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<br />I.J Au,*g,11, 2004211 36AM THCHEVAL INSURANCE <br />I TO: CHEVAL INSURANCE <br />I <br /> <br />: ..-11Lerican Bankers <br />"'Insurance Company nl Flcrrida <br /> <br />NO.No~ 7470 P. E' 2 <br /> <br />222 South 15'. SIr..t. Ste. (iOOS <br />Orru2ha, NE 6& 102 <br /> <br />ENDORSEMENT <br /> <br />Agent; THE GARN GROUP INC. <br />219 E. 31 ST STREET <br />NEW YORK. NY 10016 <br /> <br />This endorsement, effective 6/23/04, forms a part of Policy No. SLll03177 <br />Issued to Cheryl Skidmore DBA Fun With Horses <br /> <br />Policy Period - From: 8/31/03 To: 8/31/04 <br /> <br />The above described policy is amended as follows: <br /> <br />It is agreed: <br /> <br />Additional insured added ~ follows: <br /> <br />City of Santa Ana Parks Beach and Recreation <br />PO Box 1988 M2.3 <br />Santa Ana, CA 92702 <br /> <br />7j1 ~/ <br /> <br />Endorsement No.1 <br /> <br />PremiUIll Chll1lge: $25 <br /> <br />C01Illtersign~e Date <br /> <br />~~4~ <br /> <br />gent \. <br /> <br />Rovis"d Annual Premium: $ Prepared: 8fl0/04 By: M.A. <br /> <br />All other terms and conditions of this policy remain unchanged. <br /> <br />Received Time Aug, 11, 10:58AM <br />