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<br />- <br /> <br />-- <br />- <br />- <br />- <br />- <br />- <br />- <br />.... <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />!!! <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />. !!!!! <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br /> <br />. <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />POLICY CHANGE <br /> <br />l <br /> <br />This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated <br />below: <br /> <br />,., <br />N <br />'" <br />U) <br />N <br /> <br />Policy Number: 57 SBAAW4648 DX <br /> <br />COpy <br /> <br />r-- <br /><> <br />N <br /><> <br />00 <br />"" <br />'" <br />"" <br />~ <br />r-- <br />U) <br /><> <br /><> <br /><> <br />rl <br />N <br />. <br /> <br />Named Insured and Mailing Address; SANTA ANA HISTORICAL <br /> <br />PRESERVATION SOCIETY <br />120 CIVIC CENTER DRIVE WEST <br />SANTA ANA CA 92701 <br /> <br />Policy Change Effective Date: <br /> <br />07/30/06 <br /> <br />Effective hour is the same as stated in the <br />Declarations Page of the Policy. <br /> <br />Policy Change Number: 001 <br /> <br />Agent Name: <br />Code: <br /> <br />TRUEX INS AGCY A CALIF CORP/PHS <br />129006 <br /> <br />POLICY CHANGES: <br />ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING <br />STATEMENT. <br /> <br />THIS IS NOT A BILL. <br /> <br />NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE <br /> <br />BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED <br /> <br />ADDITIONAL INSURED(S) ARE ADDED <br />THE FOLLOWING ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN <br />THIS POLICY. <br />LOCATION 001 BUILDING 001 <br />PERSON/ORGANIZATION: SEE FORM IH 12 00 <br /> <br />FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: <br /> <br />IH12001185 ADDITIONAL INSURED - PERSON-ORGANIZATION <br /> <br />PRO RATA FACTOR: 1.000 <br /> <br />THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. <br /> <br />Form 55 121104 05 T <br />Process Date: 07/12/06 <br /> <br />Page 001 <br /> <br />Policy Effective Date: 07/30/06 <br />Policy Expiration Date: 07/30/07 <br /> <br />uw COpy <br />