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<br />.' Fe6 12 04 11:40a T11ac::1 <br />OZ-IHOO4 04;11pm F".-CALIFORNI~ SOUTHWESTERN INSURANCE AGENCY 949-588-8348 <br /> <br />p.3 <br /> <br />1-104 P.DD1/0D3 HBI <br /> <br />FILE No.890 02/11 '04 15:56 <br /> <br />ID:W.~ & ASSOC. <br /> <br />Fw(:949 428 1398 <br /> <br />PAGE 3/ J <br /> <br />. w. <br /> <br />'-' <br /> <br />'- <br /> <br />PRIMARY INSURANCE FOR SPECIFIED ADDITIONAL INSURED <br />ENDORSEMENT <br /> <br />THIS ENDORlI!MENT CHANGES THE POLICY. PLEASE READ IT CAREFUllY. <br /> <br />Tl'Iì8 øndonIlrnenl mOdIfle8 il18U1'1111C11 pravIoleCI Ullder !hI follOWIng: <br />COMMERCIAL GSNIJW,IJAIIILrI Y COllERAG~ FORM <br /> <br />EI1darsement E1I8cIive <br />2+04 <br /> <br />TIU& øncIor8emen1 çhøngel the paHc:y 8ff8cIiw on tile II1C8þ1iOll data of 1118 policy ijn1888 enDther dale is Indfca eo' <br />billow; <br />(Tile foIIøI,I/ng noecI8 to be campIe!8CI only vihen thla endcnemenl is RUed suÞaequent to il1Cll ltlon of 1118 po iCI, '.) <br />Nemec! It\8UnocI ---¡ <br />Totlerico'. EIeotric , <br /> <br />IC;;~~ ~'4 <br /> <br />(AUthorized RepreKntatlVe) <br /> <br />PoIIçy Number <br />CLN2fI1aÞ <br /> <br />Willi /'8OIfd to tXIVØIIIGO provided by this etÞlora8n1ent only, SECTION IV - COMIIIII!RCIA/.. GINIRAI. LlA8lL1ty <br />CONDITIONS. 4. Other 1118_. Jl8l'88ttph a. PrImary l11li1118- is mOdified as fOIl_: <br />8, PrIIII8ry 1n1U1'8- <br />The inIIufllnce affordød to the A:IdIIIonaJ !I18!1red City of llantl. Ana <br />10M I, .... Ana 81Vd. 1'108 <br />SaIlt8 An8, ~ t2701 <br />18 prlOI8Iy and non-c:onl1ibutory 'villi rIIIpIIct to liability lriSlng out of work pørfurmlld I)y the Named <br />roe""",. <br /> <br />All other term. end oonditions of !his palfcy I'fmein undnlngea. <br /> <br />00-""- ~""7 (..0') <br /> <br />x:J1~~f y h~ <br />