CHANGE ENDORSEMENT INSURING COMPANY: …

1 THE TRAVELERSINDEMNITYCOMPANYOF BUSINESSOWNERSCOVERAGEPART,THE LIMITOF INSURANCEFOREMPLOYEEDISHONESTYAND FORGERYOR ALTERATIONIS CHANGEDFROM$25,000TO $150,000 THE FOLLOWINGFORMSAND/ THE POLICYOR REPLACEFORMSALREADYEXISTINGON THE POLICY:MP T1 55 02 05 RATESAND/ORPREMIUMSHAVEBEENCHANGEDTO REFLECTA ASSOCINC-ESTES68478PO BOX 4190 ESTESPARKCO 805170101 DENVERCHANGEENDORSEMENTINSURINGCOMPANY:N amedInsured:PolicyNumber:PolicyEffective Date:PolicyExpirationDate:IssueDate:Prem ium$ :NAMEANDADDRESSOFAGENTORBROKERC ountersignedbyAuthorizedRepresentativeDA TE:ILT0070987(Pageof)Office:I-680-8483N3 15-TCT-1210-01-1210-30-12 LISTINGOF FORMS,ENDORSEMENTSAND SCHEDULENUMBERSTHISLISTINGSHOWSTHE NUMBEROF FORMS,SCHEDULESAND ENDORSEMENTSBY LINEOF T0 07 09 87 CHANGEENDORSEMENTIL T8 01 01 01 FORMS,ENDORSEMENTSAND SCHEDULENUMBERSBUSINESSOWNERSMP T1 55 02 05 AMENDEMPLOYEEDISHONESTYLIMITPAGE:1 OF1 POLICYNUMBER:EFFECTIVEDATE:ISSUEDATE:ILT 8010101I-680-8483N315-TCT-1210-30-12150, 000150,000 BUSINESSWONERSPOLICY: :ESSWOPEROVERASFORis mappltotheis increasedfro$25,000toi iticablemitilmployeeish$.

2 Mappltotheis increasedfro$25,000toi iticablemitirgery$.MP550205T1 Copyright,TraelersIndeitympany,2004 Page1 oThevmnCof 1/CHANGESLIPCHANGEI-680-8483N315-TCT-121 0-30-12A5 ASSOCINC-ESTES1 OVERPRINTPOLICYNUMBER:ISSUEDATE:RATER:EF FECTIVEDATE:EXPIRATIONDATE:INSURED SNAME:New/Renewal:WatchFile:SpecialCode: SolicitorCode:SurveyCode:ProgramCode:SAI :Reinsurance:Paymode:MSI:AuditFrequency: RatingMode:ProRataFactor: :PRODUCERNAME:Page1 ofM A S T E R P A CCHANGEPROFILENAMEDINSUREDAND MAILINGADDRESSPOLICYNO. 8483N315 SODASPRINGSRANCHCONDOMINIUMPOLICYPERIOD1 0/01/12- 10/01/139921US HWY 34 # :10/01/12 GRANDLAKE,CO 80447 SITUSSTATE:COCHANGEDATE:10/25/12 PRO RATAFACTOR:.934 CONDOMINIUMPACDELUXEPLANPREMIUMCHANGESUM MARYCOVERAGENEWOLDDIFFERENCEPRO-RATEDANN UALANNUALIN :68478 OFFICE:DENVCODE:052A5M A S T E R P A CCHANGEPROFILENAMEDINSUREDAND MAILINGADDRESSPOLICYNO.

3 8483N315 SODASPRINGSRANCHCONDOMINIUMPOLICYPERIOD1 0/01/12- 10/01/139921US HWY 34 # :10/01/12 GRANDLAKE,CO 80447 SITUSSTATE:COCHANGEDATE:10/25/12 PRO RATAFACTOR:.934 CONDOMINIUMPACLOCATION01 BUILDING01 ADDRESS9921U S HWY 34 # 20 GRANDLAKE,CO 80447 COVERAGENEWOLDDIFFERENCEPRO-RATEDANNUALA NNUALIN ANNUALAMOUNTBUILDING- :68478 OFFICE:DENVCODE:052A5M A S T E R P A CPREMIUMSUMMARYNAMEDINSUREDAND MAILINGADDRESSPOLICYNO. 8483N315 SODASPRINGSRANCHCONDOMINIUMPOLICYPERIOD1 0/01/12- 10/01/139921US HWY 34 # :10/01/12 GRANDLAKE,CO 80447 SITUSSTATE:COCONDOMINIUMPACDELUXEPLANPRE MIUMSUMMARYCOVERAGEPREMIUMBUILDING31,400 BUSINESSPERSONALPROPERTY189 GENERALLIABILITYINCLUDEDAUTOHIRED62 AUTONON-OWNED58 POWERPAC84 EMPLOYEEDISHONESTY203** INFLATIONGUARDANNUALINCREASEAPPLIEDEQUIP MENTBREAKDOWN3, OFF.( 120)652 SEWERAND DRAINBACKUP528 MOLD/FUNGUSINCLUDEDBUILDINGOWNERSENDT140 TOTALANNUALPOLICYPREMIUM36,753 PRODUCERCODE:68478 OFFICE:DENVCODE:052A5 PAGE01 MASTERPACPRICINGFACTORSSODASPRINGSRANCHC ONDOMINIUMPOLICYNUM:8483N315 VER:01 RATEEFFECTIVEDATE:10/01/12 EFFECTIVEDATE:10/01/12 PLAN:DELUXEGL LIMIT:1,000,000 SITUSSTATE:COFUNCTION: N/AX.

4 960 COVERAGELOC/BLDGNUMBEROFRATINGFLATTOTGAR AGEKEEPERSLIMITX LOC/BLDGS= LIMITCHARGEX MODCOMPREHENSIVE(0 X0) = (0 X0) = MOD= PREMIUMPROJECTAGGREGATE(PAYROLL(000)) (#OFLOCATIONS) :68478 OFFICE:DENVCODE:052A5 PAGE02 MASTERPACPRICINGFACTORSSODASPRINGSRANCHC ONDOMINIUMPOLICYNUM:8483N315 VER:01 RATEEFFECTIVEDATE:10/01/12 EFFECTIVEDATE:10/01/12 PLAN:DELUXEGL LIMIT:1,000,000 SITUSSTATE:COFUNCTION: N/AX .960 RATINGTOTCOVERAGEEXPOSUREX RATEFLATCHGMODEMPLOYEEDISHONESTY125000 - - - & ON/ + PAY-ATHLETICPARTICIPANTS0 : @ RATE/FLATCHARGEINCLUDESPROPERTYDEDUCTIBL ECREDITPRODUCERCODE:68478 OFFICE:DENVCODE:052A5