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<br />From: Jessica ~"ya-Ellis At: Olapman & Associates FaxlD: Chapman Associates To: Laura Sheedy <br />. <br /> <br />Date: 7/23/2007 11 :35 AM Page: 4 of 4 <br /> <br />. EXBIBrr>> <br /> <br />mR~~!T'=~~tCY <br /> <br />. . <br /> <br />InsllnlAc, C:aR\p*nJ ~ Phlla~elp'hl~ Insurance Company <br /> <br />ThiI ~ modifiCl SItCh iDS~ ~ 1.I1fQfded by tbD pro,isiQ1l$ 01 Policy <br />II. PHPK231259 'reJatiDsto.IIA1UcrM:ns: <br />1... . 1'heCkyofSaara ~.2Q Cf~ ~ PIm:a. sma~ CaUlQrwd. _I~ It& <br />~ ~"Ig- ~o1wafll'1 ad ~~WlIlI are; ull1ied a' adcfi~ blNtli <br />("aWitional imGrodI,? with nprd to UdriIity DDd,dcIme Dfsaitllriamg tnmi theOlXRtlou <br />- UIeI ~ by oraD beJWf~the~ inllInId. <br />. .' <br /> <br />2. WitktlllpClCt to ~11I*aOl1t.otttu:~Oml.and UIOI ~byerOll <br />~oftbt....iua\rId, _ -.. asia ~.bythi1.pOl1oy it pdmary _II. <br />'I4dItfoDaI to or ccWtri~1 With 1IDY000~.nod by or for the bendt oft. <br />8IWItiOftI1 tnnn4I. . <br />3. 'i"hi. ~e '*PP1las ~1D -=It h1sU'rct1.pmt wham cWmia DlIde Of <br />IDit iI brouIbt ~l with ~ot to & ~.Yllhnits ofJlabflity., Tbe lncblJiol. otlQY <br />pmox. QI' CJI&8IIiation as an insured IhIJI nol aJ!Ict any rilbr w~ such porGmi .. or8QDfzatfoll <br />wonld hIM II a cIaip1atlt if not so i%Io1Ddtd. <br />4. With riispeet to lb addl~ i~.1hm ~e ,&aU not bC.e.&lEeUe.\ at <br />aorlJ~ rtdllCed in ~p ~ ~ cr.alpt"~ thIrtY..C3O). wntten IlDf.ia: babes <br />ef.vea to 1hIII CityotSan~ Aua. 20 Cfvt~ ~P~.~A12a. CaJifolQia 92701. <br />(CGmpi.on aftbe fbUowiq~ lnol....g~_ is requited tomu-thIs ~,ometlt <br />eff'ectivet.) <br /> <br />EfFectlv. 7 -23-07 <br />'Policy; t PHPK231259 <br />~to <br /> <br />r .~is ~~t form U I pitt of <br /> <br />Mercy House <br />" Nanicd Insund <br /> <br />Aj?,P:?!..O""";' E:) i\.l; <br /> <br /> <br />.~ <br /> <br />taUVD <br /> <br />_lf1;m ____2/:2.--- <br />- .' ,._....... '.~.: . ,....~ ~.....J <br />......i.::.L:....;.I,. ,,',..- .,........ oJ <br /> <br />AS.:>lSU~Jt ;~iLy l,~~tc::::-..ey <br /> <br />