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<br />4UG-25-2008 10:43 From: To:17145714z09 Pa9e:4~4 <br />POUCYNUNiBER: /= SDA AG9G7o <br />~C: <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 17 CAREFULLY. <br />ADDITIUNAT, INtiUHha - PER$ON'UI?l'aANT7.A'IIUN <br />TIIE CITY OF SANTA 111vn, 1T;; OI'CICh:hS, AGEN'1'~. =:MFLOYI':ES, <br />RF,PNr'~:FNTATIVHS 11ND VULUN'I h;h;kf~ <br />2Q c'TVTf. CENI'Sk ~~i.n7,A <br />SANTA ANA, CA B2~AT <br />THF. TN~Srn71NC'J At'F'Ultl)k:Ii ;SPIDER THIS I~OLIUY 1S PRIMARY ANI] <br />NUN CONTRIBUTORY TO 1SNY ~~rx F.R INSUFAtJCF POLICY HtLU DY TI[Ir l?JfiTTR F.II <br />Form IH 12 00 11 85 7 SPQ_ NO. ~i02 Printed in U,S.A. Page oCiT <br />Process Date: o c / 11 / o s <br />Expiration Date: uelz~!o~ <br />uTa coPY <br />Fax from 88/26/86 18:43 Pg: 4 <br />