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<br /> r ~ <br /> 03/1 Sl~2610 ~ 10 80 ~~9 ~~2 ~0~808~AIEB ZENZ INS PAGE 03 <br /> 71G3071i644 PAGE. 2/ 2 <br /> ~fyc~7tow~~ ttusuRll=.11~ f~ltl, l1mi~lti~r <br /> cotl~lfeflxctru. CsfEf~ll''tAfL uAbra~ Pouch <br /> 1nu?tiRcR C~rtrpanY fard ua tv rn <br /> This eetdAr+sertrarrt mOdM~s att~t~it insursrtra as is allbedad btr fha provfslans of Pa~ttoy <br /> ;7.Z5~~IIZ2~.__. rrrtttting to tRe fdlowlnp: <br /> ~ . 'rte ~ ~ Seta Agra, ZO GNa Gagster Fgisa, Berate AnN, Clifarnis $~70 f ; its at'rgcara, <br /> ~PleYe~. a4aastnb, volunt~e+ars and reptasemtatitrest pr8 npmsd ~ stdditiottal lrriuredi <br /> ('acNlitiortri Msureds"j with reptrrd t4 liability and dartlsnare of suns arising frarst ifM <br /> a~paratlor~ and uses psrldDrr»ad by ar aq l~ehalii ot'tha names irsafarod. <br /> tllfkh rpspaet to Claims arising dut of tttae opsKSStfons pnd uatos perfomnd by or on <br /> behalf of the naan~ insured, sWCh insuran~a tAS !s atTordad by atlas ~olioy is prlrrtsry <br /> and is not ad4ifiortial to or carrtrif:uting Watt any ottillr insursnee tsirrtad by ar f4r the <br /> bsrwfrt at the adcliti0nal insurodi. <br /> Thi>x Intlanartca applies S6paarataly to each inwred agttihsi wham dlatim is made or wit <br /> iR brought ar>u~pt with neiQatt to the competny's limits of lietyitity. The inclusion of any <br /> persio~tr or Orgar>lzaf~f as rrrt iri9ut~ed s1haR nvt aRad any which suQFa person ar <br /> organizatian would have as a dairrtarst K not so tnaMlua~ld- <br /> 4. With raspeCt b the add~iw~af irtdwrods, this irtsurartcas+ ahali nDt be orana;etled, or <br /> rnarterlttfly nrduCed In adt+er$ye at llsNm efroept alter thirty {3p) dtrys wtitteta noGoa t'~as <br /> bea;Irs ~fven to the Gityt of Sarno Ana. 2t? Clvlc Center Plaza, Barite Arta, Cali!`wni* <br /> 81'70f. <br /> (Completion of tlts folbWirsg, irtcludinQ cour,tora;prdrtur+e~ is roquireai to mrlke this <br /> artdoraett>.nt eft4Ctivaj <br /> Ef'feotlve 3 1$j~Q_ ~ ,this anafontameM form eat at part of <br /> POACy N <br /> lssUad fl~neia t"r¦m_ ~r r_Aai llr»eiaa A7C <br /> NarrtOd ins <br /> Countersidrred by <br /> 1Su ri=ad f~apresantativa Pamela bcQrs, agent <br /> EXHIBIT d <br /> <br />