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SECTION III <br />1.SCHEDULE OF COVERED STATESB.Ifastate,showninItem3.A.oftheInformation <br />Page,approvesthisendorsementafterthe <br />A.Thisendorsementonlyappliesinthestates <br />effectivedateofthispolicy,thisendorsementwill <br />listed in this Schedule of Covered States. <br />applytothispolicy.Thecoveragewillapplyin <br />thenewstateontheeffectivedateofthestate <br />approval <br />C.Schedule of Covered States: <br />CA <br />Countersigned by <br />Authorized Representative <br />Form WC 99 03 03 BPrinted in U.S.A. (Ed. 8/00)Page6 of6 <br />