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193 20 13 if('s IN! I't)(10611 <br />Policy Numbor '1',32(' 81004145715 <br />Issued by I,IBI,7,R,ry N11.1TUtV-, FIRE INSURAINCE CA)AIPANY <br />THIS ENDORSEMENT CHANGES THe POLICY, PLEASE ACAU IT CAREFULLY. <br />NOTICE OF CANCELLATION 1-0 TMIRD PARTIES <br />This endonsetrient niodifieq irusurinee provrded undor (he rollowh-ig; <br />BUSINESS AUTO COVERAGE PART <br />MOTOR CARRIER G0V['.:,RAGC PART <br />GARAGE COVERAGE WAR7 <br />TRUCKERS COVERAGE PART <br />EXCESS AU1'0MOBILE-, UAWLITY WDEMNITY COVERAGE PART <br />SELFANSURED TRUCKER EXGESLIABILITY COVERAGE PART <br />WIVIMERCiAL GENERAL LIABILITY COVERAGEPART <br />EXCESS COMMERCIAL, GENEFUA, LIABILiTY COVERAGE PART <br />PROD UC TSCOMPL ET5D OPERATION S LIABILITY COVC�RAG E PART <br />LIQUOR LIABILITY COVERAGE PART <br />COMMERCIAL LIABitrry — UMBRELLA COVERAGC FORM <br />soheduto <br />Name of Other Poreon(n) Erna() Addrtiss or trialling addronr Num <br />PeT Schedule on file with the Per S,,heduk on file with thn Comoariv 1 30 <br />y at. Z�anta Ana, 1ts <br />r,epreoentati,ves <br />k If we canoellwpoIloy for any rea';oo other than nonpayrflent of premium, We will nod'V the rm?nsons or <br />organizations shown In the Sel.hedufo above. We will ipryJ nofi(,o to the email or ailing aridly 'qlintodabovo <br />cit leuA 10 days, ar 1hu yvwnbmr of dayr, vNted abow" If cIny' h&nre th� cancelInflon effeclive, in rw <br />event does the notioe to the third party cxrnod ffiv notioe to th,-, firsl n,,iniad insumd, <br />provido nud'i adivanco richkation will real extond thpolicy r,,ance,,UaiJon dale nor migito cwicoIlafiun ol, Jl-vi <br />pvkzy. <br />AI ulher IemiF3 aoii condifloos of this poficy minairs und'uirqpvd, <br />LVA qt) 01 n5 11 M 20`11 Lihe(ty mutu"'d 10MUr', Of DJMDt°Olk,'s, AO rights Paqu I sI °i <br />Includes cupyrighled rnaltNW of lnstaroo cn. strvi"'cs Office" Ir'C" with <br />its pormisu"ion. <br />REVIEWED B�Y: EU11,fl('1P HEREDA (FIQ1001 <br />