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Sep 18 03 02:21p <br />Hug 29 0304:39p L COLT INS 214 -823 -3805 <br />08/29/2003 25:25 630••66!��9.1 FL DEAN ASSOC RAGF p, <br />A=rhf)"L 1NStp[ED 6VG01tXW6 T <br />Inswsnos Company CLARENbON NATIONAL INSURANCE COMPANY <br />This ehdao~ modifies such incurs" As It aMwdad by to provW M of POICY <br />Y FCL000989 -00 . daft w the ftsod p: <br />1. 71te Crbr or Santa Am, 20 Clvk Center Plop, Santa Arta. GaW80rms 82101. As <br />ONRpsrs, eng foy agent apes� <br />aid ranW1v0* ere IMF--! se ammonsl <br />in.ueed , ('%W tdo b1 h.urade ) With r4M to Willy Mat d**M a Wits srtafn(f <br />from the Oeeratims end mu pwb~ by anon tahaa a1 Me twood kwood. <br />2. VA1h rasped b dorms ar" 0Ot e1 the op M*m and uces pwb"W bYOr on <br />behait or Me nanwd kw wad. ouch k%Waxe ft Is elbrdod EY OWN potty 18 <br />primary end W nol eddteeNl b or uoreaimuartp wtA any dmsr lnwrenoa awned <br />Wry or hr Ms OsnaR1 did addWaatet msutedc. <br />3. TMs Mswwm spp8es aoialY p each Mewed ega:nst whom daim Is mods or- <br />Sul i0 btaught&%cW W8h "ad b the Cempanys tmb a Witty, The <br />ksiuskm or ehy pwson of rtlga UwjOn as an LmwW stra8 m Meet any right <br />wttoh Wah person erorBorimmion would lave sea daiment If not so inducted. <br />4. yiaM respect to ma o"iOnst k+nYSds. StW Winn oe 01111111 n0 be OWC", Or <br />mededdly roauosd M Osveata orilmb 0=0 aaq Wrty (30) day@ vntewe nacm <br />has bed iven b 1M Cty of Sono Arse. i0 Civet Center pWea. Sams Ara. <br />Cadarmla 92101 <br />(Completwn of the beaNeq, keduding twd m19malum. is rwmArod to make this <br />ondorssm m sMcsvo.) <br />F.lkdiva o/1g/i2n7_91101200 -4 this ondosemwd%Masapwtd <br />pOiiCyY 1LGL000989 -00 <br />Weeadfo GOLDEN SOY PROMOTIONS <br />Nwewa inetled <br />COtntBltlptea0 _ _, <br />C- <br />APPROVED AS TO FORM <br />L re Shcedy <br />eputy City Attorney <br />P.5 <br />P.2 <br />