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SENTRY INSURANCE A MUTUAL COMPANY <br />STEVENS POINT, WISCONSIN <br />(A PARTICIPATING MUTUAL COMPANY) <br />A'MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES <br />BUSINESSOWNERS POLICY <br />FIRST NAMED INSURED AND ADDRESS <br />K & A ENTERPRISES INC DBA <br />ALL SIGNS AMERICA <br />15481 REDHILL AVE STE A&B <br />TUSTIN, CA 92780 <br />POLICY NUMBER 49-39070-01 <br />CHANGE NOTICE <br />PRODUCER 31040406 <br />BURRIS,DARREN D <br />The effective date of this change is: 06-13-03 <br />Your policy is changed as follows: <br />Additional Insured - Owner/Lessor/Contractor <br />coverage is changed. <br />Forms to be inserted in your policy are attached. Forms that <br />no longer apply to the policy, if any, are listed separately. <br />These changes are reflected in the revised declarations attached <br />to this change notice. <br />The $4.00 additional premium for this change has been waived. <br />THANK YOU <br />or Service Please Contact Us At: <br />1800 NORTH POINT DRIVE <br />STEVENS POINT, WI 54481 FAX: 800-514-7191 <br />(800)446-0604 businessproducts_direct2sentry.com <br />;:,i[v Ciiv Atlor eti <br />BP 12 01 01 87 (MECH) <br />ALL 49-39070-01 00 021 <br />06-17-03 SEQ: 01 <br />Page 01 <br />