**Policy Number:** CEX09600213-01

**Company:** Berkley National Insurance Company

**Coverage Parts Affected:** Excess Liability Occurrence

**Effective Date:** 05/21/2014

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**GENERAL CHANGE ENDORSEMENT**

**THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.**

**CLAIM NOTICE**

In the event of claim to which this policy may apply, please give immediate notice to:

Claims Department  
Berkley National Insurance Company  
C/O Berkley Custom Insurance Managers (A Berkley Company)  
3 Stamford Plaza  
301 Tresser Blvd., 6th Floor  
Stamford, CT 06901  
Claims@Berkleycustom.com  
Toll Free: 855-597-7616  
Fax (855) 999-0776

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**ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.**

Authorized Representative:

**BCIM0066 0613**

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