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-- � • <br />03 /1HfAa01B � 10x60 4b9�9y26�9t30BB <br />f�lraZZ -IFS <br />�]� INS PAGE 03 <br />7269070644 _ pA(„$_ ,2/ � <br />wbO1TiONIkL ItNSUftED LNDORI{8MRli�IT <br />t=CR COMMCRCIIIL GEF�RAL Ll1�fTY rOLltS1f <br />- t .,.. -t _ . _ .� <br />7h1a aeedgrsfrrterrt mOdlRas aueft irounptca as fs altlofdad btr tha./>rovislores of Polley <br />SZ598Z�h2�e ,. rsiaHrtg m !tq fvtlowinac <br />t. T>ha taly al 3arrt+ Ana. 20 GNC Oartfsr P1ara, Santa Arta. Carfomia lIZ7t71: ib oRicars. <br />amployeea, agents, volunteers and napresantrtlyga Pre ++synod ss additional lrrwreas <br />Csdditional trtattrada'y with nsgard to pabfNty and dwNnse of soils arising from ttta <br />oparatlorts and usas psrlbrrrted by or on bshaif of titer nark inaurad. <br />�. V1fNh rasped to Claifl'M arising out of Iha oparationo acrd uses perforrrtad try or on <br />betlaif of the - Warned inaunsd, such insuranca as is atTOrdad t7y ttiis peppy ss prbnery <br />and b nW addiRbna! to or contributing tlrwlt any Whrr insurance vrrlad by or for tha <br />t]w>tfit of the addMiortal inwrads. <br />,• This Inovrareoa applies taparalaiy to each insured agwMtst vMlwrn Clrim is made or wit <br />4 brought raoept with respect to tits co emits d Rapp <br />parson Or Or�arrlratiort as art inarrrad shoot aRset �. Ttte inclusion pf any <br />�y riglu which suplr parson er <br />Organinstlon I�tld hive as a dalmant � not so InCludod. <br />4. 1+VRit raspaGt to >rte atldpior:al irtaurede. lhia irtsursnee eitwll nor be osnoeiietl, or <br />lhl radurad b Cwrarape or Ilrrtlts erroaps afbar t1t41y 13p? dteys t+rrieesn rwtlae ltas <br />bears gfvsn to tits cay of Santa Ana. 20 Ctvie Csntsr Plan. t3.artta Ana. CalNwnia <br />li270 t _ <br />(Completion of the following, inoludinq eo.,r,tar,rrignatura� t• re4uirad to t»ske this <br />ar�dasantant elMettva.) '. <br />Effedlw _ 3L1�J10 . this andoraarneTtt form ar a part of <br />Po4Cy A _- 72 � �r322�0 <br />iwuacl tt7 n+'r.*+�s �im� 71b�i ll�. -N.eo a4a ve�o �a 7s.�..� <br />GoYnlarsignsd by <br />D�7]� sryer�t <br />EJCMI ®lT d <br />