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<br />20 O~ OS:12a santa ana prcsa
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<br />FAX NO, 260468512Q NO.906
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<br />COMBINED SPECIAL TV INSU ' ce CO.
<br />POlJcy'NlJMBlAl 17-00000007156_00 i "
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<br />COMMeMtAl. GEIIIIWIL. UASlI.lTY
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<br />11tS ENDORseMENT 'IliE POl.Jev. PLP"ASE READ ITCAREFuu.V.
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<br />fa' , 'Cy CONDITIONS
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<br />ThI"ndol1llllT1erltlTlDdljj.lnll~ untlartl!f. ..: '11g:
<br />CCMMERotAL. G~UA8lL'1Y "PART
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<br />()~ If>lSU~E 1& .~rnltld llII foQ~: : i f'
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<br />~ INSURANet; -If ohr valid lIla 'bIe Il1IUnlnce \'jllh Ilnr lll!w lneUI'tl' IncjlldllJ9 'lIlY fofTl1ltl 'l'~
<br />'nlJUIBd I8lenllon Pf'QgTIms ill iMlIlabltlo you nQ . loa 1110 l:XlVftIl by this Polley. ather I!lIn il1lUl'Il1Ce 'thm ill In ex-
<br />IlllIUffht IIlI\II'Incllf!D"*I b)rthle Pcll~, th~' unmce IlIrordIlll brtlll&f'OIc:ylhtf/lleln ....OhMWn nQtoon/rf1:W
<br />\'lith - otIl..InI\lllllct. ........i.. heraln Ill8/&' ' i:alllfnlldto l11Ik$ till, Pall~"""."b) lhele/Tl1l, CllI1d!tionG Ind HniIllI.
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<br />ftonl Df IlIIler lneurance, , ' ,
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<br />~ -.Tard6d una", thi8 Pallor Is prima' IFlllurance .nd 0_ INSURANcE sh.n not .ppiy 811'1ll1jleC1S
<br />"'SEE llEt.OIl , , : I :.. .actmonlJ/ N.~ InSUreds.
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<br />CANCElLATION - The I'o1Iowfrrg iSlClded'1lQ '. PaUcy: It Is e Cclncltion oflhe ~n~ by thi; Endorsemsnl:tIlllt tt1,
<br />PaRcy wlq not be CllInoelled llrithout ! I 0 chari' Prior wrltt.n notl=e to: . S!;:F. BF.J Ol.l
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<br />n&msd abOVe are not II fcIr tIl. PlYIlIl! I ' .ny pl8rrillrlll or .""l118nts Clll1his PoYc.y.
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<br />"CIty OF SANTA ANA, IrS O'Flcn~!: EMl'.LOnItS, AGENTS AXIl llIPRESINTATIVES.
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<br />TO FORM
<br />AP~ A~ 3~~
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<br />NE LEE SH W
<br />'t C'lly Attorney
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