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ENDORSEMENT #1 <br />This endorsement, issued by Mount Vernon Fire Insurance Company <br />to DASBI LLC forms a part of <br />Policy Number GL 2041209 effective on 5/28/2024 (MO. DAY YR.) at 12:01 A.M. <br />Add/Remove/Amend General Liability Additional Insured Endorsement <br />In consideration of an additional premium of $92 it is hereby agreed that the following <br />is(are) added to the Policy: <br />CG2013 04/13 - Additional Insured -State or Government Agency or Subdivision or Political <br />Subdivision -Permits or Authorizations Relating to Premises <br />CG2404 05/09 - Waiver Of Transfer Of Rights Of Recovery Against Others To Us <br />L 776 05/17 - Primary and Non -Contributory - Written Contract <br />TOTAL CHARGES: <br />Additional Premium: <br />$92.00 <br />Surplus Lines Tax <br />$2.76 <br />Stamping Fee <br />$0.17 <br />All other terms and conditions of this Policy remain unchanged. <br />ADD—REM (03-01) <br />ATTY/AGR.2024.119/Dasbierhauz (830 Middlefied Rd) (Page 22 of 25) <br />Total: $94.93 <br />