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San 29 2008 22:25 <br />Jan. 30. 2bb9 14:131~iw <br />T1I KEHRRtYDDI'y I i~SUf2HnCE <br />POI,IGY I~tiUBER: 0+347A-90-20 <br />9097948193 <br />~Ia.OQ63 P. 4 <br />~~A~ <br />!:A !O If OR ~ <br />THIS ENDCR$E~MT 1~A1~tES THE taR1iJCY. PLE119E READ tT CARE~iJLLY. <br />t]~SiGNAT~Q !N5-UR~i3 <br />~~.~>~~ <br />SLlSII~E38111JT0 COYERAOE FQl2M <br />GARAGE COVERAGE FORRA <br />MOTOR CARRIER COVERAGE FORM <br />FAIICKERS COVERAC~ Fotil~ <br />tnodfllb~ ItM R~~ by 1fM~ endaAemenf. tAs proMtNOtfs of ~It Cwa~e Form apply ~t <br />Tlds afldof'9errrMt IdenlifAAi ~ Of~eliaMlOl1(a) WI1o ili 'wMtmetlY' IIITdIF ~ UVho le M t+rur0oi <br />P70vh1iert of the CvMe-eye Faen. Tli9 s ndarasn~errl does riot atle- voreraQa proridad Us Ffs Faun. <br />~ ~ alrsnpes fNe poAq efkdM a~- 1t+e Aospllon eet. of rns poRc,Y w~lers arnlher dek 1s <br />Enrteratnwat E Caun~'alpned ®Y: <br />e ~ne~a~ <br />hleeasd lnsur~d: <br />1 flll'fSR I)IC . A <br />l~:llEbUl.E <br />t~lame d Piarcvn(q a vel~mtzatiaKsw <br />t;lY OF xAR'P11 ~ <br />pt no arsuY appeu~ atao~-+s, Intormattan rae~M b +co-nPWs ws rwM wM a ~havrn In tM OacbhMerrs <br />as_ apptc~tae b the ~M.) <br />Eaoh p~rsoFt or o~Mioe- eho~n- ii 1be Selisdu0e lr aA "bsund' ~ l.N~pNity C4vereps. bit orMy >b tI+M lodent <br />thel perfon or apentteAlon ae aif '!-teurod endK llts VYho is An tn.uted FtvVblan oorrlalned <br />In Section tl dt1~s Caroraps Fenn. <br />GA IO~i Otli Cap~l, inwanoe Sarrlc+ea OIACS. Inc., 1&9e Pace t of ~ <br />p.5 <br />_ k00/EGO d lcna <br />of L Boaz/nrlin <br />