# ENDORSEMENT #4

## PREMIUM

It is understood and agreed that Item 6, of the Declarations, Premium is allocated as follows:

- Advance Premium: $80,000.00
  - U.S.: $77,448.00
  - Canada: $2,552.00
- Note: All Payable in U.S. Currency

The company located these documents in its business records. At this time, the company does not certify that these documents constitute a complete and accurate copy of the policy.