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<br />04/1212807 1 &: 1 7 951~<>- 11 <br /> <br />IROiI <br /> <br />Scousdalc Jnsumn&:cCompllnY -- <br /> <br />PATRl().1 I~ <br /> <br />PAGE 6Zi8Q <br /> <br /><THU)APR 12 toO? '':1t,01.1t:121No.~.P1 <br />COM.l'.'n":ReIAf..Ob'Nt:AAf.I.JABJLJTY <br />06.1001 04 <br /> <br />BALLET FOltlCUJlUCO <br />BB.t\; lmtAMPAG0 uS\. (!JlL0,. .INC. VULCAN EXCESS &8UR'PWSJNS SEllVd <br />POllCY NtJMBEJt; "CLSU3S5t2 04021 cBP 03IDII2I01 <br />.EF.FECT1VB: 0'J1f111D7..fJ3107!OJ <br />ADDmONAL 1N8tmBD-OWNERS. LBSSEES OR <br />CONTRACTOBI- SCllEDDLJm PERSON OR <br />ORGANIZATION <br />'l'hiJ eDdorsem=tmodif1cs.l~proQW""t!icfofkJwjas: <br />COMMERC1AtO~l..UAtnl;;Frf~(Ja':AJtt <br />.samtil1Ll <br /> <br />Nlaqcot~ IDMid~S) <br />Q"Q*,,-~) <br />etTYOF SANTA o!\l<.JA ANDm <br />~,.FJw~, AGEH'f&ANDFJ,iPWVSS <br />2tQtVtC c.ENT.EaPLAOa <br />SANtA AN~ CA 92701 <br /> <br />t~~___ <br /> <br />~.~tilJ~.~jt:.....tibcMo,pjD:""'iI".Dr.l..' TlllI!I- <br /> <br />A. ~,lJ- ~ Tun blIur_is......'-_lUdul$.. <br />~~..~).~~. <br />tl!eSdleaikt.llR.1lII3t wIrJJ~fO!~,*~ <br />,..,... "pttpny~CIi'~;_~ <br />~ oMe4,Jn ~odft part; \Iy: <br /> <br />I. YOUl'_"'~;lW <br />2. tllc.acu llI:.~ otliv$e 1IIl;tiq 1llI)'GIIf ~ <br />i1ac..t.llc,~'QfW-'CIfJIlJin&~ ..,."", <br />iIIddltlOIIIJ~l."~"J~.,",* <br /> <br />B. _,~..............IO""~ <br />"'_;~___acIll'llIwr. <br />'niia........._~~~~. <br />~'.............. . '. . <br />J....:..........~....,.......'~.........~.. ........n,~....... <br />.~-_... .... ...... <br />=. .=: . " :k .iili . I...... <br />...... ..... '. . ..'.' '.. '....'........ Jillllllll.!.. '.\" <br />. .' ... 'iQi' . . f' ..JIIciiIdoa..-tIie <br /> <br />.~.......... <br />%.1W....-r. <br />..... ". <br />P.".~~: <br /> <br /> <br />ITlSfUR~AGRD.I)TBAT1RIS~nSlfA9.Bl.~ AND <br />N06~y mrrONLY 1M TlSI'dlft"O'-1:8.E1NSU1tID'SSQDNUUGENG <br /> <br />CG20 10 0704 <br /> <br />IS() Pl'V)lelti~h.,.2004 <br /> <br />_1 utI <br /> <br />jSY 2- /~ <br />