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<br />To: 15624201022 Page: 2/11 Date 611f2007 8:46:06 AM <br />CHANGE EFFECTIVE DATE: 05-24-07 <br />CHANGEENDORSEMENTNUMBER:~ <br /> <br />e TRA VE LE R 5 One Tower Square, Hanford. Connecticut 06183 <br /> <br />CHANGE ENDORSEMENT <br /> <br />Named Insured: <br />DEKRA-LITE INDUSTRIS, INC. THE <br />JEFFREY LOPEZ REVOCABLE TRUST <br /> <br />Policy' Number: I-560-0420L552-TIL_07 <br />Policy Effect~ve Date: 04/08/07 <br />Issue Date: 05/30/07 <br />Additional Premium $ 109 <br /> <br />INSURING COMPANY: <br />TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br /> <br />Effective from OS/24/07 at the time of day the policy becomes effective. <br /> <br />THIS INSURANCE IS AMENDED AS FOLLOWS: <br /> <br />ADDITIONAL INSURED (CONTRACTORS), CG 02 47, 08-0S, <br />IS AMENDED AS FOLLOWS: <br /> <br />THE FOLLOWING HAS BEEN ADDED AS AN ADDITIONAL INSURED TO FORM <br />CG D2 47: <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA M-25 <br />POBOX 1988 <br />SANTA ANA CA 92701 <br /> <br />Stone Witter Insurance Services, Inc. <br />POBox 8035 <br />Long Beach, CA 90808-8035 <br />Ph: 562/420-3422 <br />CA Ins Uc OF15720 <br /> <br /> <br />NAME AND ADDRESS OF AGENT OR BROKER: <br /> <br />DATE: <br /> <br />,-.: ~~.J i'-'~>..) '1 ',:~)FL);~~!\'1 <br /> <br />....... ~-..?/I_ <br />~;~~]...(Cl/ <br /> <br />},..,L<.;!L ''--'':;lyAtt{)r;~,3V <br /> <br />