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NO 11111 111 <br />6A K111 AIL avil'', <br />POLICY NO.: R|C:8814071 <br />INSURED: INTERVAL HOUSE. <br />ENDORSEMENT NQ^:0D1 <br />EFFECTIVE DATE: 1001114 <br />III <br />This endorsement affects one o[ more cf the following items: <br />1, /\Qt0U0ohil8 4. Inland Marine 7, C00[nVn Fl <br />2, PU}pHdv 5. Crime <br />3. General Liability Z 6. PrOfe88i0D3l[iObility|| <br />Description 0fChange: <br />FORM: MSHSGLCA28 (10 07): ADDITIONAL INSURED ENDORSEMENT — IS HEREBY ADDED FOR <br />THE CITY OF SANTA ANA — SEE ATTACHED, <br />Premium: NO CHANGE <br />ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED <br />[ <br />�0 <br />RPIL 77 04 08 05 <br />