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Policy Number: CS19002033-01 <br />Capitol Specialty Insurance Corporation <br />P.O. Box 5900 <br />Madison, WI 53705 <br />AMENDMENT - MINIMUM EARNED PREMIUM <br />This applies to all coverage parts. <br />If this insurance is cancelled at your request, there will be a minimum earned premium retained by us of <br />$ 431 or 100 % of the premium for this insurance, whichever is greater. <br />Cancellation of this insurance for nonpayment of premium is considered a request by the first Named Insured for <br />cancellation of this insurance. <br />The provisions of this amendment apply separately to each consecutive annual period and to any remaining <br />period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless <br />the policy period is extended after issuance for an additional period of less than 12 months. In that case, the <br />additional period will be deemed part of the last preceding period for purposes of determining the minimum <br />earned premium. <br />Therefore as respects audit, at the close of each audit period we will compute the earned premium for that period. <br />If the earned premium is more than the advance premium a bill for the additional premium will be sent to the first <br />Named Insured. If the earned premium is less than the advance premium, the advance premium will apply as the <br />minimum premium, with no return premium payable to you. <br />CGE 126 (03-15) Page 1 of 1 <br />0 2015 CapSpecialty, Inc. All rights reserved <br />