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06/17/2004 15:28 FAX 715 346 8069 SENTRY C/L 2 002 <br />CY4 <br />SENTRY INSURANCE A MUTUAL COMPANY SENTRY'S BUSINESSOWNERS <br />AEPARTICOIPATINGIMUTUALNCOMPANYI POLICY <br />MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES <br />POLICY NUMBER 49-39070-01 <br />NAME INSURED, K & A ENTERPRISES INC DBA <br />ADDITIONAL INSURED <br />SCHEDULE <br />THE FOLLOWING INFORMATION 15 REQUIRED TO COMPLETE THE ACCOMPANYING <br />ADDITIONALNERINSUREDIESS Y ORSEMENT WHICH FORMS A PART OF THE NAMED INSURED'S <br />ADDITIONAL <br />ENDORSEMENT EFFECTIVE <br />INSUED <br />THE CITY OF SANTA ANA BP 70 23 02 97 FROM SEPTEMBER 23, 2003 <br />ITS OFFICERS, EMPLOYEES, TO SEPTEMBER 23, 2004 <br />RESPRES°ENTATIIVESRS & <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />FOR ENSEESOVERT TEXT, <br />y <br />BP 89 05 01 67 (MECH) <br />ALL 49-39070-01 00 031 <br />06-11-2004 <br />(000 0007) <br />