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06/01/.2007 11:20 9498584039 <br />08/01/2007 09:41 FAX 707 888 8210 <br />i <br />TN Policy No. 92 -EY -0761-71 <br />STATE FARM INSURANCE <br />com SERI, <br />SECTION II ADDITIONAL. INSURED ENDORSEMENT <br />POft No.: 92-XY-0761-7 <br />I <br />Named Insured: ALMM, ISTEPAANIE <br />DBA YOWIG AEMBRANATS <br />Additional Imeared (include addieas); <br />CXV OF SANTA AMA, <br />ITS OFFICERII, EMPLOYEES, VOLUNTEER. <br />A REPSESEPTATIVES <br />20' =C =174612 PLAZA <br />SANTA APA CA. 92701 <br />PAGE 02/03 <br />0 002 <br />reeeoe <br />Minns <br />wN0 IS AN INSURED, under SBCTION 11 DESIGNATION OF INSURED, Is amended to include as an insured the <br />Additional Insured shown above, Ibut only to the axosnt that liability is imposed on that Additional Insured solely <br />betas a or your work performed lIfor that Ao>'tiorial Insured shm m above. <br />Arry insurarm provided to the Additidrad Insured shall only apply with respect a claim Meda or a suR brought for <br />damages for which you are provided coverage. <br />The Printery Insurance aatarago below applies only when then is an W In the box, <br />® Primary Insurance. Th@ insurance provided to the Add -Mona) Insured shown above shell be primary <br />inaurenoe. Any Insurancia carried by the Additional Insured shall be nonoonV butory with respect to <br />coverage provided to you. <br />All other policy provisions apply. <br />L. <br />� /i$J�StApi <br />awed e USA <br />WOOD <br />