31/2024 BODIL y INJURY (Per accident) $

X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY lPer accident) - $

UMBRELLA UAB fX1 OCCUR EACH OCCURRENCE $ 3,000,000

A X EXCESS UAB CLAIMS-MADE 1000337131231 07/31/2023 07/31/2024 AGGREGATE $ 3,000,000

DED IX I RETENTION$ 0 (GUPUCPUAuto/WC) $

WORKERS COMPENSATION X I ~i~TUTE I I OTH- AND EMPLOYERS' UABILrrY ER

Y I N

ANY PROPRIETOR/PARTNER/EXECUTIVE 0

07/31/2023 07/31/2024

E.L. EACH ACCIDENT $ 1,000,000

B OFFICER/MEMBER EXCLUDED? N N/A y 100 0002333 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000

Professional Liability - Claims Made $1 M PU$1 M Pollution $2M Shared Aggr

A CPL Pollution Liability - Occurrence N N 1000066661231 $10k Deductit 07/31/2023 07/31/2024 Mold Occurrence - - - PLRetro:06/09/06

DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, AddiUonal Remarks Schedule, may be attached if more space is required)

Re: Contract No. CTR065791 - Asbestos, Lead and Mold Abatement Services GENERAL LIABILITY: State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insureds (forms CG201 O 12/19 and CG2037 12/19) as per written contract. Primary and Non-Contributory coverage is included {form SL023 06/11) per written contract. State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included for Waiver of Subrogation (form SL023 06/11 ) as per written contract.

GENERAL LIABILITY PER PROJECT AGGREGATE: $2,000,000 Per Project and Per Location General Aggregate limit (form #SSGL-013911/22).

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS,

State of Arizona

Dept of Environmental Quality AUTHORIZED REPRESENTATIVE

1110 West Washington Street

~~~ H 0-~ Phoenix AZ. 85007

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID: -------- - ----------- - -

LO C #: ----- ----

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY NAMED INSURED

PIMS Insurance Services, LLC. Comprehensive Risk Services, LLC

POLICY NUMBER

CARRIER I NAICCODE

EFFECTIVE DA TE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance

AUTO LIABILITY: State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insureds (fonn SICA1016 06/21) per written contract. Primary coverage is automatic with CRS owned autos. State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included for Waiver of Subrogation (form CA0444 10/13) as per written contract.

WORKERS COMPENSATION: State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included for Waiver of Subrogation (form WC000313) as per written contract.

CONTRACTORS POLLUTION LIABILITY (CPL): State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as an Additional Insured (form SL023 06/11) as per written contract. Primary and Non-Contributory coverage is included (form SL023 06/11) as per written contract. State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included for Waiver of Subrogation (form SL023 06/1 1) as per written contract.

EXCESS LIABILITY: Excess Liability is following form.

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

POLICY NUMBER: 1000066661231 COMMERCIAL GENERAL LIABILITY

CG 20 10 1219

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations

Where Required By Written Contract Where Required By Written Contract

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your behalf;

in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:

This insurance does not apply to "bodily injury" or "property damage" occurring after:

1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or

2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

C. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill - Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall applicable limits not increase the of insurance.

CG 20101219 © Insurance Services Office, Inc., 2018 Page 1 of 1

POLICY NUMBER: 1000066661231 COMMERCIAL GENERAL LIABILITY

CG 20 371219

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations

Where Required By Written Contract Where Required By Written Contract

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill - Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

CG20371219 © Insurance Services Office, Inc., 2018 Page 1 of 1

• Starr Surplus Lines Insurance Company

Primary and Non-contributory, Additional Insured and Waiver of Subrogation

Policy Number: 1000066661231 Effective Date: 07/31/2023 at 12:01 A.M.

Named Insured: Comprehensive Risk Services, LLC

This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully.

SCHEDULE

Commercial General Liability Coverage Form Owners and Contractors Protective Liability Coverage form Products/Completed Operations Liability Coverage Form

Contractors Pollution Liability Coverage Form Professional Liability Coverage Form Site Pollution Liability Coverage Form

Where Required By Written Contract

A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the schedule of this endorsement, but only with respect to liability arising out of "your work" for that insured by or for you.

B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "property damage" arising out of your negligence when the following written contract requirements are applicable:

1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance available to these additional insured's shall apply as excess and not contribute as primary to the insurance afforded by this endorsement.

2. We waive any right of recovery we may have against these additional insured's because of payments we make for injury or damage arising out of "your work" done under a written contract with the additional insured.

3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall not increase the limits or coverage provided by this insurance.

Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance in lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or otherwise alter the terms of the actual policy.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

SL 023 (06/11) Page 1 of 1 Copyright © Starr Surplus Lines Insurance Company. All rights reserved.

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

COMMERCIAL GENERAL LIABILITY

SSGL-0139 11 22

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

AMENDMENT OF LIMITS OF INSURANCE

(PER PROJECT, PER LOCATION OR PER PROJECT AND

PER LOCATION GENERAL AGGREGATE LIMIT)

Policy Number: 1000066661231 Effective Date: 07/31/2023 at 12:01 A.M.

Named Insured: Comprehensive Risk Services, LLC

This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully.

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

SCHEDULE

[ ] Per Project General Aggregate limit

[ ] Per Location General Aggregate limit

[X ] Per Project and Per Location General Aggregate limit

THIS ENDORSEMENT DOES NOT APPLY AND HAS NO EFFECT IF:

$2,000,000

NONE OF THE BOXES LISTED ABOVE ARE CHECKED; MORE THAN ONE OF THE BOXES LISTED ABOVE ARE CHECKED; OR ONLY ONE OF THE BOXES LISTED ABOVE IS CHECKED BUT IS UNACCOMPANIED

BY AN ASSOCIATED DOLLAR AMOUNT.

General Aggregate limit

Each Occurrence limit

Products-Completed Operations Aggregate limit

Personal and Advertising Injury limit

Damage to Premises Rented to You limit

Medical Expense limit

[X] Overall Policy Aggregate Limit

[ ] Overall Policy Aggregate limit

N/A

$1,000,000

$2,000,000

$1,000,000

$100,000

$5,000

$2,000,000

Not Applicable

WITH RESPECT TO THE OVERALL POLICY AGGREGATE LIMIT, THIS ENDORSEMENT DOES NOT APPLY

AND HAS NO EFFECT IF:

SSGL-0139 11 22 Copyright© Starr Surplus Lines Insurance Company. All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc., with its permission.

NEITHER OF THE BOXES LISTED ABOVE ARE CHECKED; BOTH OF THE BOXES LISTED ABOVE ARE

CHECKED; OR THE FIRST BOX ABOVE IS CHECKED BUT IS UNACCOMPANIED BY AN ASSOCIATED

DOLLAR AMOUNT.

It is hereby agreed as follows:

A. The Limits of Insurance shown in the Declarations are deleted in their entirety and replaced by the limits shown in the Schedule of this endorsement.

1. Your policy includes either a Per Project General Aggregate Limit, a Per Location General Aggregate Limit or a Per Project and Per Location General Aggregate Limit.

B. SECTION Ill - LIMITS OF INSURANCE is deleted in its entirety and replaced by the following:

1. The Limits of Insurance and the rules below fix the most we will pay regardless of the number of:

a. Insureds;

b. Claims made or "suits" brought; or

c. Persons or organizations making claims or bringing "suits."

2. The General Aggregate Limit is the most we will pay for the sum of:

a. Medical expenses under Coverage C;

b. Damages under Coverage A, except damages because of "bodily injury" or "property darnage" included in the products-completed operations hazard;" and

c. Damages under Coverage B.

3. The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products-completed operations hazard."

4. Subject to Paragraph 2 above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization.

5. Subject to Paragraph 2 or 3 above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of:

a. Damages under Coverage A; and

b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" arising out of any one "occurrence."

6. Subject to Paragraph 5 above, the Damage to Premises Rented to You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner.

7. Subject to Paragraph 5 above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person.

8. Subject to Paragraphs 2, 4, 5, 6, and 7 above, the Per Project General Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of:

a. Damages under Coverage A ;

b. Damages under Coverage B; and

c. Medical expenses under Coverage C arising out of the any single Project.

SSGL-0139 11 22 Copyright © Starr Surplus Lines Insurance Company. All rights reserved.

9. Subject to Paragraphs 2, 4, 5, 6, and 7 above, the Per Location General Aggregate Limit is the most we will pay under Coverages A , B, and C combined for the sum of:

a. Damages under Coverage A;

b. Damages under Coverage B; and

c. Medical expenses under Coverage C arising out of the any single "Location."

10. Subject to Paragraphs 2, 4, 5, 6, and 7 above, the Per Project and Per Location General Aggregate Limit is the most we will pay under Coverages A, B, and C combined for the sum of:

a. Damages under Coverage A;

b. Damages under Coverage B; and

c. Medical expenses under Coverage C arising out of any single Project or "Location," as applicable.

11. If a dollar value is assigned to the Overall Policy Aggregate Limit above,

a. The Overall Policy Aggregate Limit is the most we will pay in any policy period regardless of the number of Projects or "Locations" and

b. All other Limits of Insurance apply subject to the Overall Policy Aggregate Limit.

The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance.

C. SECTION V - DEFINITIONS is amended to include the following:

"Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way railroad.

All other terms and conditions of this Policy remain unchanged.

SSGL-0139 11 22 Copyright © Starr Surplus Lines Insurance Company. All rights reserved. Page 3 of 3

COMMERCIAL AUTO

SICA-1016 06 21

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED -AUTOMATIC STATUS

AMENDATORYENDORSEMENT

Policy Number: 1000199051231 Effective Date: 07/31/2023

Named Insured: Comprehensive Risk Services

This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully.

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

It is hereby agreed that SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. COVERAGE, 1. Who Is An Insured of the Business Auto Coverage Form and Motor Carrier Coverage Form, and SECTION I - COVERED AUTOS COVERAGES, D. Covered Autos Liability Coverage, 2. Who Is An Insured of the Auto Dealers Coverage Form are amended to include the following:

Any person or organization whom you become obligated to include as an additional insured under this policy, as a result of any written contract or written agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by your use of a covered "auto". However, the insurance afforded only applies to the extent permitted by law, and will not exceed the lesser of:

(1) The coverage and/or limits of this policy, or

(2) The coverage and/or limits required by such written contract or written agreement.

All other terms and conditions of this Policy remain unchanged.

SICA-1016 06 21 Copyright © Starr Indemnity & Liability Company. All rights reserved. Page 1 of 1

POLICY NUMBER: 1000199051231 COMMERCIAL AUTO

CA 04441013

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: Comprehensive Risk Services, LLC Endorsement Effective Date: 7/31/2023

SCHEDULE

Name(s) Of Person(s) Or Organization(s):

Where Required By Written Contract

Information required to comolete this Schedule, if not shown above, will be shown in the Declarations.

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

CA 04441013 © Insurance Services Office, Inc., 2011 Page 1 of 1

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

WC 00 03 13

(Ed. 04-84)

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreementfrom us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

Any person or organization to whom you become obligated to waive your rights of recovery against, under any contract or agreement you enter into prior to the occurrence of loss.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective: 07/31/2023 Insured: Comprehensive Risk Serivce, LLC

Insurance Company: Starr Indemnity & Liability Company

WC 00 03 13

(Ed. 04-84)

Policy No.: 100 0002333 Endorsement No.:

Premi,m i /) fr) ,,,,--J;;- Countersioned by: V::¥ ~tt., =Y