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<br />02/11/2003 17:04 <br /> <br />a.p.2? 02 OS. Gap <br /> <br />BACCARELLA INSURANCE ~ 17145652693 <br />T1 hit <br /> <br />NO.471 <br /> <br />1}05 <br /> <br />p.a <br /> <br />...., 1"I-lr5 StiQrr {!J. (A.:;t 14~r,1 <br /> <br />L ADDITIONAL INSURED ENDORSEMENT ~-t4E: <br />. . CoZ. <br />. ... compeny LiM...o\(\ {"etlef~t .:D\~ Ca.... <br />, 1ft" <br />. _,II' .' <br />If' .. <br />'TlW _"",,_.,n mocIIIIlIIl.ICI'I ,.,.,.~ - Is atIart:IlCI bV .. pro~llItona'p flakY <br /># .is MO o~I.j" 0 rel8IIllCIlO the. I falloWIng: ....".-.. , ,<j'~ ..' . '" <br />. ~' <br />1. TIut CIly of li.,.An8, 2ll~O . ... AnD. ~I'" 927tt1: <br />III atIiaIr8. wn~. lIQIII'll8 8IIlI Ie I\IINId . 8ddllI~ <br />("lIISclIlIOIlIII lI'lti.ndI') wlln 18\J.,c\ lD , ._ CWsn. at .. wl$lrG fI'l:lm .,. <br />_ml....,. and UM8 "rfoImed !IV or 'r bel'IlIll at !he N1l'/l8d In8\lI'Id. ".'. . <br />2. Wllh respec:l1O llllllm'~ aul of lh. ...._ and i.i'- petialmtld tI, <br />or an beNIf atltla ,.,,1Id ltUI\,II8d... 1\Id:l''''''' as II.M by tNa ~ '- P'lm8l'/ <br />.... ... ~- ...... - ---..... " ,,"'... <br />bllIIellt or ~. "1- \ \ . .~- - - <br />.S;- - This Ine '_ .;..1.. iv 10 -., Inlured egainIl Wham claim 1. <br />madI or suit III . pi ~ ,. to N ~peny'1I Urillte OIl18ll111lV. The <br />~ C!f Id lIa.... a c:IaImItlll nol so fnalUCIea: <br />. .,. <br />.' . _ .. Wlt\ reiOacI \:0 Ih8 edCIilIaI'laIlnCUradI. thIS tnsunlllC8 sh8ll not be cancelled. <br />. ;r'iTIaI8fIBIlV rMU~1" ~ra;e Oft Dmtll except aile' IhIrty ~) dllWS wrlLl8l'l nolIoa "'sa <br />'l:Ieen glV8n to lno t-, of SiInta AM. 20 CMo CenIer PIlle. s..,ee MIl. QalifOPflIa 1127131. <br /> <br />-. <br /> <br />(Compldon gf flw fOllowl.... InCluding OOIl",,,,,,MtIlf8, fa required 10 melut lhIa <br />anClO,...-.ct a"-etlva.) . .' <br />EltllCltMl \ . do ~. O~ . 0 ~ . ttllUnd0r8I1l\l1l\Uorm .. 11 pitt of <br />PolleY # ~5~l\Oo""LfL. 0 <br />lAUlIdio ~.IO. &\el\n TIt.. ~. <br />M..... ...... <br /> <br />Ca\.... ,..,.,,* ., <br /> <br />J:(\~' <br />~ <br /> <br />c1pci.J~ <br /> <br />- <br /> <br />. <br /> <br />~IJ. _ .,Jlo$"0hI <br /> <br />....""l\;... ~._......_. ,....._ <br />