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09/10/2025 BY <br />(AUTHORIZED REPRESENTATIVE) <br />“NOTICE: This risk pooling contract is issued by a pooling arrangement authorized by California Corporations <br />Code Section 5005.1. The pooling arrangement is not subject to all of the insurance laws of the State of <br />California and is not subject to regulation by the Insurance Commissioner. Insurance guaranty funds are not <br />available to pay claims in the event the risk pool becomes insolvent.” <br />NIA-DEC CA <br /> GENERAL CHANGE ENDORSEMENT <br />QUOTE/POLICY 01-CP-0003720-01-22 END: 016 <br />INSURED: Tri-Valley Haven for Women <br />EFFECTIVE DATE: 04/01/2025 <br />PRODUCER: Jeffrey Stephens Insurance Services, LLC <br />THIS IS NOT A BILL – Invoice to follow. <br />ANNUALIZED EFFECT OF ENDORSEMENT $0 <br /> COMMERCIAL AUTO PREMIUM $0 <br />TOTAL ADDITIONAL AMOUNT $0 <br />Docusign Envelope ID: BAF64511-C271-4FC1-BBE9-5AF1BC605D95