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<br />63/~(J2~e5 13:04 7145714209 <br />Ma r. 21. 2005 9: 1SAM CHEVAL INSuRANCE <br /> <br />PARKS AND RECREATION PAGE 02 <br />No.gs05 p. 2 <br /> <br />;~ <br />I~ <br /> <br />.. <br /> <br />~. 11. ~OO4 lZ. S:FM THE: tiffiN GROlP <br />TO;C~ IN~ <br /> <br />NO , c184 P. 1 <br /> <br />. .AIl-rlcan Bonk.r! <br />IIII'R: ~_ ClIIllIllIIlY of Florida <br /> <br />21j 50urA I SA Strtllt, St& 600$ <br />OI'lD1Ja, NH 61101 <br /> <br />ENDORSEMENT <br /> <br />AgaO\: THE GARN GR.OuP INC. <br />219;e. 31ST STREEt <br />~W YORK. NY 10016 <br /> <br />This CIldorseDlm.t effective 6/23J04. forms a.,~ olPolicy No. SLlI03177 <br />Issu~ tQ Cftl!tYt Skidmore !leA Fun With Honea <br />policy Period - From.: 8131/03 To: i/31/04 <br /> <br />The l!Ibave dc.a~ribt4 policy is a.D:u~.o.ded All tollows: <br /> <br />It i!! agreed: <br />Addidon~l iuSllred added /18 I'olklw.: <br /> <br />Clty m Saata Alla P,m Beac:b U<l Rlll:f"udOD <br />PO Ba J..!lIUI M2] <br />Sllllta Ana. CA 9%101 <br /> <br />APPRO V 1:.1) AS 'j' () For;.~..i <br /> <br />~ ;? /~ <br />/,r~..____...-,- ....___._ <br />Laura -.1, . ,"', ....J <br />AssistanL '-'~:J ""Hurney <br /> <br />Hndoneme.nt No.1 <br /> <br />l"ielni\HP aw'Se: $2S <br /> <br />Countersign~e Date <br /> <br />c1::6~ <br />gent ~ <br /> <br />Revised Annual Pr~~: $ ~lU:cd; 8110/04 By: M.A. <br /> <br />All othertenna and conditioN ofthi$ policyremun unchiUlJed. <br /> <br />ReceivQd Time Aug.il. lO:58AM <br /> <br />