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JAN-Li-2007 07:46 RM TSI 949652*844] P. B[ <br />A - alms-/~~ <br />A - coos-/ab- 6/ <br />hCe7mpemy ,~~2TFcrz~ ,/r4CfWr.,a,vc~ <br />lbie mdontalaetet modtHa soh 6w~e a u aflbtded by tlta plovidana of Policy <br />k 72SSAaBe.Po3 Leletiel3 to tM A-llowitl3: <br />i. the qty of Sent Aae, 20 C»vio Canter Pla:e, Seats Ana, Califcatva 92901: its <br />' t~eae. enwbYtta. oW~ate. wltatenea cod rttpreeanladvae as atoned ae additional inaaied. <br />("oddidarll hutrade'~ rviW tngatd b HabUitr rod deAow of tmia aredet< ftNan the operatioru <br />aodtneo~trlxmodby0tonbaholtolthenostatleaaad. <br />2. Wiri reejaot to olaama aiehr3 ont ofdla opentigne and ttaa parWrrtted by or oa <br />behalf of the aaoxd lWiwed. eaoh ionuntoe r B afforded by thb policy is primary artd is not <br />allditittnal fo as MItl1 W' other ittennoo0 oorried by or for the bmwHt of the <br />additlowl ineunda. <br />3. 7liaitanraoeattpplWlt~Optntaly b each iatYted aaainat vvltorn claim ie mode ar <br />tr. - . oa14 b btooaht.eaaapt~eil6aeepeeletodl-e eampatyalimiMof liability. 7'he•iacheaioe of my <br />... n , ~paeeoroo ogmpoerwr;+o uwerdaiaA•aot aaeal~r:rl~rt wLieh ~ person of orsonizatioa <br />wot>1q hwa M 1t oUdtaaat:if'aotat/oslttded; <br />. 4. 1VitYTeapaet:to•.tha.additiweal ioaadsptLia ioat4arleastallnot be eanoelled, or <br />. - ~ arTaeesialiy:aiuoaita~oeAtet~ypet;:yda eorcept.aRer~4ry (90) detya.vrittat notice hat been <br />' •' given b the Cityeat.Saotk Alta, 20I"ivio'Coal~ Phwy:9aota Asa, Cab<artia 92101. <br />(~1M;lon oftlb ~~~l. inoddYns ooTmtardgtaava, ie required to metro offs eadoraaQteeit <br />Bfiehive _, /d - o I - 2 00 ~ . this ntdoraeatent form as a part of <br />Potioy i1,,,7, ysB.osQ~~yo ~, <br />delved LD -r.¢a.~ s a ~rr~-r.~,... .s5-Ln.~..- ~ .NC <br />CoTmtxaiQaad by <br />Aulhariead Asp 'rs <br />AE'I'R~,~'.~ L_~ ~".~ TO FORM <br /> <br />~/3 <br />a,1y <br />T"eY <br />b0~d 007( TOOL 8 ~pf £L8S-1b9-btl:~a )P1f1111 '1T~ifLr - H R AIi1 <br />