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<br />OCJ, 2~c'~31..n:,~5 .0:32 Ar. . DiBUOlO & DEFEND:S
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<br />FAX NO, bb~4~! Ili41
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<br />P.3;3 UL
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<br />ADOITIONAL INSURI:O EN~eMel'(T
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<br />Inluranee C;O/l1l)8"1
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<br />Reliance Insurance CO,
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<br />--
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<br />This 1l11\l0~n! "lOll;'''' $LlctllnSutOlnl:e " is aflo.OOej toy ltlo provillo", of POUcy
<br />· PX81'l33407 . "lati"tJ to Ihefollowi",:
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<br />1. The tily 0' San'" A"~ 20 eivic Cenrer I".za. S.nlll A"I, Calmia
<br />9270': 1m officers, .mploy,",~ ag,nllll"o valunl.",. arw ""~.. adcfitko,.II,lSlll'8ll'
<br />(""""ltionQI Inlu,ods") willi '''!IlliG l~ Ililb~ity al'ld door."", of 011110 ariaing '10m 1I1e
<br />~Io". and u.., pel'fo''''''d by or on benalf 0'11:0 na",f!(j ineurad,
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<br />2 With ....PtCI to cl4hn..,ising oul of ilia tIp.,ot,ons and u.... per1C:MltG II)'
<br />0' on ae~lff 0' tl>e nall1lld i",UI1OCl, SUCh i"..ra"c~ .. Is aflOfdOd Qy INs pallt~ 1&
<br />primary and i$ not IlCldilional \0 or tOnlriblltl'lll wIfo any 011..... incur."" oarriecl by (Jr 'M
<br />tho!: bttnrlll ofl/'o aclditlO".' inoure<l..
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<br />3. Th", Insllranot .~p~s aepa,,,,ly to 'OCllI1\'umd apins! 1IIlIo", alai", is
<br />"'ade or IlIit ts broUBh! "'''PI Wit" respecllo ".. """'F'~Y" "mita of liab~~, ll\e
<br />ino:l",lon of any ~e,.on Of '~OllnlllllO~ a. "n insu'ed .hell ~ atreel eny riflhl whieh
<br />.uc~ person or OTllSnlzalion woulrl n""" II .. of.....nllf f10l so jucludllCl.
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<br />4. \MIh respect to the Icklilion.1 i"""redt, IN' IllIvran"" "'~II nO! H
<br />caneoled. or 'l'lete,;ally ',,~u<:ad In COIIcIlI;e Of limhs "~eapt aller lhlfty (30) dl15 wril'-1
<br />"utio:e lias bIlen giveft 10 \he C:it)o of 50n= An.., 20 CiulQ Collll.... P'1a24, a.me "'"".
<br />Ca:jror".. 82701
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<br />(Cqmpletio~ 01 ,~ fONow1ng.
<br />~nleflec!ive)
<br />7-24-99
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<br />including coun,..rs;.",,'ure, h. I'8llUired tI r~ ~js.
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<br />P"'qa_l'X8f>1)~07
<br />IssuOClIO S8n Joaquin ChElll11cals, Jne, .
<br />. Hamed '","'ad ~
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<br />CaunlGflignCti ~y _ n,p/).J ,
<br />~nl~ fwe
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<br />_, Ihl> endo"".".", faml.. . PlI" III
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